Phlebectomy: is that photo

Despite the fact that the methods of treatment of venous insufficiency of the lower extremities is very diverse and efficient, the frequency of varicose veins increases with each passing year. According to recent data, more than half of the world population suffer from varicose veins of the lower extremities. The main objective in treatment is eliminating the causes «varicose veins», but not always this is achieved by using conservative treatment methods. The most effective and radical method to date remains phlebectomy – surgical removal of varicose veins and restore normal blood flow.

What is phlebectomy?

Phlebectomy is a procedure whose goal is removal of the patients, varicose veins of the lower extremities. There are several ways to perform this surgery.

  • Phlebectomy for Babcoke involves pulling the affected area of the saphenous vein with a metal hook.
  • Modification for Naruto phlebectomy involves removing the veins in parts through small skin incisions (6 cm).
  • Most popular in cosmetics is phlebectomy Muller when you need to remove small veins without skin incision (microphlebectomy).
  • Laser phlebectomy, when the incision on the skin is not possible and the treatment is performed using laser ablation (closure of the lumen) of the vessel.
  • Today, more and more began to be used combined phlebectomy, are used when several types in different combinations. The progress of each transaction shall be for the patient individually, taking into account all the features of the disease.

Move surgery to remove veins

Before each mandatory phlebectomy is an ultrasound of lower limb veins (duplex scan). It helps to define the boundaries of the affected areas of the veins and outline the cuts and cuts of blood vessels, which are scheduled to be removed. The main stages phlebectomy (with possible variations):

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  • Crossectomy is a ligation (ligation) and crossing one of the large saphenous veins (great or small proximal distal). This phase includes conducting skin incision in the groin fold, the ligation of the vessel and its intersection. Sometimes it is enough only crossing of the great saphenous vein, and the small remains intact. This is determined during the ultrasound examination. The variant of the alternative method of crossectomy – laser ablation. It allows you to perform the surgery under local anesthesia, does not involve dissection of tissue and leaves no scars. But this method is less efficient, may develop a recurrence of varicose veins, besides laser therapy is much more expensive classic crossectomy.
  • Stripping the vein removal. Made another skin incision in the upper third of the leg or at the ankle (depending on which part of Vienna you need to uninstall). After that, the varicose vein is entered the probe, brought to Vienna to the next section, the probe head is fixed by thread to Vienna. Then the pulling of the probe along with the affected vein. At the time when the probe pulls the vein, its isolation from neighboring tissues and smaller tributaries of the veins. This stage is very traumatic, it can occur complications in the form of swelling of lower limbs and pain during walking.
  • Ligation (ligation) of incompetent perforating veins. They connect superficial veins with deep and pass through the own fascia of the lower leg. Ligation of these vessels is necessary, as they do not have their own valves and, leaving these veins dilated, it is possible to achieve of relapse of varicose disease. If necessary, ligation of large vessels perforating the additional incision in the skin with a diameter of 2 cm.
  • Miniphlebectomy is the final phase, which involves the removal of small nodules or small varicose veins through punctures of the skin. These punctures do not require stitches and leave no traces.
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    Recommendations after phlebectomy

    The postoperative period for each patient may vary. For some, it will be a long, sometimes there may be complications such as bleeding, numbness in the lower extremities, the appearance of numbness, suppuration in region of scars (with the accession of infection) and pain. For some period after surgery will pass quickly and painlessly. There are some recommendations that will help to move the postoperative period most easily:

    • Start of motion (flexion, extension) in the lower extremities from the first hours after surgery. To lift the foot end of the bed to improve the blood flow in the veins. Remember that stagnation of the blood is a direct path to the formation of blood clots.
    • Use a compression bandage or stockings within a day after surgery and start walking.
    • From the first days after the operation the patient is allowed to carry out therapeutic massage of the lower extremities and exercises physical therapy. These exercises include circular motion at the ankle joint flexor and extensor movements in the knee joints. You can also make lifting lower extremities in turns and grip bent at the knee of the leg to the chest. All of this will stimulate muscle contraction and improve the functioning of veins. After all, if we recall the anatomy, the veins of the lower limbs have valves, and the flow of blood in one direction help of nearby muscles. But we should not overdo it with exercise and aerobics, fitness, gymnastics or Jogging better to postpone.
    • It is advisable to take hot baths for several weeks after phlebectomy.
    • Twice a month is recommended to carry out preventive compression of the veins.