Phlebectomy. Prices, reviews, ratings
Phlebectomy of veins: indications and contraindications
The operation is performed for varicose veins at an advanced stage. It is accompanied by the following symptoms:
- The veins are dilated by more than 1 cm;
- Swelling and pain in the lower extremities appear;
- Blood stagnation is observed in the legs;
- Varicose veins extend above the knee;
- Trophic ulcers are formed.
Despite the safety of phlebectomy, there are certain contraindications to its implementation. These include:
- Pregnancy and lactation;
- Atherosclerosis of the legs;
- Acute venous thrombosis;
- Some chronic diseases (diabetes, coronary heart disease, arterial hypertension);
- Infections and inflammations on the skin (in the area of incisions);
- Inability to actively move and wear compression underwear after surgery.
Phlebectomy surgery: preparation
Before the patient gets to the operating table, he needs to undergo some examinations. Urine and blood tests, a coagulation test, a cardiogram, and fluorography are mandatory. It is also necessary to visit a gynecologist and urologist, get tested for hepatitis, HIV, syphilis. Another important study is the establishment of the Rh factor and blood type.
After all the examinations have been completed, the patient is referred to a therapist. He must determine whether the patient has serious diseases of the internal organs, which are absolute contraindications for surgery.
If the doctor agrees to phlebectomy, the patient is admitted to the hospital. Here he is examined by the surgeon who will perform the surgery, and the anesthesiologist who will select the optimal type of pain relief for him. Also at this time, duplex scanning is mandatory, with the help of which the doctor receives accurate information about the condition of the veins and the stage of the disease.
On the eve of the procedure, you are allowed to take a shower. Eating and drinking before the operation is prohibited, the last meal is 18 hours before. If general anesthesia is used, the patient is given a cleansing enema.
Immediately before phlebectomy, the surgeon marks the area of the affected veins, after which the patient is sent to the operating room.
Phlebectomy of the veins of the lower extremities
The treatment method includes a certain number of stages, which can be carried out in a complex or represent a separate operation. Some surgical manipulations are replaced by more gentle procedures, including radiofrequency ablation, laser coagulation, the use of sclerosants.
Combined phlebectomy
It is carried out either under general anesthesia or under epidural anesthesia. The operation takes about 2 hours, after which the incisions are sutured and necessarily covered with elastic bandages. This is necessary to prevent bleeding and hematomas. If the doctor decides to replace any stage of the operation with a minimally invasive procedure, then local anesthesia is used. However, this is only possible in cases where varicose veins are not too advanced.
Stages of phlebectomy:
- Crossectomy - the subcutaneous vein is tied off and crossed in the area where it flows into the deep ones. This is done to stop blood flow through the affected vessels and reflux. This stage is performed first, but can also be the final one (if there is a risk of deep vein thrombosis). In some cases, crossectomy is replaced by radiofrequency obliteration or laser, which are less traumatic.
- Stripping - after crossing the veins, they must be removed. This is done using various techniques, including: the use of a Babcock probe, invagination, cryo- and PIN-stripping. Like the previous stage, these manipulations can be replaced by radiofrequency or laser exposure.
- Ligation of perforating vessels - is necessary to prevent relapses, bleeding and hematomas. Ligation is performed either with dissection (with significant damage to the veins) or without dissection (with a small volume of affected vessels) of the muscle fascia.
- Miniphlebectomy - the surgeon makes a small puncture through which he hooks the affected vessel, twists it onto a hook and removes it. The method can be used as a separate operation when the patient needs to get rid of individual veins affected by varicose veins.
Laser phlebectomy
It involves inserting a light guide into the lumen of the vein, through which laser radiation enters the affected vessel. During such heating, the vein walls are burned, which leads to its fusion. The use of this method allows you to do without serious punctures and surgical sutures. However, it cannot be used to remove large veins.
Radiofrequency exposure
The principle of such a procedure is similar to the laser coagulation method. The only difference is that radio waves are used to glue the vein walls together. This method also allows you to avoid large punctures, but is not suitable for treating large lesions.
Phlebectomy: postoperative period
Immediately after surgery, the patient must put on compression underwear, which will need to be worn for several months (the period is determined individually). You also need to constantly bend your knees and move your legs.
For several days after the operation, you should take painkillers, phlebotonics, antiplatelet agents, and in some cases, antibiotics are prescribed.
A person stays in the hospital for a week. During this period, they are bandaged, and after the stitches are removed, they are sent home.
Until the signs of venous insufficiency disappear, it is forbidden to smoke, take baths, visit saunas, baths, or swimming pools. It is necessary to maintain a proper diet, wear comfortable shoes, gradually add physical activity (biking, swimming, long walks).
Phlebectomy: reviews and conclusions
Varicose disease is quite common today. There are many reasons for this. This includes a sedentary lifestyle, long walks, lifting excessive weights, and much more. Unfortunately, no one is immune from the appearance of the ill-fated "stars" and bruises. That is why you should not delay the treatment of this disease.
Phlebectomy is the most effective way to eliminate not only pain, but also its cause, when other methods are powerless. The operation is safe, low-trauma and leaves virtually no traces. However, it is worth remembering that such an intervention requires great medical professionalism and the use of high-quality equipment. Therefore, trust your health only to experienced and knowledgeable specialists in specialized medical clinics.
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