Treatment of varicose veins of the veins of the legs: methods, techniques and tools

A special place with the surgical treatment of female varicose veins of the lower limbs, belongs to cosmetic operations. After these interventions remains is not only pathologically altered veins, but-and postoperative scars on the skin of the legs, or are negligible. To get the maximum effect of cosmetic surgical operations for varicose veins of the legs are held according to the following methods:

the operation
  • Or Laser ablation of veins – burning power plants from the trunks of great and small saphenous vein under ULTRASOUND control through the puncture of the skin on the thigh or on the foot.
  • Stem scleroobliteration and sclerotherapy – fill the great and the small saphenous veins, as well as all their tributaries, even the smallest, medication, special-micro-foam.

When any one of the methods of treatment of varicose veins modified vienna are not removed, and you develop any of the vessels in soft tissue and scar. As the physical impact (laser beams, waves at radio frequency), and chemical compounds (sclerotherapy) destroy the inner layer of the vein. Thanks to this, he loses the light, glued together, and fully zapustevaet from the blood, transforming into a connective (scar) tissue. In this way, without immediate removal of the veins are reached all the objectives, which are to the immediate loading treatment of varicose veins of the lower limbs – paid modified blood, eliminate the stasis of blood in them, and the dangerous consequences of venous insufficiency.

Laser therapy

Laser treatment – another way, belonging to the invasive technique. It is worth noting that this method is very effective and has established itself with the best hand, provided that this manipulation performs an expert. Get rid of veins defect is carried out only under local anesthesia with the obligation of control of the process using ultrasound. The main advantage of this method is that the skin coat does not form any wounds or bites, which gives the possibility to avoid the formation of scars. It performs this operation in the following way: before proceeding to the manipulation, to the drive, exuding a laser, connected to guide the light, which will then be inserted in the lumen of the vessel struck. Then proceed to the execution of a procedure. From a laser to the defective of vienna are destroyed, which in the end gives you the option to close introduced as a result of losing land, and destroyed the remains of the veins dissolve.

swelling of the legs

Medical therapy

Non-invasive techniques for the treatment of varicose veins:

  • sclerotherapy;
  • laser coagulation;
  • radio-frequency ablation.

When sclerotherapy of the veins in the damaged area of the blood injected with a special solution. You paste the wall, then gradually reabsorbed. On the spot introduction of superimposed compressive dressing. The patient, within an hour he has to walk to get a positive result from the procedure. Venous laser coagulation is considered to be effective for the therapy of varicose veins, always lead to the expected results. The blood by means of a laser is very hot. From its temperature will damage the internal walls of the blood vessels. Non-drug treatment will not solve the problem, but will greatly facilitate the patient's condition. Consequently, it forms a blood clot, which then will acquire the connective tissue. After a year in this place it forms a sort of cable connection of the cells. The blood will flow in other vessels. During the radiofrequency ablation on the damaged area of the act electrical frequency from 300 to 750 khz. In the patient of vienna establish the catheter to the power supply. The blood vessels are heated up to 120OS, then destroyed. The load is distributed over the other veins of the circulatory system. Methods of treatment of varicose veins without the intervention will be more effective if applied in the initial stages of the malocclusion. The latvians learned a lot from this medication:

  • will not form blood clots;
  • it reduces the heaviness in the legs;
  • stop swell up;
  • improves the condition of your blood vessels;
  • accelerate the flow of blood and lymph;
  • will drop an inflammatory process at the level of the lower limbs.

To reach the positive effect of having to wait for long, apply medications, creams and ointments in need of a couple of months. To have an impact on general health, but will not be able to delete the sinuosity and the dilation of the blood vessels. In foot of vienna, will remain visible. One of the methods to combat varicose veins consider treatment of leech. If you can get rid of in this way, decide to specialist. This depends on the stage of the disease, the state of the blood vessels. Leeches when low blood inject a special substance, which thins the blood, prevents the formation of blood clots. This has a positive influence on the state of the veins, removes the accumulated blood in the lower limbs, prevents stagnation. All of this improves the condition of a sick person, but does not fight the causes of a disease outbreak. In the choice of methods, how to remove varicose veins, the man does not want to use immediately ways radical therapeutic effects. He hopes to bezoperatsionnye ways to combat the malocclusion.

