Surgical treatment of varicose veins

Varicose veins are a special disease of venous blood vessels, accompanied by valve failure and impaired blood flow. From the Latin "varicose veins" can be translated as "swelling", which completely corresponds to the visual image of the disease. Varicose vein surgery is the most common and effective treatment.

If conservative treatment will not help

Surgical treatment of varicose veins

There are many options for treating varicose veins. In the initial stage, conservative treatment is required, but sometimes even during this period, surgery can be prescribed.

The reason for the operation is as follows:

    -It is understood that the formation of varicose veins is not caused by secondary factors, but by the characteristics of the organism or heredity;
  • The extreme stage of varicose veins, and conservative medicine is powerless;
  • There are trophic ulcers in the lower limbs;
  • Infringes on the blood circulation of the blood vessels of the lower extremities, directly affecting the patient's overall condition;
  • Sudden blockage of blood vessels (thrombophlebitis).


Although conservative treatments are not effective, surgery is not used in all cases.

Contraindications for varicose vein surgery:

  • The blood pressure continues to rise or the trend of this disease appears;
  • Serious infectious disease;
  • Severe heart disease (recent myocardial infarction, coronary artery disease);
  • is ​​already seventy years old;
  • Inflammatory skin diseases-eczema, psoriasis;
  • Pregnancy (the second half of the semester).

In each case, the phlebologist will independently evaluate the patient’s condition and decide whether to perform one or the other type of varicose vein surgery.

Types of vein surgery

The surgical treatment of varicose veins of the lower extremities provides several ways to influence the focus of the problem.

Vein extraction

Phlebectomy for varicose veins in the legs

The most common type of surgery involves surgical removal of varicose veins.

This method involves making a small incision in the skin of the varicose vein area. After that, the affected part of the vein was completely removed.

It takes about an hour to remove leg veins using this method, and the patient will be discharged after one to two days. The effectiveness of this method reaches a fairly high percentage, but if the doctor's prescription is not followed, it may cause serious complications.


Microlobular resection is a method of treating varicose veins, which means piercing the skin at the affected area instead of the incision. The operation was performed under local anesthesia in a day hospital. This means that the patient goes home almost immediately after the medical procedure is over.

Benefits of mini lobectomy:

  • No general anesthesia required;
  • Outpatient situation;
  • The minimum number of contraindications;
  • The least damage to the skin;
  • Lack of recovery period.

Varicose vein resection is usually used as an auxiliary method or combined with other types of surgery.


Leg vein sclerotherapy-using ultrasound to define varicose veins. After that, a special solution is injected into the vein of the affected area to make the varicose veins stick together and prevent blood flow. Due to this operation, the blood supply to the lower limbs was restored, and the trophic ulcer gradually healed.

There are 2 methods of sclerotherapy:

Varicose Vein Sclerotherapy
  1. Echosclerotherapy-This operation will be used when the diameter of the varicose vein is greater than one centimeter. The method is based on inspection of problem areas and subsequent injection of special substances. It narrows the vascular cavity and restores blood flow.
  2. Using foamis ​​the safest and most effective type of surgical procedure, including the introduction of special foaming substances into varicose veins. The vascular cavity is completely blocked, saving the patient from pathological manifestations.

Sclerotherapy for varicose veins is used in complex forms.

Laser vein removal

Laser removal of varicose veins is the most modern, technologically advanced and safest way to affect varicose veins. The principle of surgery is based on puncturing the skin in the varicose vein area and introducing laser guidance inside. The light beam dissolves the varicose veins and has no effect on the patient's body.

Laser coagulation is a type of laser surgery that causes the welding of varicose veins, which blocks blood flow.


RFA-radiofrequency ablation of the veins of the lower extremities. The principle of operation is based on the puncture of the skin area and then the introduction of an ultrasonic sensor. It emits special microwaves to act on varicose veins, causing them to coagulate. The positive aspect of the operation is that it may produce dose fluctuations, thereby regulating the process of vein gluing.


Surgical treatment of varicose veins, no matter what method is used, is a very serious operation involving a wide range of preparation stages:

Laser treatment of varicose veins
  1. Check and consult with the surgeon.
  2. Varicose vein ultrasound is a mandatory diagnostic method that allows you to identify varicose veins.
  3. General analysis of blood and urine.
  4. Biochemical blood tests.
  5. Blood coagulation index.
  6. ECG.
  7. Chest X-ray.
  8. Blood pressure control.

On the eve of the operation, you must limit yourself to a light meal and go to the hospital on an empty stomach in the morning. In order to prevent anesthesia from harming the body, it is necessary to provide information about allergies and medications that may cause such reactions in advance.

Postoperative period

The postoperative phase after the removal of varicose veins in the legs progressed smoothly, and in most cases there were no complications. The specific recommendations depend on the type of operation performed. For example, if the patient needs 2-3 days to recover after phlebotomy, after laser removal of the varicose veins, he will return home on the day of the operation.

Those patients who need sick leave will get a document that specifies the possibility of going to work based on the type of activity. If the occupation is not related to physical activity during the day and standing for a long time, take sick leave for 5-7 days. Otherwise, the maximum validity period of the certificate of incapacity is 2-3 weeks. In each case, the doctor will make a decision based on the indicators of the postoperative period.

Prevent recurrence

Surgery to treat varicose veins provides a series of preventive measures:

  • On the first day after removal of varicose veins, an elastic bandage should be used in the puncture or incision area;
  • Use compression panties-stockings, knee high;
  • After surgery, limit weight lifting, and within six months-weigh no more than 10 kg;
  • Limit exercise to jogging, walking, swimming;
  • Track excess weight;
  • Receive medication in time to restore the tone of veins and eliminate the formation of varicose veins;
  • Check by the doctor promptly;
  • Reduce coffee and tea consumption;
  • Do leg gymnastics;
  • Use loose shoes;
  • Frequent outdoor activities and lead a healthy lifestyle.

On the first day after the operation to remove varicose veins, it is necessary to avoid hot baths, perform strenuous exercise (including driving a car), and limit smoking and drinking.

Surgical costs

The price of varicose vein surgery depends on many nuances. This includes a doctor's examination and a series of additional examinations, without which it is impossible.

Generally, when the examination is performed in the same clinic where the operation is planned, if the operation is performed in a different place, the service cost will be reduced.

In this case, when asking which operation is more effective, you can safely pay attention to the price. Although laser removal of varicose veins is the most expensive method, it is also the most effective, painless and non-recurring method.