Operation for varicose veins: types, indications, preparation, rehabilitation

what are varicose veins

Today, a large number of fair sex know firsthand what a disease like varicose veins is. Of course, the disease attacks not only women, but also men, but even more often it occurs in the weaker half of humanity. Varicose veins are not a fatal disease, but they can cause a lot of problems, so it is very important to seek help from a phlebologist and, together with him, choose the most optimal treatment for you. In this article we will talk about which cases an operation is required for varicose veins, how it is performed and what consequences it can have. Read carefully the information provided to arm yourself and protect yourself as much as possible.

Need for surgery for varicose veins

It is no secret that a disease like varicose veins has existed for more than a generation. In the very early stages of its development, people try to overcome the disease using alternative therapy methods. And such treatment is really capable of bearing fruit, but on condition that the disease has not yet passed into an advanced form. If the home treatment has not brought the desired results, the patient turns to a medical institution, where a phlebologist will prescribe conservative treatment.

However, severely neglected disease usually does not respond to therapeutic treatment. In this case, it is very important to perform an operation for varicose veins. If the disease causes a lot of discomfort and pain, then you simply cannot do without surgical intervention. Surgery to remove varicose veins on the legs usually gives excellent results, but only if the patient strictly follows all the doctor's instructions.

Main indications for the procedure

If there are no protruding tortuous veins on the lower limbs and you do not feel severe pain in the legs, then most likely your doctor will only prescribe the use of special drugs that will maintain the tone in the veins. But the operation for varicose veins is usually prescribed in such cases:

  • the patient complains of severe pain in the lower limbs;
  • veins rapidly increase in size and at the same time acquire a tortuous character; at the same time, the disease is actively progressing, occupying a huge area;
  • blood circulation in the legs is impaired; it is very dangerous because there is a risk of developing blood clots;
  • trophic lesions begin to form on the veins; the emergence of ulcers that simply cannot be eliminated is also possible;
  • quite often varicose veins are accompanied by thrombophlebitis.

How to recognize a disease

how to recognize varicose veins

As mentioned above, the operation for varicose veins is performed only if the disease has already begun to take a neglected form. It is very important to independently determine the symptoms of the disease in order to consult a doctor in time and start treatment. So, let's consider what symptoms are inherent in a pathology such as varicose veins (the doctor will tell you whether to perform an operation):

  • feeling of severe fatigue and pain in the lower limbs, which are most often observed in the morning and disappear in the morning;
  • patients often say that there is a burning sensation and intense heat in the veins;
  • quite often the disease is accompanied by the appearance of edema; this is especially true for women before the onset of the menstrual period;
  • every month the veins begin to swell and swell more and more; however, they are enveloping in nature;
  • networks and asterisks of blood vessels appear on the legs;
  • patients often experience nocturnal seizures; this is especially true for those people who exercise uncontrollably.

In which cases it is impossible to perform an operation on veins with varicose veins

Keep in mind that a condition such as varicose veins cannot always be treated by a surgical method. Only a doctor will be able to determine if a specific surgery is possible in your case. Be sure to read the information on when you shouldn't have varicose vein surgery:

contraindications for surgery
  • People suffering from high blood pressure will have to refuse the procedure. The operation can only worsen your already precarious health.
  • It is not possible to perform an operation if the disease is already in the last stage and simply does not respond to surgical treatment.
  • Doctors advise against performing the procedure in the presence of ischemic heart disease.
  • Pregnant women, as well as elderly people, will have to refuse to perform the operation.
  • The surgery should be postponed if the patient suffers from skin conditions such as erysipelas or eczema.

Rules for preparing the procedure

The operation of varicose veins on the legs is carried out only after taking some mandatory measures. Any patient suffering from varicose veins and has agreed to undergo surgery should be familiar with the following preparatory measures:

  • before the operation it is very important to pass all the necessary tests in time;
  • be sure to tell your doctor if you have allergic reactions to certain medications;
  • on the day of the procedure, be sure to shower and shave off all hair.

Types of surgery

Varicose vein surgery on the legs can be performed in several ways. Your doctor will tell you which one is right for you after you pass all relevant tests. Let's consider the most effective and in demand methods of surgical intervention.


phlebectomy for varicose veins

This procedure can remove the affected veins. This method is considered one of the oldest, but today, of course, it has undergone a large number of changes. Such an operation will be able to relieve the patient of the large vessels, as well as the formed nodules. The whole procedure takes no more than two hours. After its realization, it will be restored in a natural way.

