Remove varicose veins. Consequences of surgery and rehabilitation

Varicose veins on the legs

Many patients with varicose veins are afraid of phlebectomy: If the vein is removed or bandaged, how will the blood circulate in the blood vessels of the legs? In fact, only one-tenth of the blood circulates through the veins located under the skin-it is these veins that form unsightly varicose veins. Removal of the superficial veins will not cause a significant additional load on the deep veins.

Recovery after removal of varicose veins in the legs should be complicated. The goal is to prevent complications and recurrence of the disease, and to restore the patient to work and daily activities as soon as possible. The measures to form a postoperative rehabilitation program depend on the degree of neglect of the disease, the nature of the operation, and the general condition and physical characteristics of the patient.

What is the operation for varicose veins in the legs?

There are three main types of operations for varicose veins of the lower extremities: classic phlebectomy (phlebectomy), stripping and vein ligation.

Healthy and painful veins in the legs

Classic phlebectomy (phlebectomy).During this intervention, a longitudinal skin incision was made on the leg, corresponding to the course of varicose veins. The blood vessels are isolated, bandaged around the ankle and knee (if we are talking about the calf) or knee and groin (if the vein on the thigh is removed), the large branch of the vein is bandaged and cut, and the incision is sutured. Phlebectomy is an outdated technique and is almost no longer used today because it has been replaced by new, less invasive and more effective surgical methods.

Peel off.Compared with classic surgery, phlebectomy is more advanced, modern, and less traumatic. The essence of the intervention is to perform a small puncture in the ankle and knee (or knee and groin) area, highlight the vein, tie it, insert a special flexible wire probe into its lumen and with the help of it, the vein is pulled out from under the skin. The scar after this intervention is very small.

Vein ligation.Through such intervention, the varicose veins are not completely removed, it is just tied at the bottom of the varicose veins, so the blood circulation in the blood vessels stops and the nodes collapse. This type of intervention is considered ineffective for large veins, but for small vessels, it is more convenient than complete removal. In addition, if the blood vessel is naturally very tortuous, sharply curved, or sharply narrowed, vein ligation is meaningful, which makes it impossible to detect along the entire length of the vein.

What are the consequences after phlebectomy

Surgery to remove varicose veins is a very traumatic intervention that can severely disrupt the internal balance of the body. Therefore, you need to be prepared for some discomfort during the postoperative period: pain at the intervention site; removal of hematoma at the vein site and skin suture site; leg swelling at the removed vein and suture line; moderate bleeding from the postoperative wound; General weakness, fever, nausea.

Why is there such a consequence? After removing the leg veins in the tissue that previously surrounded the blood vessels, an inflammatory process inevitably occurs-this is the body's natural physiological response to interventions aimed at healing the injury. Any inflammatory process is accompanied by local swelling and pain, and symptoms of general malaise may appear: nausea, fever, weakness. They disappeared within a few days after the intervention. Minor bleeding from the wound after surgery should also not be affected: when the vein is removed, the small blood vessels will break, then collapse, and blood flow stops. If the surgeon’s advice is followed, the unpleasant phenomenon will disappear quickly.

In some cases, phlebectomy surgery on the leg may lead to the development of infection, suppuration, thromboembolism, or vascular inflammation in the intervention area. However, due to the modern possibilities of surgery and the improvement of surgical techniques, such complications are extremely rare.

Wear elastic stockings after surgery to remove varicose veins

How to spend after surgery

The postoperative time after leg phlebectomy lasts ten days: from the operation itself to the complete removal of the sutures. At this time, the limbs being operated need special attention and special care.

After the operation, the patient uses compression stockings to compress the lower limbs. Compression is an important condition for smooth operation after surgery, because it can squeeze the saphenous vein to prevent blood stagnation in it, thereby preventing the formation of thrombus. Compression can also accelerate the healing of small veins left after the main venous trunk is removed.

The stitched area should not get wet. For hygienic purposes during the postoperative period, use wet wipes or gauze moistened with water. The sutures are treated with iodine regularly, and sterile bandages or adhesives are used to protect them from damage and contamination.

