Operation for varicose veins: types, indications, preparation, rehabilitation

what is varicose veins

Today, a large number of the fair sex know firsthand what a disease such as varicose veins is. Of course, the disease attacks not only women, but also men, but still most often occurs in the weak half of humanity. Varicose veins are not a fatal disease, but they can cause a lot of trouble, so it is very important to seek help from a phlebologist and, together with him, choose the most optimal treatment for you. In this article we will talk about in which cases an operation is needed for varicose veins, as well as how it is performed, and what consequences it may have. Carefully read the information provided in order to arm and protect yourself as much as possible.

Necessity of surgery for varicose veins

It's no secret that such a pathology as varicose veins has existed for more than one generation. At the very first stages of its development, people try to overcome the disease using the methods of alternative therapy. And such treatment is really capable of bearing fruit, but provided that the disease has not yet passed into an advanced form. If home treatment has not brought the desired results, the patient goes to a medical institution, where a phlebologist will prescribe conservative treatment.

However, severely advanced pathology usually does not respond to therapeutic treatment. In this case, it is very important to carry out an operation for varicose veins. If the disease causes a lot of inconvenience and pain, then you simply cannot do without surgical intervention. Surgery to remove varicose veins on the legs usually gives very good results, but only if the patient strictly follows all the doctor's instructions.

Main indications for the procedure

If there are no protruding tortuous veins on your lower extremities, and you do not feel severe pain in your legs, then most likely your doctor will only prescribe you the use of special medications that will maintain tone in your veins. But the operation for varicose veins is usually prescribed in such cases:

  • the patient complains of very strong pain in the lower extremities;
  • veins rapidly increase in size and at the same time acquire a tortuous character; at the same time, the disease is actively progressing, occupying a huge area;
  • blood circulation in the legs is impaired; it is very dangerous because there is a risk of developing blood clots;
  • lesions with a trophic character begin to form on the veins; it is also possible the occurrence of ulcers that simply cannot be eliminated;
  • quite often varicose veins are accompanied by thrombophlebitis.

How to recognize an illness

how to recognize varicose veins

As mentioned above, the operation for varicose veins is done only if the disease has already begun to take on a neglected form. It is very important to independently determine the symptoms of the disease in order to consult a doctor on time and start treatment. So, let's consider what symptoms are inherent in such a pathology as varicose veins (your doctor will tell you whether to do an operation):

  • feeling of severe fatigue and pain in the lower extremities, which are most often observed in the morning and disappear in the morning;
  • patients often say that there is a burning sensation and intense warmth in the veins;
  • quite often the disease is accompanied by the appearance of edema; this is especially true for women before the onset of the menstrual period;
  • every month the veins begin to swell and bulge more and more; however, they are winding in nature;
  • nets and asterisks of blood vessels appear on the legs;
  • patients often experience convulsions at night; this is especially true for those people who exercise uncontrollably.

In what cases it is impossible to perform an operation on veins for varicose veins

Keep in mind that a pathology such as varicose veins cannot always be treated with a surgical method. Only a doctor will be able to determine whether it is possible to carry out surgery specifically in your case. Be sure to read the information about when you should not have vein surgery for varicose veins:

contraindications for surgery
  • Persons suffering from high blood pressure will have to refuse the procedure. The operation can only worsen your already poor health.
  • You cannot perform an operation if the pathology is already at the very last stage and simply does not respond to surgical treatment.
  • Doctors do not recommend performing the procedure in the presence of ischemic heart disease.
  • Pregnant women, as well as those who have reached old age, will have to refuse the operation.
  • The operation will have to be postponed if the patient suffers from skin diseases such as erysipelas or eczema.

Rules for preparing for the procedure

The operation of varicose veins on the legs is carried out only after some mandatory measures have been taken. Each patient suffering from varicose veins and agreed to undergo surgery should familiarize themselves with the following preparatory measures:

  • before the operation, it is very important to pass all the necessary tests on time;
  • be sure to inform your doctor if you have allergic reactions to certain medications;
  • on the day of the procedure, be sure to shower and shave off all hairs.

Types of surgical intervention

Varicose veins surgery on the legs can be performed in several ways. Your doctor will tell you which one is right for you after you have passed all the relevant tests. Let's consider the most effective and demanded methods of surgical intervention.

Phlebectomy

phlebectomy for varicose veins

This procedure can remove the affected veins. This method is considered one of the most ancient, but today it, of course, has undergone a large number of changes. Such an operation will be able to relieve the patient of the great vessels, as well as the formed nodules. The whole procedure takes no more than two hours. After its implementation, it will be restored in a natural way.

