When do you need surgery for varicose veins of the lower limbs?

According to medical statistics, vascular diseases are among the most common diseases among the population aged 18 to 90. Along with respiratory diseases, vascular pathologies are gaining momentum from year to year and statistical indicators are growing inexorably.

surgery for varicose veins

The area at risk of morbidity is constantly increasing. After all, there are many reasons for the development of vascular pathologies, such as varicose veins. People with a hereditary predisposition to vascular diseases and congenital vascular pathologies pay attention to their veins. Most of the future patients of the phlebologist's office do not even know that for a long time they develop the disease. This happens both for inattention and for lack of awareness of what are the causes and the clinical picture of vascular disease. And only when varicose veins take on the neglected state, symptoms begin to appear, which form an almost complete picture of what is happening in him. From this moment, people very often begin to turn to specialists. But, as it has already become clear, at this stage it is no longer so easy to fight the disease. Does this mean that vein surgery is mandatory? How do events develop when a patient seeks a doctor? At what stage and is vein removal really necessary? Read the principles of surgical treatment of varicose veins of the lower extremities and how rehabilitation follows, read our article.

Is it possible to cure varicose veins without surgery?

When we have a health problem, most of us exhibit a personality trait called exaggeration. We present the problem more comprehensively than it actually is. In this regard, having discovered varicose veins in the legs, many believe that the only option for getting rid of its signs is surgical treatment. Moreover, even "in paints" begin to imagine that, getting rid of the varicose veins of the lower limbs, they will have a long rehabilitation. Having hypertrophied the extent of the problem, we often postpone the visit to a specialist, and therefore do not receive the necessary care, which would have been prescribed after the consultation. And what is it really like?

To understand the situation and understand if it is possible to do without the intervention of surgeons, below we give the indications for surgery for varicose veins:

  • deformed saphenous veins due to the long-term development of the pathology;
  • symptoms of venous circulation disorders (persistent edema of the distal lower limbs, increased fatigue and a feeling of heaviness) in combination with and without dilated saphenous veins;
  • trophic changes in the soft tissues of the lower leg (more often its inner part);
  • some forms of thrombophlebitis.

If there is the possibility of avoiding surgery for varicose veins of the lower limbs, the specialist will always start the treatment exactly according to the scheme that will allow it to be done.

In the event that there is no positive dynamics in the time allotted to conservative therapy, only surgery will help get rid of varicose veins.

contraindications for surgery

There is more than one modern and effective method to perform an operation to eliminate varicose veins. Among them, the specialist will choose the most appropriate for the patient's condition. In addition, having diagnosed varicose veins and deciding that an operation is necessary, the doctor states not only the fact that there are definitely indications for the surgical treatment of varicose veins, but also the fact that there are no contraindications such as:

  • decompensation of hypertension;
  • ischemic disease in the acute phase;
  • skin lesions in the acute stage - dermatitis, eczema, etc. ;
  • pregnancy in all its phases;
  • breastfeeding;
  • age of the patient;
  • infectious diseases in the acute stage;
  • oncology during active treatment;
  • severe diabetes mellitus;
  • extremely advanced stage of vascular disease.

All surgical methods of treatment, even the most minimally invasive operation to eliminate varicose veins, have their own characteristics. In this regard, the list of indications and contraindications that the removal of varicose veins in the legs by the selected surgical method has can be changed both upwards and downwards. Only a doctor can objectively determine which is better and whether it is worth doing an operation for varicose veins to eliminate the veins in the leg, which the disease continues to affect more and more.

Varicose veins in the legs: types of operations

When a doctor diagnoses varicose veins and it is no longer necessary to do without surgery, the specialist considers its various types. Individually correlates the feasibility of each possible operation for varicose veins in each patient, taking into account the peculiarities of the course of the disease.

What operations are performed for varicose veins? Treatment of varicose veins by surgical intervention is carried out by several main methods: gluing (sclerosis), dressing (crossectomy) and removal (phlebectomy) of the veins affected by pathology.

How is the operation of removing varicose veins in the legs performed? To implement each of the above treatment methods, different tools and technologies are used: sclerosing drugs, ozone, laser light guide, etc. At the same time, other questions arise, which is better? For example, an operation that involves the mechanical removal of a vein in the leg or gluing with a laser?

