Surgery to remove varicose veins has a number of features. To avoid the re-development of the pathology, you need to know how to behave after the surgical treatment. During the rehabilitation period, the patient must follow a number of recommendations given by the attending physician. How to avoid the appearance of varicose veins after surgery will be described below.
Features of the procedure
Many people are familiar with such an unpleasant phenomenon as varicose veins. Recovery after surgery depends on the behavior of the patient. A phlebectomy is a surgical procedure in which an enlarged vein is removed. This allows you to normalize blood circulation through deep vessels.
If the doctor insists on the procedure, you can not hesitate. The faster the treatment is carried out, the faster the blood flow returns to normal.
There are a number of indications for phlebectomy, the main ones are:
- extensive varicose veins;
- saphenous veins are dilated pathologically;
- legsconstantly swollen, get tired quickly;
- there are signs of poor blood flow;
- there are trophic skin disorders that cannot be treated with conservative methods;
- trophic ulcers appeared;
- acute thrombophlebitis with varicose veins.
Varicose veins in the legs after surgery may return again if the patient ignores the recommendations of doctors. But in some cases, surgery may be contraindicated. These are the following cases:
- at a late stage of disease development;
- high blood pressure;
- if there is coronary heart disease;
- for severe infectious processes;
- patient has reached old age;
- if there is eczema, erysipelas, pyoderma, inflammation of the lower extremities;
- during pregnancy in the second and third trimester.
Varieties of operation
One of the rather dangerous diseases is varicose veins. Recovery after surgery takes time. It depends on the type of procedure shown to the patient. So, during the operation, different methods are used. Their complexity and traumatism is different. The choice is made by the doctor, taking into account the peculiarities of the course of the disease.
Usually after the operation there are very small scars 4-5 mm long. After the removal of the veins, the deep and connecting vessels take on the main load in the process of blood flow. The sutures are removed on the 8-9th day. After that, you need to follow a number of recommendations from doctors.
One of the popular procedures thattoday replaces the usual phlebectomy, is the removal of veins with a laser. This procedure is performed under local anesthesia. But even after laser surgery, varicose veins can reappear. If provoking factors are not excluded, such a situation is quite possible.
During laser miniphlebectomy, a very small puncture is made on the skin. This is a painless technique, which is characterized by a very short recovery period. The patient does not have to be in the hospital. A bruise forms in the area of the vein removal. It goes away on its own in 2-3 weeks. A month later, there are no traces of varicose veins. The blood flow is getting better, but it needs to be properly maintained.
Rehab
Rehabilitation after surgery for varicose veins consists of several stages. From the very first hours after surgery, you need to turn and bend your legs. In this case, the bed should be raised from the side where the lower limbs are located, by 8-10 cm. This improves the outflow of venous blood.
The next day, an elastic bandage is applied after surgery for varicose veins. Compression stockings can also be used. The patient is shown to walk, but only after bandaging the limbs. The doctor prescribes physiotherapy, light massage. This is necessary in order to prevent the development of thrombosis.
You can't do aerobics for 1-1.5 weeks. Exercise bikes are prohibited. It is impossible during this time to visit the sauna, bath, swim in very hot water. Its temperature should bemoderate.
As soon as the stitches are removed, the patient is prescribed a course of physiotherapy exercises, water procedures. During all this time, the patient wears compression garments in accordance with the recommendations of the doctor. Special physical exercises are especially important for the elderly. This helps prevent the development of complications. Venous outflow will not slow down and the risk of postoperative thrombosis will be minimal.
Complications
To restore the functions of the circulatory system in the limbs, to prevent the development of complications in the legs after surgery for varicose veins, you must strictly follow the recommendations of the attending doctor. To understand why it is so important to adhere to the established treatment regimen in rehabilitation, you need to know what complications are possible if the patient does not behave correctly.
The more serious the damage to the veins, the greater the likelihood of developing pathology. On the first day, bleeding from wounds may occur, bruises appear. During the operation, small vessels are not tied up, so a small amount of blood flows out of them. Bruises are small, disappear after 1-1.5 weeks.
Much more dangerous is thromboembolism, in which the arteries clog when a blood clot breaks off. This situation can be triggered by deep vein thrombosis of the limb. This is a rare complication caused by slow blood flow, infection of the wound, prolonged bed rest.
Prevention of thromboembolism involves getting out of bed a day after surgery, as well asleg movements while lying on the bed an hour after surgery. Drug therapy is prescribed to improve the properties of the blood.
Basic recommendations for recovery
After surgery for varicose veins of the lower extremities, it is necessary to provide a comprehensive preventive effect on the body. It is necessary to prevent the development of possible complications. You need to fulfill a number of requirements:
- Start moving as soon as possible. This prevents the development of congestion, which ensures the proper functioning of blood circulation.
- Wearing special underwear. Compression stockings after surgery for varicose veins support the veins, preventing their walls from stretching. Such underwear is also worn in order to prevent the development of pathology. You can use elastic bandages. When using them, the blood flow in the legs is accelerated several times. After the operation, both legs are bandaged. A bandage is applied from the bottom up. You need to bandage the leg from the toes to the knee. After that, you can get up and walk.
- Taking medications that are antiplatelet agents. Other drugs that normalize microcirculation in the vessels of the extremities may be prescribed. This speeds up regeneration.