To reduce swelling of the lower extremities, it is recommended to raise them-on a pillow, the tissue rollers are up to 15 cm high. If the pain is severe after the operation, the doctor may prescribe painkillers to prevent suppurative complications-antibiotics.

What activities are recommended during the recovery period

The recovery period begins immediately after the end of the postoperative period, that is, 10 days after the operation. At this time, the stitches have been removed, the postoperative puncture, if there are no complications, has healed. But the recovery process of the body continues. In order to recover as soon as possible, the doctor will adjust the patient's lifestyle. During recovery, you need to:

  • Taking medicine prescribed by a phlebologist;
  • Reasonable physical activity, exercise therapy;
  • Compression of limbs;
  • Work under loose conditions and restrict heavy physical labor;
  • Nutrition correction
  • Physiotherapy, massage.

Postoperative medications include taking drugs that increase the tension of the vein wall, improve blood rheology (fluidity), and have anti-edema effects. The drugs recommended during the rehabilitation period include troxerutin, diosmin, vitamin C and PP preparations, ginkgo biloba extract, horse chestnut extract, etc. As an anticoagulant, the drugs used include: salicylic acid, hirudin, heparin.

The drugs are prescribed in the form of general drugs (tablets, oral capsules) and topical drugs (gels, ointments, directly applied to the skin of the lower extremities). Competent medication during the rehabilitation period can speed up the recovery of microcirculation and effectively prevent the recurrence of the disease.

Moderate physical activity is necessary for stimulating blood circulation in the lower limbs, preventing blood stagnation and thrombosis. As the best measure to activate the patient, it is recommended to walk, swim, and comprehensive exercise therapy at a moderate speed. It is not recommended to run during the recovery period.

During the recovery period, the legs need to be compressed. All patients with varicose veins need to compress the lower limbs-this helps prevent the progression of the disease and the development of complications. The phlebologist recommends compression methods and choose the size of elastic underwear.

Preserving working conditions is necessary to avoid recurrence of the pathology, which transitions to the deep veins of the legs. Varicose veins are usually caused by harsh working conditions and the characteristics of professional activities. If the job is related to standing for long periods of time, it may be worth replacing it, or at least regular therapeutic exercises designed to improve blood circulation in the legs during the working day. It is forbidden to work under high temperature conditions related to vibration, and it is forbidden to carry heavy objects.

Nutritional correction after leg vein resection should be developed in a rational direction. Food needs to be complete, healthy, rich in protein, fiber, vitamins and trace elements. If you are overweight, you should reduce the calorie content in your diet, because obesity is one of the factors in the progression of varicose veins.

Physical therapy techniques during rehabilitation can speed up recovery. The physiotherapy plan is recommended by the doctor. Wrap, electrophoresis, high frequency, and magnetic therapy may be useful. Massage during the recovery period helps to effectively eliminate swelling.

Competent management of the postoperative period after phlebectomy with dilated legs and a responsible attitude to the doctor’s advice will help eliminate the natural discomfort after the operation as soon as possible, prevent possible complications and speed up the patient’s recoveryA complete life.

Exercise to prevent varicose veins

How to prevent reoperation

You need to understand: Varicose veins will not disappear after surgery. You can remove enlarged veins, but the tendency to dilate other blood vessels will still exist. Therefore, after the operation, measures must be taken to prevent the further development of varicose veins.

If the work involves sitting for a long time, it is recommended to take a break, walk, and perform simple exercises. It is necessary to sit at the desk, with your feet on a hill, and not to cross one leg on the other.

Drink more water and less coffee to stay hydrated. Eliminate fast food and carbonated beverages from your diet. You need to eat as much as possible five times a day, in small portions.

It is worth giving up high heels and tight clothes that squeeze blood vessels. To prevent the development of varicose veins, it is useful to wear special compression stockings, which will be prescribed by a doctor.

You must also refuse to take a bath or sauna. Due to the high temperature of the body, more dilated veins may appear, cramps and muscle pain may begin. High temperatures can also cause trophic ulcers.

It is also important to visit your phlebologist every six months. Experts will be able to determine the progress of the disease in time and take necessary measures in time.