Expert opinion

The procedure using a laser is minimally invasive. It does not require hospitalization of the patient. It has a low postoperative risk of complications, but it still exists. Also, the procedure is expensive, and not everyone with varicose veins will be able to afford such treatment. In each case, the doctor will decide which operation is better, determining which methods of implementation are most appropriate to the situation and condition of the patient.

Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna

Preparing for surgery

testing before surgery

In cases where vein surgery is planned, it is necessary to go through a preliminary preparation process organized according to certain requirements. What does it include? In order for the operation to take place, regardless of the chosen method of removing veins with a laser or phlebectomy, it is necessary to pass a series of tests:

  • general clinical analysis of urine and blood;
  • coagulogram or hemostasiogram to evaluate the coagulation system;
  • blood tests for AIDS, HIV, hepatitis B and C;
  • analysis by blood group and Rh affiliation;
  • biochemical blood test.

In addition to taking tests, preparation for surgery includes exams such as:

  • fluorography;
  • electrocardiogram.

After the patient passes the tests and undergoes the necessary examinations, it will be necessary to obtain a conclusion from the therapist. If, according to the results of the analyzes, no abnormalities are found, and according to the results of the examinations, no concomitant diseases are found in the acute stage, the patient will receive a conclusion about the possibility of an operation for varicose veins of the lower extremities. Otherwise, the surgery can be canceled or postponed, as repeated tests and / or further examinations and consultations from various specialists will be required to obtain a conclusion from the therapist.

How to prepare for surgery on the day of surgery?

At least 7 hours before you need to stop eating.

Take a hygienic shower. If varicose veins have affected the veins of both lower extremities, it will be necessary to remove the hair from both legs, starting from the inguinal fold. Surgical treatment will be performed after the patient has been examined by an anesthetist.

Expert opinion

Compression underwear should be purchased in advance. It will come in handy after surgery. It is also worthwhile to worry in advance about comfortable and loose clothes made from natural materials.

Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna

Operation: possible consequences

possible consequences after surgery

After the question of whether it is necessary to have an operation for varicose veins there is no more, because it is done, a recovery period begins. The patient must be prepared for the fact that this period can be obscured by the possible consequences of surgery.

What are they like? These can be temporary and understandable complications caused by violations of the integrity of the skin and subcutaneous manipulations. These include induration, hematoma, pain, lymphorrhea, bruising, edema and others. After the operation, during which the veins of the legs were removed, mistakes could be made. And it is quite possible that they will lead to negative consequences, including numbness due to damage to nerve endings, infections, skin burns, etc. In addition, the consequences can be caused by the individual characteristics of the patient and the way in which the operation took place.

Expert opinion

Before and after varicose vein surgery, each patient will be informed on how to proceed in case of complications. So, for example, if a large hematoma has formed, which is prone to suppuration, or when the leg hurts unbearably and there is hyperthermia, then you should immediately consult a specialist to prevent deterioration of the condition. Medication or physical therapy may need to be prescribed.

Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna

After the operation to remove varicose veins by phlebectomy, the patient is granted 14 days sick leave. If complications arise, it can be extended. Statistics show that if the veins are removed with a laser or other minimally invasive methods, the risk of complications is lower. Sick leave is not issued with such a surgical intervention, but if the limb hurts and negative consequences continue to appear, recovery may take some time, for the period of which, at the discretion of the doctor, it can be releasedsick leave.

Recovery after surgery to remove varicose veins on the leg

recovery after surgery

Any operation is stressful for the body. Varicose veins that have undergone surgery are no exception. To prevent the recurrence of varicose veins in the legs, as well as to avoid possible complications, it is necessary to restore the functions of the circulatory system and the whole body. And the rehabilitation period will help the patient in this.

Of course, how the rehabilitation period will proceed depends not only on how diligent and diligent the patient is. Much depends on the initial state of the operated person. If a patient had stage 2 varicose veins and underwent laser coagulation, there will be fewer restrictions after the procedure performed than a patient who had physical venous extraction surgery in an advanced stage of the disease, aggravated by complications.

However, there are general guidelines for anyone who has undergone surgery for varicose veins.

And since, after the operation to remove varicose veins on the legs, many questions often arise about what and when it is possible and what not, in our article we will tell you about this.

