Venectomy: goals and features of the operation

Varicose veins are one of the most common diseases in the world. Treatment of varicose veins is carried out by various methods.

Most often they bring improvement, and even eliminate the disease. If the methods of complex treatment, wearing compression linen and sclerotherapy did not help, then a radical method is used - surgical removal of affected areas of veins - a venectomy.

The procedure is to remove the affected parts of the veins through small incisions on the leg and subsequent suturing. This intervention is effective and safe - the operation helps to get rid of a permanent venous insufficiency and varicose veins. During the operation, the surgeon tries to keep healthy sections of the veins and protect from complications as much as possible.

Features of operation

Venectomy is the most common method of surgical treatment of veins in Russia. The peculiarity of this intervention is the elimination of the outflow of blood from the deep veins into the superficial veins and the removal of the swollen sections of the vessels.

During the operation, microsurgical methods are used, aimed at minimizing the possibility of making cuts and applying a particularly thin suture material. This helps reduce trauma, complications and improves the cosmetic effect.

The operation is performed under local anesthesia and requires inpatient treatment for several days. Plus, this intervention is the absence of the risk of re-emergence of pathology in this area.

Indications and contraindications

The following indications are available for the operation:

• extensive varicose veins;
• thrombophlebitis;
• clear signs of impaired blood circulation - swelling and pain in the legs;
• trophic changes of tissues on the legs - ulcers, blisters.

Blood flow disorders and dilatation of the subcutaneous veins can also serve as an excuse for carrying out this procedure.

Contraindications to surgery are:

• elderly;
• severe forms of cardiac, pulmonary, renal and hepatic insufficiency;
• severe infectious processes;
• second and third trimester of pregnancy;
• advanced varicose veins;
• inflammatory diseases on the legs - erysipelas, eczema.

Preparation for operation

An important step before the intervention is the passage of a medical examination, which consists of the following procedures:

• general blood test;
• tests for HIV, hepatitis and syphilis;
• ECG;
• revealing blood type and Rh factor;
• biochemical blood test and sugar level;
• chest fluorography;
• dopplerography of the vessels of the legs.

The patient should tell the doctor about the drugs he is taking at this time and about the allergy to medicines, if any.

If the intervention was decided under general anesthesia, the patient should be cleansed with enemas before this.

Also he must take a shower and remove the hair on his leg, which will be operated. On the skin there should be no inflammation and abscess.

Progress of operation

There are many methods for performing the operation. When choosing how to remove the affected area of ​​the vein from the general circulatory system, one should take into account the diameter of the vessel, the location of the pathological segment, the trajectory of the patient vein( straight or sinuous), the length of the reverse blood flow, the presence of trophic changes in the tissues.

As a rule, the surgeon has to use a combined method of surgical intervention - a combination of methods of different trauma to qualitatively cut the affected vein and dilated ducts. In this course, the operation of the veinectomy involves the following steps:

1. The cross -ectomy of the - the onset of operative actions occurs with a small( 5 cm) incision in the inguinal region where a superficial vein, a varicose veins with deep vein, is connected. There is an invalid venous valve. Cutting out the varicose vein and its dressing is done.
2. The second incision is done from the inside of the ankle or at the top of the shin, depends on the location of the pathology, the size of the cut is 1.5 cm. It makes it possible to expose the superficial vein into which the probe is inserted - it moves along the vein and, when it reaches the inguinal incision, the vein is attached to the tip of the probe. If the probe can not be moved all over the vein, then cuts are made and it is necessary to cut out the veins with several probes.
3. Stripping - the stage is characterized by retraction of the probe through the cut. The lower edge of the tip cuts off all tissues surrounding the vein and releases it. Together with the probe, the excised cut vein is stretched out.
4. Miniflebectomy - subcutaneous nodules, inflows are removed, perforating veins are bandaged, which are noted in advance. If the veins are too tortuous, then cuts are made and their fragments are cut in parts. Small nodes are removed by crocheting through punctures( 2 mm), which are not sutured.
5. Sealing - cuts are applied to the incisions, compression is done by bandaging or special jersey.

The presented operation is a combination of several techniques performed by different surgeons and at different time periods. It is complemented by the application of new methods for the removal of veins. For example, veins with straight strokes can be removed using laser phlebectomy.

Postoperative period

The recovery and rehabilitation period for each patient is calculated by the physician individually. It depends on the general condition of the patient and chronic diseases, which causes varicose veins.

After the procedure for the removal of veins, the patient is under observation in the hospital, where he is given courses of antibiotics, painkillers are given injections, phlebotonic drugs are administered.

After the operation, it is necessary to follow certain recommendations:

1. After a while after the procedure, you can bend your legs and turn on the bed .Legs should be put higher to make the improve blood flow.
2. In a day you can get out of bed and walk, while on your feet you should have compression underwear.
3. Do post-operative massage and physiotherapy exercises so that blood clots do not form.
4. Do not wash under hot water and visit the sauna .
5. A month after the intervention, the compression is carried out around the clock , and then only in the daytime.

The stitches are removed on the ninth day after the intervention, so during this period you can not exercise with high load.

The patient is discharged on the seventh day and is observed outpatiently. Six months later, ultrasound of the vessels is performed, the presence or absence of relapses is monitored.

Consequences and complications of

Complications may occur after a venectomy. As a rule, they are in the first days after the intervention. Possible consequences after surgery:

• severe bleeding;
• decreased sensitivity to subcutaneous nerve damage;
• suppuration if hematoma formed;
• numbness - occurs in the region of the lower leg and ankle;
• bruises if laser removal was used;
• pain in places of exposure.

Very rarely there is a deep vein thrombosis. In general, the operation is safe and painless.

Price issue

The cost of surgery depends on the complexity of the operation and the method used. The price varies from 4 thousand rubles to 40 thousand and more, if laser vein removal is used.

Classical venectomy is included in the list of free compulsory medical insurance operations. If there is an MHI policy, then a free operation for the removal of varicose veins is possible.

Modern medicine goes forward, new more safe and less traumatic operations with good cosmetic effect are offered for the treatment of diseases. It is necessary to get quality rehabilitation and rehabilitation. Perform all postoperative recommendations to avoid relapse.