Surgery on the leg: rehabilitation, consequences

Today every day there are new diseases, but no less actively progress and have long been known to mankind. One of those is varicose veins. Such a disease can affect not only veins on the legs, but also any place in the body. For example, a person may have veins of the small pelvis, esophagus or uterus. The reasons for varicose veins are "the sea". This includes excessive regular load on the legs, wrong lifestyle, hormonal problems and so on. Sometimes the situation is so serious that the patient needs an operation on the vein on his leg.

Extension of veins in the legs

Even in the well-developed countries of the world, doctors are not able to prevent a massive defeat by varicose veins. The first time to the disease is not taken seriously. He is considered simply a problem, worsening the appearance of the feet. However, as the disease progresses, other more serious symptoms appear. There is swelling of the lower extremities, strong painful sensations, the skin in the field of dilated blood vessels darkens, trophic ulcers may even appear, then surgery - removal of veins on the legs - is extremely necessary.

Although the primary cause of the formation of varicose veins is a genetic predisposition, more serious stages of the disease occur when the legs are overloaded. For the disease to begin to progress, the body most often needs stress. This can be pregnancy, childbirth or simply a sharp increase in physical activity. As a result, the pressure in the bloodstream of the person's legs and the normal operation of the valves fail. This is the trigger for the progression of varicose veins.

Secondary stage

Most often occurs on the basis of already transferred thrombosis of veins, and also because of the diseases received by inheritance. Secondary enlargement, or postthrombophlebitic disease, is a serious problem, and if it is not given importance, then in the circulatory system of the lower extremities begins a deep pathological process.

This leads to the expansion of the subcutaneous veins and blockage of large vessels, since the valves do not have time to cope with the increasing pressure. Also, re-expansion of the veins can occur due to arteriovenous fistulas. In rare severe forms, the Klippel-Trenone syndrome develops, which also leads to the secondary stage of the disease.

Surgical operations on the veins of the lower extremities

When a person reaches despair in the fight against varicose veins, one has to resort to a surgical solution to the problem, namely, the removal of an enlarged site of venous vessels. If the operation is performed by experienced and conscientious surgeons, this can save a person from the disease and from the discomfort associated with this for many years.

In modern medicine, there are all the necessary developments and tools for the operation on the vein on the leg was successful. An interesting new method of seamless technology is interesting. The affected parts of the circulatory system are removed by micro-punctures.

After this operation, even the suturing is not required. The patient's leg is simply wrapped in an elastic bandage, and after only five hours he can already get up and walk a little. Whatever the complexity of the operation on the veins of the legs, the consequences can still for a while make itself felt. For example, the compression period after any surgical procedure can be from one to three months.

If a person has had trophic ulcers on his legs, then surgeons use endoscopic equipment. Gradually, the most painful and scary methods of removing dilated blood vessels are replaced by more civilized ones.

Methods of operating

The most common technique for treating leg veins is phlebectomy.

Drugs, including anesthesia, are injected through the epidural opening in the spine (using a catheter). This method contributes to the quality of anesthesia, while maintaining consciousness, reducing harm and stress for the body.

Although at the moment many methods of conducting the operation have been invented, the method of combined phlebectomy is more efficient. It consists of several stages.

The first stage is called cross -ectomy. It consists in the intersection of the large saphenous vein at the point of its confluence into the femoral vein. It is convenient to carry out such work from the incision in the inguinal part, it also makes it possible to unbind up the inflows, which are close to suicide.

The next part of the operation consists in the very removal of a fragment of the large saphenous vein. In some cases, the required operation for varicose veins affects a small area of blood vessels only in the femoral zone. And sometimes use a long stripping (the so-called removal of the vein), that is, the subcutaneous wreath is removed completely - from the groin to the ankle.

In this case, the vessels are pulled out using a special probe. To understand how this seizure takes place, imagine how the stocking is turned inside out when unhooked. Approximately, so the vein is removed when completely removed. This method allows you to maintain the integrity of other elements of the circulatory system, not to damage surrounding tissues, to avoid the appearance of scars and bruises. If this is how an operation on the veins of the legs was performed, the rehabilitation will be quicker and easier.

