Soon the return of the beautiful days! If you have varicose veins and are hesitant to have surgery, now is the time. Do not be afraid, it is a relatively simple intervention, the results are amazing. All you need to know about new surgical treatments.
Why treat varicose veins surgically? To have beautiful legs, of course, because it’s important. But varicose vein removal service can meet several objectives:
Relieve pain when they disturb too much everyday life;
Fight against edema secondary to poor venous return;
Prevent certain complications such as skin problems (ulcer, dermatitis);
More rarely, remove a clot formed inside varix ( superficial phlebitis );
Or, simply, improve the aesthetics.
Several processes can be used in these different circumstances. Your doctor will recommend either surgery or sclerotherapy, a method of injecting a product into the varicose vein to glue its two walls together and thus close it.
Sclerosis and surgery complement each other
Varicose veins The decision between the two types of treatment is sometimes arbitrary and may be influenced by your preferences. But, sclerotherapy is most often effective in beginner varicose veins and since the reflux of blood is not very important from the upper body to the lower body.
When varicose veins are large, numerous and the reflux is noticeable, surgery usually becomes essential.
Nevertheless, sclerotherapy and surgery are far from being opposed. On the contrary, it is common to complete the surgery with sclerotherapy of the remaining varicose veins to improve the results.
Many surgical techniques
All kinds of methods can be used to destroy or remove varicose veins.
One of the most classic is stripping. This technique involves removing the main vein from the lower limbs (the saphenous vein) by making two small incisions in the ankle and fold of the aid. This stripping may be associated with complementary surgical gestures. For example, the surgeon may remove small varicose veins developed from the saphenous vein.
THE HEMODYNAMIC CURE (CHIVA)
In recent years, a surgical technique in the name a little “barbaric” of CHIVA (or hemodynamic cure of venous insufficiency in ambulatory) is more and more practiced. This method flattens the varicose veins without removing them by binding the saphenous vein trunk at several levels. It is often successful, but it is quite complex to undertake.
Finally, cryosurgery can be used. This method is based on the use of a probe, whose end is cooled to very low temperature. It freezes the vein that sticks to the probe and is removed.
ABLATION OF VARICOSE VEINS (ASVAL)
A recent method called ASVAB (for selective removal of varicose veins under local anesthesia) is less aggressive than traditional surgical treatment: the vein removal service is done through micro-incisions under local anesthesia sometimes associated with sophrology. This method would allow immediate walking and leaving and therefore would not require hospitalization or work stoppage.
The operation of varicose veins in practice
The decision of the vascular surgeon to use this or that technique will depend on his experience and preferences but also on the importance of varicose veins and their location. The techniques can also be used in combination. Often, a marking of the varicose network will have been carried out the day before by the surgeon or the angiologist in felt pen, in order to facilitate the operative gesture.
Depending on its nature, the surgical procedure can be done without hospitalization (outpatient surgery) or require a stay of a few days in the hospital (especially for stripping). It can be practiced under simple local or general anesthesia.
Wearing compression tights is recommended after the procedure
After surgery, a slightly compressive bandage can be put in place, to limit the occurrence of hematomas (blue). It can be removed from the second day. After that, you will have to wear tights for a while, in good standing for a month.
Operative follow-ups are generally simple and, most frequently, you can get up the day after the operation. But, a rest as complete as possible is recommended and a work stoppage of a few weeks is usually scheduled after stripping. The pains, which appear a few days after the operation, are normally not very important, but you will not have to be afraid to see your legs covered with some bruises after a stripping.