Treatment of varicose veins.Classic phlebectomy, laser treatment.What to choose?

Treatment of varicose veins on the legs with drugs is not always effective.It is very difficult to cure varicose veins if they are in an advanced stage.In this case, surgery is the only option to eliminate the disease. Classic phlebectomy, mini-phlebectomy, sclerotherapy, laser vein removal are effective methods for solving varicose vein problems.However, not all women who suffer from varicose veins immediately decide on one of them.Fear of surgeons and operating rooms, fear of general anesthesia and complications stop patients, so they are afraid to go to the doctor for a long time, relying on some form of treatment at home.Meanwhile, varicose veins develop and the situation worsens.

Are varicose veins "popping" again?Do I need to hide unsightly stitches after surgery?Do you need to wear a special jersey for a year after surgery?These and other questions torment women and remain unanswered, and such operations, which are necessary for the health of the feet, are delayed for months, and often for years.But today, not only classic phlebectomy is performed, which is a full surgical intervention (with general anesthesia, a long recovery period and return to normal life), but also mini-operations on veins, which are performed on an outpatient basis, under local anesthesia, and after which a long sick leave is not required.

Choosing a treatment method for varicose veins

Any operation listed, whether classic phlebectomy, mini-phlebectomy, laser or sclerotherapy, is prescribed by the doctor taking into account the stage of varicose veins on the lower leg and the patient's condition.You can not choose the method of removing varicose veins yourself;it is determined by the doctor after examination:

• Duplex scanning of the vessels (veins) of the lower extremities is universal and informative,
• X-ray contrast venography and computed tomography methods are rarely used in complex diagnostic cases.

Features of surgical methods to treat varicose veins

Various types of operations are widely practiced in both inpatient and outpatient settings.Each method has its own indications and contraindications, pros and cons.

Classic vein removal surgery

Often the attending physician chooses classic phlebectomy.

The operation is performed under anesthesia (general or spinal).During the operation, the great saphenous vein is removed along with the varicose veins.After surgery, you will need to stay in the hospital for a few days, then at home for a few weeks.Sutures are removed on the 7-10th day after surgery;healing time varies from individual to individual.

Advantage classic phlebectomy very effective in the treatment of moderate and severe varicose veins.This technique has been used for decades, has proven itself successfully and has allowed millions of patients to maintain healthy feet.

Disadvantages include a long recovery period, a deterioration in general well-being after surgery and the inability to immediately return to your usual routine (working, driving, walking distances), as well as insufficient cosmetic effects that persist for several months.

Mini-phlebectomy

Unlike classic surgery, mini-phlebectomy involves removalindividual superficially affected veins through several small incisions or punctures.The surgeon uses small special instruments (hooks, mini scalpels).Interventions are carried out at different stages of the disease and can be combined with other methods (laser removal, sclerotherapy).

Advantages of the method:

• outpatient surgery, being under the supervision of a doctor for several hours after the procedure,
• local anesthesia,
• quick healing of punctures and micro-incisions, no stitches,
• the opportunity to immediately return to your usual routine, as well as an excellent cosmetic effect.

After the operation, some complications may occur - hematoma in the area of the incision and puncture, discoloration of the skin in the area of the operated vein, but in general this risk is minimal.

Laser removal

Laser removal of varicose veins (endovasal laser coagulation of veins) is an innovative method that is widely used and very effective.

During an intravascular (endovasal) operation, a small incision or puncture is made in the skin: under ultrasound guidance, a long light guide is inserted through a catheter into a vein.Through it, the laser beam acts on the walls of the veins, "gluing" them together.

Advantages of this method is to perform surgery on an outpatient basis, under local anesthesia. Laser removal of varicose veins can be combined with mini-phlebectomy, sclerotherapy, and provides an excellent cosmetic effect, which is very important for women of any age.The catheter insertion site is sealed with a special plaster, which is removed after 8-10 days;no stitches required.After surgery, you can live at your normal pace, without restrictions.

Compared to classic phlebectomy laser vein removal for varicose veins considered less traumatic and safe.

But it should be noted that the method is not considered universal for treating patients with varicose veins (like others).Carrying out such an operation, such as the removal of a classic vein, is only possible after a full examination of the patient, taking into account all the features of the course of the disease.

Choosing a clinic for varicose vein treatment and surgery

Conservative treatment and surgery of varicose veins are carried out today in many public and private medical centers.The clinic you entrust your health to should have a serious reputation and experienced doctors who are skilled in various methods of vein surgery.

In the high-tech operating room, classic phlebectomy, mini-phlebectomy, sclerotherapy (in various variants), etc. are performed.It is important that the choice of method by the doctor is always justified by the clinical picture and discussed with the patient, the pros and cons of the method, the risks of consequences and possible complications are explained.For example, in varicose vein treatment clinic It is not always advisable to use minimally invasive ("simple") techniques.Contraindications for this: severe varicose veins, thrombophlebitis, blood clotting disorders and others.In this case, combined operations are performed to achieve good results.

For doctors Varicose vein treatment clinic, the results of therapy and the patient's condition are very important - both in the early and late postoperative period.That is why the surgeon is always in touch and ready to answer any question that interests the patient being operated on.

Advice from a phlebologist

Although the choice of surgical techniques to remove varicose veins and the possibility of outpatient intervention is small, any operation requires a recovery period and careful attention to one's health.Therefore, from the first appointment to the end of the post-operative medical supervision, you have to do everything recommendations from phlebologists:

• first of all, wear a medical jersey;special underwear is worn immediately after surgery, after phlebectomy.The first two days, as a rule, it is recommended to wear knitwear all the time.Next, daily clothes for 3-6 weeks (according to the doctor's instructions);
• after endovascular intervention (laser therapy), which is not combined with any other method, compression therapy is not required;in case of combined operation, application is required for one or two months.For the first two days, knitwear is left overnight.
• the other recommendations from phlebologists related to physical activity and a healthy lifestyle, control of excess body weight and changes in working conditions if it involves prolonged static loads on the legs.You should walk every day for 40-60 minutes.You can add a special exercise to walking every day to strengthen your veins and blood vessels.During the first two months after surgery, do all physical exercises wearing compression stockings.Remove squats and lift weights (dumbbell, barbell) from the complex.Also, don't put too much pressure on your lower abdomen.

In general, the most important condition for the successful correction of varicose veins is the cooperation of the doctor and the patient.Trusting your doctor, following all his recommendations and subsequently following the rules of prevention help maintain the health and beauty of your feet.