They have their advantages:

  • easily transportable;
  • it is not necessary to do anesthesia;
  • speeds up the recovery;
  • high efficiency;
  • there are no complications.

There are disadvantages of these ways to get rid of varicose veins blood, but much less. As with any disease, you should immediately go to the doctors, because in an early stage of the disease, cure more easy and more simple.

The types of surgeries

At a rate of about 30% of the blood from the lower limbs flowing of small subcutaneous venous tributaries, which merge into two central venous trunk – large and small subcutaneous vienna. These vessels are connected directly with the deep veins on the capture, so that it flows 70% of the blood. In places such compounds are present in the valves, which are missing only the blood of the superficial veins to the deep. There are also tens of small veins, called perforating, also connect the superficial venous network with deep. They also have valves that allow the blood to pass in only one direction. The main reason of varicose veins – having regard to the failure of the venous valves, which leads to correct rejection of the blood: with deep veins in the surface, which increases the pressure, and consequent expansion, such as small vessels, and the trunks and central venous. The main objectives which is the aim of the surgical treatment of varicose veins of the lower limbs:

lightness in the legs
  • The stagnation of the blood in the superficial veins of the legs, which prevents the progression of chronic venous insufficiency and disorders trophic on the skin.
  • Remove the deformed blood vessels and Varisov, represent an aesthetic defect.
  • The elimination of the discharge of blood from the deep veins in the surface – ligation and the intersection conclusions: (interconnecting) veins, and the great and small saphenous veins in places of their connection with the deep.
  • Prevent the re-emergence of varicose veins.

We consider the most common surgical interventions in the treatment of varicose vein disease of lower limbs: laser ablation of a zone, endoscopic dissection of the final. veins and a phlebectomy. The last is divided in the following categories:

  • the classical operation, or complete, stripping or operation Troyanova-Trendelenburg-Babcock-Narita;
  • short stripping;
  • flebectomia.


The removal, the removal of the veins under the skin called a phlebectomy. This is one of the first techniques of surgical treatment of varicose veins of the lower limbs. But today, a phlebectomy is often performed by experts in phlebology and vascular surgeons. There are three versions and mode of operation: full, short, stripping, flebectomia. The volume of the intervention presented:

  1. Ligation of the trunk of the great saphenous vein in the place of its confluence into the femoral neck through an incision of 2-3 cm on the thigh, under the crease in the groin.
  2. The removal of everything from the groin to the foot with the help of a special probe through two incisions of the skin of 1-2 cm of the inner surface near the knee and the ankle.
  3. Remove all veins esophageal modified tributaries and small veins through the individual small incisions of about 1-2 cm (can be from 5-6 up to 10-20) with ligature insolvent conclusions: blood.
  4. The seams all wounds courtesy seams.

Classic flebectomia more radical delete of the modified vienna, but the most traumatic among all the existing methods.


Innovative methodology for the removal of small varicose veins are the extended branches of the great saphenous vein is called a phlebectomy. To achieve it, are special tools required (the tip of a scalpel, hooks, clips, spatula), in which through the puncture of the skin a few millimeters of extracts of vienna. To mend the defects of the skin is not necessary, the scars invisible. More often surgeons combine the short or the complete stripping of the great saphenous vein with flebectomia. This operation combined the state of radicalism and maximum trauma with good cosmetic effect.