Recovery or rehabilitation after an operation to remove the veins includes a series of measures that will be aimed at the maximum to counteract the formation of thrombus and normalize blood circulation. When the affected veins are already excluded from the bloodstream, the condition of the operated person will improve every day. After all, varicose veins no longer progress. In order to facilitate the early return to the usual lifestyle, the patient must strictly follow all the recommendations given by the doctor in the postoperative period. What you can and cannot do after surgery to remove varicose veins in the lower limbs, read on.

After the operation: what can and what cannot be done?

compression garments after surgery

In order for recovery after surgery to the veins of the lower limbs to be successful, most patients are recommended to immediately apply an elastic bandage or compression products: tights, stockings, knee-highs.

At the end of the surgical procedure, you should literally start walking immediately to prevent venous congestion and blood clot formation.

Corrective gymnastics is also extremely important. Morning exercises or other general physical stresses during the day must necessarily contain exercises to restore blood circulation, eliminate the threat of stagnant processes, promote tissue regeneration, and so that edema does not occur. Is it possible to stretch and, in general, are sports not contraindicated? Sport after surgery to remove varicose veins on the legs is necessary! There are a few buts not to be overlooked because there is no relapse:

  • it is impossible to perform exercises with the maximum load on the lower limbs;
  • the intensity of loads should be focused on more approaches than on their speed and complexity;
  • excludes shocks and power loads on the legs;
  • choose the right sports shoes;
  • to carry out sports activities under the supervision of an instructor.

Given the above, it is important to note that step aerobics and vigorous running are prohibited after varicose vein surgery. Do you prefer swimming, walking, water aerobics, cycling, etc.

A correct eating behavior is extremely important for the normal functioning of the body of any person, especially the operated one. Therefore, a series of correct eating habits will make recovery faster, keep the weight at the required values ​​and also strengthen the blood vessels. Perhaps experts can prescribe an appropriate diet, which will include foods with a high content of nutrients and vitamins and will exclude salt, spices, drinks with gas, sweets, strong tea, coffee and alcohol. Regardless of the way the surgery was performed, after a laser surgery to remove varicose veins on the legs or after any other, you should stop smoking. It is one of the most common causes of all vascular diseases, including varicose veins.

Expert opinion

A large number of patients are interested in whether saunas and baths are harmful? Note that the use of the sauna is strictly prohibited. And the possibility of visiting the toilet is determined individually by the doctor. Much also depends on when to remove the stitches after the operation, if it was done with incisions. Until the skin is completely healed, it is absolutely impossible to visit the bathhouse. After, six months later, the doctor may allow a visit to the bathroom.

Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna

It is reckless to perform an operation and rely on the fact that varicose veins will recede forever without your participation. Only through daily efforts, overcoming and taking preventive measures can you create favorable conditions for this. Therefore, take care of the health of your legs and blood vessels every day. Follow the advice of the doctor, go for walks, actively spend your free time, take a contrast shower and self-massage on your feet.

Varicose veins and surgery: pros and cons

Of course, there are always doubts that it is necessary to perform an operation for varicose veins? But it is not worthwhile to independently consider the surgical treatment of varicose veins of the lower extremities in the context of "pros or cons". Only a doctor, having studied the patient's medical history, collecting an anamnesis of the disease, having become acquainted with the results of relevant tests and studies, can unequivocally and individually answer the question of whether it is possible and why to perform an operationfor varicose veins?

The reasons for doubts may lie in the prevalence of the disease itself. After all, no specialist will ever give a 100% guarantee that the pathology will be cured. The risk of disease recurrence will persist throughout life.

Expert opinion

Some surgical procedures are more stable and lasting, while others are less effective. Everything is individual. Don't forget that having an operation is only one of the first steps on the road to recovery. To prevent the progression of varicose veins, a person has to make efforts every day for this. And not always patients conscientiously comply with all the recommendations received by the doctor after the operation, and then varicose veins recur.

Vascular surgeon, phlebologist
Osipova Ekaterina Yakovlevna

Many patients, after learning that they will have to undergo an operation, believe that the consequences, that is, complications, are inevitable. For this number of patients, this serves as one more reason to doubt whether the operation is worth it or not. After surgery to remove leg veins, the rehabilitation period can be associated with certain complications. But again, a lot depends on the quality of the surgical treatment performed, the individual characteristics of the patient's body and how the prescriptions of specialists are followed. Therefore, it is not necessary to project the negative development of events in advance, as well as to doubt whether it is necessary to perform an operation for varicose veins or not.

For an accurate diagnosis, contact a specialist.