After the main trunk has been removed, they begin to eliminate inflows damaged by varicose veins. In this case, if the blood vessels that connect the deep veins with the superficial, are also prone to pathology, they must necessarily be bandaged. Bandages are performed from individual small incisions.

Preparing for an operation

For the operation on the vein on the leg to be successful, you need to properly prepare for it. The attending physician gives the necessary directions, among which there will be necessarily analyzes of the blood, urine, cardiogram, fluorography. Women will need to pass a gynecologist, and some patients still need to take a permit to admit surgery from the therapist. Also, in advance, you should purchase several elastic bandages in the pharmacy and take them with you when you are registered in a hospital.

Phlebectomy is indicated for patients who are diagnosed with varicose leg disease, which is associated with problems in the subcutaneous veins (large or small).

To whom phlebectomy is contraindicated

In no case can this method be used by pregnant and breastfeeding women. It is also worth considering the general condition of the patient and other pathologies, to which he may be exposed. Do not make phlebectomy for those who have worsened thrombosis or thrombophlebitis of veins, as well as in the presence of purulent lesions on the legs.

Foam Sclerotherapy

Sclerotherapy is a relatively new and successful method of treating varicose veins without traumatic interference. Such operations are performed on the veins of the legs with a laser. Such sclerotherapy is especially effective in the removal of enlarged veins of small size. And with the treatment of vascular nets, asterisks and reticular veins, this technique is simply indispensable.

Operations on the veins of the legs with a laser

With this intervention, only the energy of the laser beam acts on the problem area, so that the vein is thermally closed. The procedure has a relatively high cost, and for its implementation, a specially trained medical personnel is needed.

Thanks to this method it became possible to combat the causes of the appearance of trophic ulcers. This operation - removal of veins on the legs - has become the most modern and effective, so patients recover quickly, without feeling negative consequences.

What is radiofrequency obliteration?

This is an equally safe and modern operation on the veins of the legs. Feedback about this technique is quite good. It is both painless and easy to understand the patient. However, after a surgical procedure, the legs may become sick for a while, and this method can not be used to treat perforating veins.

Dangers of varicose veins

Alas, this problem is extremely common in the society. On average, more than 30% of the population have bloated veins. In 20% varicose expansion is complicated by the appearance of trophic ulcers, and more than 25% of cases of the disease passes into the stage of thrombophlebitis. This behavior of the disease can often lead to even more serious consequences.

Risks of thrombophlebitis

This complication occurs more often than others and carries with it a serious problem, since it can cause a blockage of deep veins. It is caused by slowing of the qualitative circulation in the vessels of the lower limbs. It leads to edema, trophic ulcers, darkening of the skin in the affected area.

What is a trophic ulcer?

Such an ulcer is a sign of severe venous insufficiency. In the absence of proper treatment, it can not heal for a long time, even progress, increasingly damaging your legs. After surgery on the veins, this problem is solved more easily.

Venous thrombosis and thromboembolism

Such thromboses can increase the risk of thrombophlebitis, and thromboembolism in general can lead to serious pulmonary and cardiac failure, which in half of the cases is fraught with a fatal outcome.

Recovery after surgery

Regardless of how the operation for varicose veins has gone, in order to recover, one must adhere to the course prescribed by the doctor. When recommending treatment, the doctor will take into account how badly the veins have been damaged, how much the outflow of blood has been disturbed.

After the operation on the vein on the leg was carried out, the first 4 hours should be in bed. However, this does not mean that you need to lie still. The doctor will tell you how to bend your legs and what movements to produce ankle joints to speed recovery. Sometimes it will be necessary to tie the lower extremities with an elastic bandage or even fix them in a raised state.

The next day, the doctors will allow the patient to sit down. After both legs are tied with elastic bandage, the patient will try to get up and walk through the ward.
Finally, everything was over, an operation was performed on the veins of the legs. Reviews about it, of course, can be both positive and negative. But nevertheless, one must not forget that it is necessary to maintain the health of the blood vessels further. In this case, special massage will help, as well as regular walking tours. All this will help to avoid varicose veins today and in the future!