During a conventional operation, the patient is under the supervision of doctors in the hospital for 3-5 days. The sutures are removed depending on the speed of healing of the incisions. Compression bandages are worn for a long time. This allows you to restore the functioning of the veins, restorethem the ability to properly transport blood.
Drugs
After surgery for varicose veins, care must be taken not to develop trophic pathological processes. The doctor prescribes a number of medications that will help prevent the development of the disease again. The following drugs may be prescribed:
- Drugs based on acetylsalicylic acid, pentoxifylline. They normalize microcirculation in small vessels.
- As an addition to the main therapy, the intake of antioxidants and vitamins is indicated.
- If the leg hurts after surgery for varicose veins, painkillers are prescribed, for example, Analgin, Ketanov or other similar drugs.
- To restore the tone of the veins, the doctor prescribes appropriate medications. These can be drugs "Troxeasin" or its analogues, "Detralex", "Flebodia", "Venarus" and other similar drugs. They can be made from troxerutin or diosmin.
- If the patient has gastrointestinal disorders, parenteral administration of antiplatelet drugs may be indicated.
During the rehabilitation period, the course of drug treatment lasts at least 2 weeks. The treatment regimen, the duration of the course is determined solely by the attending physician. Self-medication in this case is unacceptable.
Cosmetic effect
Many patients are interested in what the consequences of surgical treatment will be, whether it will affect the beauty of the legs after the operation. Varicose veins canrecur. With the wrong behavior, even he althy veins can become diseased. The sooner treatment is started, the more effective it will be, the less serious the consequences will be.
The cosmetic effect depends on the stage of the pathology, on what methods were used during the treatment. If the stage was not running, with microphlebectomy it is possible to avoid the appearance of scars. Ugly protruding veins are completely removed, and the incision will be minimal. In this case, the appearance of the legs will only improve. Supportive procedures will help keep it from relapse.
It is worth remembering that at an advanced stage, trophic ulcers, extensive pigmentation and dermatitis appear on the legs. Even after surgery, these defects remain on the legs, and scars appear on the skin after surgery.
Also, the result of the operation depends on the individual predisposition of the human body to the appearance of scars. Scars in some people can be very thin, almost invisible. Other people develop a rough, protruding scar.
Physiotherapy
After surgery for varicose veins, trophic disorders can be observed. They are accompanied by an inflammatory process. To prevent the development of negative consequences, special procedures with elements of physiotherapy are prescribed. In this case, the patient is prescribed:
- Quartz irradiation.
- After a while, UHF therapy is carried out.
During the rehabilitation period, it is recommended to carry outlight self-massage. This must be done to prevent thrombosis, excluding the occurrence of congestive processes. This procedure must be performed very carefully, rough movements are prohibited. You need to apply a slight effort during the massage process so as not to harm your he alth.
In the process of the procedure, you need to move from the bottom up. Massage is activated only after agreement with the attending physician. The patient must be trained to perform such actions correctly. Otherwise, there is no need to wait for a positive effect.
What else do you need to know?
After surgery for varicose veins, the seam heals within 2-3 months. The scar will be completely formed after six months. During this time, you need to be very careful with this area of \u200b\u200bthe skin. Simple rules should be followed:
- In the process of bathing, you can not use rough, hard washcloths. It is also forbidden to apply scrub on the skin of the legs.
- Seams are processed with a soapy hand. Movements must be careful. Over time, soft sponges can be used.
- You can not wash off traces of iodine or brilliant green, which will remain after the operation. Excessive friction is unacceptable.
- You need to bathe in warm, but not hot water.
- If the scar is very itchy, this place is treated with iodine.
- When crusts form, they must not be cut off. When the wound is completely healed, it will fall off by itself.
- If spot redness or thread ends appear in the suture area, you need to contact the surgeon again. It will remove foreign objects. Threads can cause inflammation. After themremoving the suture smeared with iodine for several days.
- You need to add blood-thinning foods to your diet. It can be cherries, pomegranates, grapes, etc.
Restrictions
When identifying varicose veins, it is important to undergo a surgical procedure as soon as possible if the doctor suggests doing so. In this case, the consequences will be minimal, and the risk of complications can be reduced to a maximum. After the surgical treatment, the patient must comply with all recommendations, which include certain restrictions.
You can not go to baths or saunas, because this can lead to a relapse. The disease at elevated temperatures can go to the next stage. Therefore, exacerbations occur more often in the summer.
Several weeks after the operation, you can not go to the pool. Otherwise, it may negatively affect the condition of the scar. Until he heals, such procedures should be abandoned. The incision site should not remain wet for a long time. This leads to the development of complications. After taking a bath, shower, blot the seam with a dry towel. Under no circumstances should you rub it. Movements must be careful.
Doctors do not recommend that patients lie on the bed without getting up after surgery. You need to bandage your feet and walk. The walk should be slow. Over time, it will be possible to perform special exercises to restore blood circulation in the limb.
Prevention lasts quite a long time. This is necessary to prevent recurrence.varicose veins. Only after complete restoration of blood circulation, normal operation of the veins, it will be possible to refuse compression underwear. It is important to eat right and get enough rest. Walking in the fresh air can improve the functioning of the veins, strengthen the strength of the body as a whole.