Preparation for the intervention

A preparation for the surgical treatment in varicose veins includes:

  1. General pre-operative visit, that allows to assess the state of health of the patient – common blood tests, urinalysis, coagulation, biochemical analysis, blood group and rh factor, syphilis test, the level of sugar in the blood, x-ray lung ECG.
  2. Special diagnostics, which allows to identify the characteristics of the disease – ULTRASOUND with color doppler mapping color mapping the surface, deep veins and arteries of the lower limbs and the designation of places of localization of insolvent incontinence of veins the perforators.
  3. The operation is performed step-by-step, on an empty stomach, and then on the morning of surgery, you cannot eat and drink.

Endoscopic dissection of veins

Particular attention is devoted to this, exactly where you will do the operation. By the skill of the physician, in whose hands will be your legs, it all depends on the further condition. Correctly after the surgical treatment of varicose veins of the lower limbs completely safe. Today, virtually every city, there is the possibility of choosing a clinic and doctor. What you should pay attention to?

ultrasound of the blood vessels
  • The equipment of the clinic. Advanced equipment and appropriate drugs increase the chance of a good result.
  • The qualifications of the doctor. Please do not hesitate to ask where and how the specialist has, in the past the practice of checking all certificates and diplomas.
  • Reviews of the patients. The Internet gives us the possibility of knowing the real and wider variety of testimonies of patients of the clinic and the doctor.

Find all defective perforation of vienna, in the course of any flebectomia difficult. For the use of equipment, endoscopy (the bunch of gold and manipulators). Through small incisions of 1-2 cm is injected under the skin in places where the incontinence of veins the perforators, which identify the ULTRASOUND. Under the control of the camera are all defective, significantly, bind and cross them. During this operation, the subcutaneous vienna are not removed. You can run alone or in combination with any type of flebectomia: Stripping, a phlebectomy.

When without the operation you cannot do

Varicose veins is a serious and, unfortunately, is a very common disease. Especially in today's world, with its sedentary lifestyle, the adverse environment and genetic diseases. Varicose veins is the disease of the veins associated with the weakening of the internal valves and of the venous wall. The flow of blood in the veins slows down, stagnant, because the wall and stretch. Because of this trend, and begin to ooze through the skin. To avoid these complications or to prevent their development and spend the operation for varicose veins on the legs. In such cases, it is prescribed the surgery removal of the veins of the legs? Have different options, where the surgery.

  1. Strong heaviness in the legs, swelling, fatigue.
  2. The vast defeat of the veins varicose veins.
  3. Thrombophlebitis.
  4. Sores.

In the health centers, engaged in a solution to this problem, to resolve the malocclusion apply different ways, the main of which is still flebectomia (altered vienna, or small blood vessel is surgically removed). But the people is a non-surgical treatment of varicose veins of the lower limbs. In modern medical practice, there are several varieties of such effects on damaged vienna, even if they are used not always. Experts-compression are the following situations, when the patients are recommended non-surgical treatment:

  • The initial stages of the development of varicose veins and veins, characterized by weakly expressed swelling of the legs, almost invisible in the venous network, and occasionally appears when you walk the weight.
  • The presence of a person is a substantial contra-indications to realization of flebectomia – serious-skin diseases (eczema, pyoderma, panting, etc), the hypertension in the acute form, malocclusion of the heart, complicated infectious processes.
  • A period of gestation of a child.
a healthy diet

In these cases, there is a sense to compete with a pathological phenomenon, has affected the blood vessels of the legs, without the application of an intervention. When a person, whose feet amazed varicose veins, it raises the need for a choice of tactics of treatment, the preference is given to less radical ways.

How it performs the operation

There are several operative techniques for the removal of the veins. Directly the surgery – the most tested, by very experimented for a long time, but the method is more radical. The surgeon is on the foot two cuts: in the area of the groin and at the ankle. For other, smaller incisions are made in the area of the venous the main nodes. Through these incisions and the removal of the vein. The operation lasts approximately 2 hours. Make his may come under local and under general anesthesia. Through an incision in the groin, inserting a thin wire — venous puller, remove the vienna. After the end of the operation on the cuts gently force the seams. The main advantage of this method is that in this way it is possible to remove a large vein from the very large lumen.