Varicose vein surgery

October 30, 2018

If you suffer from varicose veins, now during the cooler season is the time to provide relief.

The cause of this varicose veins is usually a connective tissue weakness, which leads to changes in the vessel wall and the enlargement of the leg veins. As a result, the venous valves no longer close tightly and part of the blood flows back over the near-surface veins back into the leg. This pathological reflux increases the formation of varicose veins. Without treatment it comes to increasing problems and complaints such as swelling and tension, pain, nocturnal leg cramps, repeated phlebitis, a very painful open leg ulcer or sometimes even to deep vein thrombosis. Depending on the stage of the varicose disease, different surgical procedures are used.

The treatment we use is either done under local anesthesia, regional or general anesthesia (narcosis). In the vast majority of cases, regional anesthesia is sufficient.

If the major trunk veins are involved, total removal of these veins is necessary, This called a stripping operation.

Stripping operation

The diseased trunk veins (saphenous vein or saphenous vein) are wholly or partially removed from the groin to the ankle via a probe. The former function of this removed vein is taken over by the remaining skin veins and the deep leg veins. (see picture).

If only the lateral branches are affected, Várady’s technique of minimally surgical side branch removal is considered to be a gentle and cosmetically demanding procedure. (see picture)

The most important instrument in this procedure is the “Várady hock”. Small punctures of about 1-2 mm at a distance of 4 to 8 cm are made and through these the dilated veins can be removed with this “Várady hock”. Depending on the extent of the disease, we use this technique either independently or as a supplement to the above stripping.

Aftercare:

Prevention of thrombosis / embolism: Intense exercise during the first week – and if possible throughout the first month after the operation should be avoided – one should walk 20 times 4 times daily for 20 minutes. In the long term, a daily exercise program of 20 – 30 minutes is recommended.

In particular, during the first week after discharge, long periods of sitting and standing should be avoided (more than 2 hours). Patients who are discharged with compression bandages, should be leave these on for about two days day and night. Then one should wear compression stockings for 4 weeks during the day. Showers are possible after the 3rd postoperative day.

Sport:

Two weeks after discharge, one can start slowly with sports activities again. The legs or wounds should not hurt during exercise. Highly recommended are regular sports activities, especially endurance sports, e.g. hiking, light jogging, cycling and swimming. Tennis and squash are in principle not as advisable. Overweight should be reduced. Standing for long periods and sitting should be avoided. However, if this is unavoidable, one should wear compression stockings. In case of leg problems or new formation of varicose veins, one should present oneself early for a check-up and possible therapy

As a rule: “Rather lay or  run than sit or stand”.

Swimming:

After about 3-4 weeks you can swim again.

 

Unfit to work, depending on the extent of the operations 3 days to 2 weeks.

 

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