To remove the affected veins, very small incisions are made in the skin, not exceeding five to six millimeters. Through such holes, the affected veins will be removed.

However, the minibectomy method is more popular today. Its essence lies in the fact that it is not necessary to make an incision for the operation. The affected veins will be removed through a skin puncture. After such a procedure, the recovery processes will proceed much faster and the aesthetic appearance will be more attractive.

What is stripping?

Stripping is another operation of the leg veins with varicose veins. Its essence lies in the fact that you can free the leg from a large damaged vein. For this, an incision is made in the groin area, through which a large saphenous vein is removed. In addition, it is very important to properly bandage all deep and superficial veins. Damaged veins are also removed. For this, other small incisions are made. After the operation to remove varicose veins, a special bandage will be applied to the leg, which should be on the leg for some time.

Use of laser techniques

As technology does not stand still, every year scientists develop more and more advanced treatment methods. Laser surgery for varicose veins is usually prescribed in the following cases:

laser surgery for varicose veins
  • the patient has already begun to develop trophic changes;
  • dilated gaps have begun to form in the vein;
  • laser coagulation can also be prescribed to those patients who have a small number of affected veins.

The essence of this method is that during the operation a puncture is made, through which a laser light guide will be inserted into the vein. It can be used to seal the affected vein, which will soon simply disappear. This type of surgery is performed under general anesthesia.

Recovery period

For varicose veins, surgery usually gives very good results. Of course, it will depend not only on the surgeon you choose, but also on your actions after the surgery.

After surgery, it is very important to have the correct recovery period. Usually, doctors advise their patients to follow these guidelines:

  • Be sure to use an elastic bandage after the procedure. It is also recommended to do this before exercising.
  • Doctors recommend exercising, but in moderation. During the recovery period, avoid heavy strain on the lower limbs.
  • Try to wear compression stockings and knee socks as often as possible. This is especially true for those patients who stand for a long time.
  • Never lift weights.
  • Doctors strongly recommend that patients monitor their diet. Avoid gaining weight, otherwise the disease will return very soon.

What should you absolutely not do in the first week after the procedure?

recovery after surgery

With the help of surgery, you can solve such a problem as varicose veins. The operation to remove the vein itself is not difficult, but it requires the patient to follow some rules. In the first week after the procedure, it is strictly prohibited:

  • consumes even a minimal amount of alcoholic beverages;
  • does any physical exercise and lifts heavy objects;
  • under no circumstances take a hot bath and also do not visit the sauna or bath;
  • doctors also advise you to stop driving.

Fast recovery

Please note that although the vein removal operation is quite simple, in the first few days after the procedure, patients may experience painful sensations, strong tenderness in the leg area and fever.

To reduce pain, doctors recommend doing a light self-massage of the lower limbs. Additionally, doctors recommend that patients be active and stay in bed as little as possible.

Various pain medications may be prescribed for pain relief. If necessary, the doctor may also prescribe medications that can prevent blood clots from forming.

What are the advantages of surgery

At the moment, surgical treatment of varicose veins is very popular, as it allows you to stop painful sensations, and also significantly improve the appearance of the lower limbs.

Doctors quite often prescribe surgery to their patients, as it has the following advantages:

  • allows you to get rid of pain and heaviness in the lower limbs;
  • the patient does not need to stay in the hospital for a long time, usually he is discharged the same day after the operation;
  • general anesthesia is not required, some procedures can also be performed without the use of local anesthetic;
  • usually the recovery process goes very quickly, after one or two weeks the patient can start living a normal life.

Disadvantages of the procedure

disadvantages of surgery for varicose veins

Keep in mind that the procedure for eliminating varicose veins does not always go smoothly. Transaction reviews confirm that there is a risk of relapse in some cases. Most often this happens if the patient, after the procedure, continues to lead a wrong lifestyle.

People who accept surgery testify that after it is performed, there will be bruises on the skin for another one or two months. In addition, the formation of scar tissue at the incision sites is possible, as well as the occurrence of bleeding. There is also a risk of thrombophlebitis. In order for this phenomenon not to occur, it is very important to walk as much as possible after the operation.


Varicose veins are a disease that cannot be completely eliminated with drug therapy. You can only suspend its development. Neglected forms of pathology require surgical intervention. There are many ways to remove damaged veins. However, your doctor will tell you which method is right for you.

Do not manage your health under any circumstances. Monitor the condition of the lower limbs from a young age, and then you will have far fewer problems in old age. Eat right, watch your weight, exercise in moderation and break bad habits and you will notice how your health is changing for the better. Take care of you!