Varicose veins are not considered a pathology that leads to fatal consequences. However, the disease is extremely serious and can significantly deteriorate a person's well-being and quality of life.
The peculiarity of the disease is that varicose veins do not have a certain age, although the failure is said to occur in middle age. In fact, due to the genetic factor of the disease gene, signs can be observed from a young age that indirectly indicate the occurrence of venous problems. Since many venous diseases occur, the need to remove veins from varicose veins increases year by year.
Removal of veins is not always carried out, for this it is not enough to have a history of the disease itself. The decision on the advisability of such an operation is made by a specialist: a phlebologist. The specialist carefully analyzes several components:
- Response to therapy;
- general condition;
- chronic illness;
- the frequency of exacerbations;
Such operations have a lot of limitations, so the first step is always to try to influence the condition with the help of drug therapy. And only if traditional methods have not been successful does the specialist decide on the possibility of surgical intervention.
Indications for the removal of veins and types of surgery
Most often, the indications appear in the advanced stages of the disease. Patients are often afraid of an operation, postpone treatment and therefore only remain operated on. To remove veins with varicose veins, one of the following conditions is enough:
- current state;
- trophic skin lesions, including the formation of ulcers;
- Exacerbation of thrombophlebitis;
- signs of a violation of the movement of blood in the vessels;
- Expansion of the saphenous veins.
Operations are divided into several types, each decision is made individually, and the price of removing veins with varicose veins also depends on the type:
- endovascular laser coagulation;
- Dissection of veins;
- atraumatic stripping;
The last two types are used more often than the most effective. Phlebectomy is used to correct circulatory disorders. The operation lasts 2 hours, during which special incisions are made. Then the veins are tied, the enlarged part is cut off. The patient is conscious and is using the spinal method for pain relief.
A miniflebectomy is performed using the same criteria and is usually similar to a conventional operation. The difference is that there is much less damage since there are no cuts. Instead, punctures are made and the diseased vessel is thereby removed. In terms of recovery time, the miniflebectomy is more comfortable for the patient because rehabilitation is faster.
Atraumatic stripping is also viewed as minimally traumatic despite the presence of cuts. Here the operation combines both punctures and cuts. The vein is tied off with a probe in the groin area and removed through a small incision under the knee.
The dissection of the veins is done under the control of a monitor and using an endoscope. The specialist makes an incision in the diseased vein, inserts the device, and ligates the vein. If the doctor has exercised enough practice, the operation is undoubtedly safe and successful.
Endovascular laser coagulation is based on the action of a laser beam. It sticks the jar, after which it completely dissolves. The process is controlled by a monitor and an ultrasound device.
Consequences of a vein operation
With varicose veins, vein removal has no consequences if the patient strictly follows all the recommendations and the operation is carried out by an experienced doctor himself. But sometimes let you know some of the ramifications:
- bruises. They make themselves felt in the first few months, they go on by themselves;
- Areas with seals. They usually pass in a month;
- Pains. Possible when nerve endings are affected. Usually, mild pain and tenderness go away;
- Swelling. Only appears if the patient does not adhere to the exercise plan.
No operations are performed or offered to elderly people. High blood pressure often becomes an obstacle, which is not so rare in old age. In addition, any type of operation is prohibited:
- during pregnancy in the second / third trimester;
- in the presence of ischemia;
- with erysipelas;
- the presence of any type of infection;
- Late stage varicose veins.
Before the appointment of the operation, an examination is carried out to identify possible contraindications. If the patient knows about his chronic diseases of any kind, it is necessary to notify a specialist.