Operative intervention on varicose veins is warranted when there is positive reaction of the body of the conservative methodology. The second reason for the rejection of the conventional methods will become in the acute form of the disease.
The doctor, based on the results of the survey, you will choose the type of surgical intervention.
Existing varieties of surgical intervention
The severe form of the disease, when clinically confirmed by the threat of life and health of the patient, the person hospitalitynet. Require surgery performed under general anesthesia. After its completion should be long-lasting for the period of rehabilitation. Often complications arise, therefore, even after the completion of the rehabilitation, the patient is under the supervision of a doctor. If the pathology discovered in an early stage, the doctor minimally invasive operation. It is a procedure that does not require a severe violation of the integrity of the tissues.
Innovative surgical development, have received the name of "operation of a day", are famous for the lack of complications. The patient should not of several weeks of being in the hospital. The duration of the rehabilitation of the 72 hours.
The list of benefits of surgery will continue to following facts:
- the patient does not have to do a general anesthesia;
- the minimum duration of the stay in the hospital;
- on the surface of the skin not more than 3 holes, which accelerates the healing of tissues;
- require surgery it is not related to the pain tolerance of the syndrome.
Despite the fact that almost 100% the absence of negative effects, prior to his appointment minimally invasive surgery, the doctor performs a series of tests. Its purpose is to determine how well the body will be assigned to a procedure.
Mini phlebectomy by the method of Vardy
The doctor removes the damaged vein, causing the surface of the skin up to 3 resistance to punctures. The duration of the surgical intervention ranges between 30 to 50 minutes. This form of medical treatment assigned when the following indications:
- it is unnatural for the location of the esophageal varices dilated veins (the genital area, the lips, the face, the feet;
- the patient diagnosed with thrombophlebitis bullish type;
- the presence of broadest possible not of the trunks.
Another reason for the target of the operation by the method of Vardy – the presence in the patient of sites, located close to the skin cover.
The basis for the target of the operation – the presence of clear localization of the pathology. The procedure is assigned to patients diagnosed with I and II stage of varicose veins. The essence of surgical intervention is reduced to the introduction into the affected vein special substance in liquid or foam form. As only the substance turned out to be interior, he literally recovers the damaged area.
Coagulation with the use of laser
The methodology is characterized by the rapidity, the absence of pain syndrome and the possibility of issuing a patient of the hospital after 3 hours after the completion of the operation. The essence of the procedure – impact point of the laser beam on the affected area of vienna. Correctly chosen thermal impact generates a small blood clot, which after several months is replaced by connective tissue.
The task of the doctor is the need for greater precision may be possible to configure the parameters of the laser beam. Even the slightest error to calculate burns and subsequent necrosis of the tissues. In this sense, the laser therapy now rarely is used.
The use of radiofrequency surgery
The methodology is shown in the cases in which use the laser or any other form of repairing the damage is not possible. The procedure is characterized by the rapidity and the minimum of the probability of developing complications. The list of advantages of this method of the doctors attributed the absence of burns and scars. Radiofrequency require surgery occur in the following way:
- preliminary ultrasound of the vessels;
- the mark on the surface of the skin of the areas that will be affected during the procedure;
- the patient lies on the operating table;
- in contact with the surface of the skin put disinfecting composition;
- make a map of the puncture of the vein;
- in the hole, a catheter is inserted that reaches to the point of which is subject to a subsequent treatment;
- is local anesthesia;
- the doctor uses a heating element, whose length is 7 cm;
- the holes are extracted from a catheter and a heating element, after which the damaged area recovers.
All the stages are controlled by a computer. The system in the automatic mode selects the optimum temperature of the exposure. After 1 hour, after completion of minimally invasive procedure, patients can walk.
The use of a pair
The chronic form of varicose veins makes the vessels acquire a curved shape. Use alternative minimally invasive methodology physically impossible. The steam technology has many advantages. In the list of these, go to the minimum duration of the rehabilitation, the absence of side effects and burn. The last point is relevant in the case in which the doctor has chosen the correct parameters. Under the influence of the pair of the damaged area is narrow.
The biological application of the queue
In cases that lead back to the normality of the damaged area of vienna is impossible, and for the withdrawal of the reasons of not using the biological glue. Doctor of the production of several incisions, thanks to which it manages to combine the valves in a damaged area.
The choice of the type of surgical intervention
The last word is a doctor, whose aim is to make an objective assessment of the state of health of the patient. Physician shall inform the patient that the destination of choice in favor of one or the other type of surgical intervention depends on their clinical picture. Universal solutions there is, therefore, to select the therapy of the methodology of the person with white coat syndrome is based on symptoms.
The types of operational interventions:
|The type of surgical intervention||In what cases is justified||The probability of developing complications|
|Biological glue||It is used when you retrieve the damaged area can not.||Low|
|The use of a pair||Are used when a patient diagnosed with an extensive network of the damaged veins.||Media (through the selection of a doctor characteristics of the substance with the that have an impact on the contaminated area of the vein).|
|Radio frequency surgery||Situations in which the stretch of the veins is too much, the surface of the skin.||Minimum|
|Special coagulation||It is rarely used. In most cases, the doctor prescribes less traumatic operation.||High if you are not selected of the laser power.|
|Sclerotherapy||Varicose veins is superficial.||Minimum|
|Mini-phlebectomy||The patient diagnosed with atypical find-affected veins. Other operating of the methodology used, it is not possible.||The average|
When selecting the type of surgical intervention, the physician must ensure that the use of the same on the date of the possible negativity that may occur after the operation is complete.