Combined phlebectomy - a modern method of treating varicose veins

Varicose is a disease characterized by an increase in the size of the veins. At the same time, their elasticity is reduced and the form is modified.

If the valves are working properly, they close immediately after passing the blood. However, it does not follow in the opposite direction. During varicose veins, the blood has a different direction and flows downward. In this case, the characteristic difference is that the blood remains in the legs.

Such formations with time stagnate, so healthy valves can not work in the correct mode. Blood can penetrate into the subcutaneous vein, so there are bulges over the surface of the skin and the shape is lost.

Features of

method Combined phlebectomy is a surgical method of treating varicose veins. This is a classic version of surgical intervention, which includes several stages.

The main task is to eliminate reflux. In this case, the doctor carefully chooses ways to get rid of this problem.

The surgeon tries to resume the normal functioning of the reverse outflow of blood in the venous leg system. The surgical intervention will help to stop the blood flow in the varicose node and in all the tributaries.

This problem can be solved by complete elimination or by using chemical effects on the vascular endothelium.

Advantages of intervention

Several important advantages of this type of surgical intervention can be distinguished.

1. One-day operation .This indicates that the patient is discharged on the second day from the clinic.
2. A short period of postoperative recovery of .A person will be able to return to the habitual way of life in one week.
3. The minimum traumaticity of .The surgeon performs small incisions, which leave behind almost imperceptible scars.

One of the types of surgical intervention is miniblebectomy. It should be carried out with the help of small injections.

The procedure for the removal of veins is carried out under local anesthesia and in an outpatient setting. Doctors say that such a procedure does not give the patient discomfort and pain.

Such punctures do not need to be stitched, because they heal themselves. After performing a combined phlebectomy on the lower extremities, the doctor applies an elastic bandage. It lasts for one or two days, after which it is allowed to use compression stockings.

The advantages of such an intervention are rapidity, painlessness, attractive cost and a short postoperative period.

Briefly about the disadvantages of

It is also worth knowing about the shortcomings of the procedure:

1. After the classical combined phlebectomy , you need to spend some time in the hospital .The patient will be looked after by the doctors.
2. The need for anesthesia .In most cases, injections are used in the back or general anesthesia is used.
3. Sometimes bruises or bruises that quickly pass can grow. This intervention does not help to eliminate vascular asterisks or a noticeable reticulum on the legs.
4. Possible nerve damage to .The patient experiences loss of sensitivity or prolonged pain.

Contraindications to operation

Surgical intervention during varicose is not performed in the following cases:

• the period of gestation or lactation;
• the presence of severe co-morbidities, including infectious diseases, which can affect the overall process of the operation;
• is a deep vein lesion;
• ischemic heart disease;
• elderly patients;
• inflammatory processes on the lower limbs, here you can include complex erysipelas and progressive eczema.

Preparation for operation

The main task of such surgical treatment is to improve the quality of human life, to eliminate the symptoms that were caused by pathological changes in the blood.

An experienced doctor helps his clients to remove a cosmetic defect on the skin or prevent complications from varicose veins.

When a month passes after the operation, you need to perform an entire procedure of conservative therapy. Their main task is to increase the effectiveness of the impact of surgical intervention. This significantly reduces the risk of complications after combined phlebectomy.

Patients should wear compression knitted stockings, take medications for venous diseases and undergo complex sessions of physiotherapeutic procedures.

Before the operation, you need to pass a general blood test, urine, blood to determine the level of glucose.

The doctor is assigned a coagulogram and checks for possible infections in the patient. This includes hepatitis, HIV, as well as the Wasserman reaction.

To determine contraindications, you need to make a chest X-ray or chest X-ray, an electrocardiogram of the heart, a careful history, and a general examination. Thus it is necessary to refuse the use of alcoholic drinks for the day before the operation.

Labeling of veins

Also, a doctor can recommend a refusal of dinner and do not consume liquid before surgery.

Before the procedure, the specialist carries out marking of varicose veins on the patient, which is located in a horizontal position.

For these purposes, a specially designed device is used - this is ultrasonic duplex scanning. With its help, it is easy to assess the boundaries of the failed valve apparatus of the main vein. The physician must necessarily note absolutely all areas of inflow of tributaries.

Phlebectomy

Phlebectomy stages Initially, there is a mini-phlebectomy, which includes several stages of the surgical procedure:

1. Separation of large and deep subcutaneous veins on the legs .In this case, the effect is carried out only at the level of inguinal folds. Operations on small subcutaneous veins are performed at the same level of popliteal folds. If you use the minimum cuts along the natural folds, you can fully hide the possible scars and scars.
2. Removing the main cause of varicose veins, namely the unsound trunk of the main subcutaneous veins .Today, modern methods of intervention are used to minimize trauma and conceal cosmetic defect. For these purposes, special surgical instruments and a unique author's removal technique are used.
3. Complete removal of varicose veins and varicose veins , which differ in different diameters. The procedure is carried out using a puncture by a special mini-invasive tool.

With combined phlebectomy, the operation involves five important steps:

1. Miniflebectomy , which is described above.
2. The cross -ectomy of the is the execution of a small incision in the groin area. There is a superficial vein, which is affected by varicose veins. It is necessary to perform clipping and dressing.
3. Second cut .It is performed in the area of ​​the ankle on the ventral side of the shin. Next, the surface of the superficial vein is exposed to introduce a probe from the metal.
4. Stripping .The probe must be pulled through the incision itself, so that the lower edge of the tip performs a cutting function. Vienna, at the same time, is released from the tissues, and with a metal probe you can pull out a cut vein.
5. Sealing and compressing with .For these purposes, therapeutic knitwear is very suitable.

Postoperative period

When a seam is removed from the patient, the following procedures for recovery should be used:

• compression therapy;
• drug therapy is antibiotics, anti-inflammatory drugs, painkillers and others;
• physiotherapy.

After the end of surgery, you must adhere to a healthy lifestyle. After the operation it is necessary to eliminate the modifiable risk factors, which began to provoke the development of pathology on the veins.

Possible complications of

Patient should be held in the hospital for at least a week. If the patient is discharged from the clinic before the due time, the following complications may threaten him:

• hematoma;
• suppuration, marginal necrosis of the skin, which most often develop in places of incisions;
• neuritis;
• deep and muscular vein thrombosis;
• superficial thrombophlebitis;Erysipelas inflammatory processes.

In general terms, combined phlebectomy is not difficult, but at the same time a laborious operation. It is easily tolerated by patients who do not neglect full diagnosis.

Experts recommend that you seek qualified help in time to avoid surgery. At earlier stages of the disease, one can expect simple treatment of varicose veins and avoid the appearance of scars, scars and other cosmetic defects.