To remove the affected veins, very small incisions are made on the skin, not exceeding five to six millimeters. Through such holes, the affected veins will be removed.

However, today the miniblebectomy method is more popular. Its essence lies in the fact that you do not need to make an incision for the operation. The affected veins will be removed through a puncture of the skin. After such a procedure, the recovery processes will proceed much faster, and the aesthetic appearance will be more attractive.

What is stripping?

Stripping is another operation of leg veins with varicose veins. Its essence lies in the fact that you can rid your leg of a large damaged vein. For this, an incision is made in the groin area, through which a large saphenous vein is removed. Moreover, it is very important to properly bandage all deep and superficial veins. Damaged veins are also removed. For this, other small incisions are made. After the operation to remove varicose veins, a special bandage will be applied to the leg, which should be on the leg for some time.

Using laser techniques

Since technology does not stand still, every year scientists are developing more and more advanced medical techniques. Laser surgery for varicose veins is usually prescribed in the following cases:

laser surgery for varicose veins
  • the patient has already begun to develop trophic changes;
  • dilated gaps began to form in the vein;
  • laser coagulation can also be prescribed for those patients who have a small number of affected veins.

The essence of this method is that during the operation a puncture is made through which a laser light guide will be inserted into the vein. It can be used to seal the affected vein, which will soon simply disappear. This type of surgery is performed under general anesthesia.

Recovery period

For varicose veins, surgery usually gives very good results. Of course, this will depend not only on the surgeon you have chosen, but also on your actions after the surgery.

After you have your surgery, it is very important to have the correct recovery period. Usually, doctors advise their patients to follow these guidelines:

  • Be sure to use an elastic bandage after the procedure. It is also recommended to do this before exercising.
  • Doctors recommend exercising, but in very moderation. During the recovery period, avoid heavy stress on the lower limbs.
  • Try to wear compression stockings and knee socks as often as possible. This is especially true for those patients who are on their feet for a very long time.
  • Never lift weights.
  • Doctors strongly recommend that patients monitor their diet. Avoid gaining excess weight, otherwise the disease will return to you very soon.

What absolutely must not be done in the first week after the procedure?

recovery after surgery

With the help of surgery, you can solve a problem such as varicose veins. The operation to remove the vein itself is not difficult, but it requires the patient to follow certain rules. In the first week after the procedure, it is strictly prohibited:

  • consume even a minimal amount of alcoholic beverages;
  • do any physical exercise, as well as lift heavy objects;
  • in no case take a hot bath, and also do not visit the sauna or bath;
  • doctors also recommend that you stop driving.

Fast Recovery

Please note that although the operation to remove veins is fairly straightforward, in the first few days after surgery, patients may experience painful sensations, severe tenderness in the leg area, and fever.

To reduce pain, doctors recommend doing light self-massage of the lower extremities. In addition, doctors recommend that patients be active and stay in bed as little as possible.

Various pain medications can be prescribed to relieve pain. If necessary, the doctor can also prescribe medications that can prevent blood clots.

What are the advantages of surgery

At the moment, surgical treatment of varicose veins is very popular, as it allows you to stop painful sensations, as well as significantly improve the appearance of the lower extremities.

Doctors quite often prescribe surgical intervention to their patients, as it has the following advantages:

  • allows you to get rid of pain and heaviness in the lower limbs;
  • the patient does not need to stay in the hospital for a long time, he is usually discharged on the same day after the operation;
  • there is no need for general anesthesia, some procedures can be performed even without the use of local anesthetic;
  • usually the recovery process goes very quickly, after one to two weeks the patient can begin to live a normal life.

Disadvantages of the procedure

disadvantages of surgery for varicose veins

Please note that the procedure to eliminate varicose veins does not always go smoothly. Reviews of the operation confirm that in some cases there is a risk of relapse. Most often this happens if the patient, after the procedure, continues to lead the wrong lifestyle.

People who agree to the surgery testify that after the surgery, bruises will be present on the skin for another one to two months. In addition, scar tissue may form at the incision sites, as well as bleeding. There is also a risk of thrombophlebitis. In order for this phenomenon not to occur, it is very important to walk as much as possible after the operation.

Conclusions

Varicose veins are a disease that cannot be completely eliminated with drug therapy. You can only suspend its development. The neglected forms of pathology require surgical intervention. There are many ways to remove damaged veins. However, your doctor will tell you which method is right for you.

Do not run your health under any circumstances. Monitor the condition of your lower extremities from your youth, and then you will have much less problems in old age. Eat right, watch your weight, exercise in moderation and kick out bad habits, and you will notice how your health is changing for the better. Take care of yourself!