Flebectomia - removal of varicose veins surgically

Therefore, if the operation in varicose veins show, it's not worth lingering with his interventions, because the first one was made, the first will arrive in the normalization of blood circulation, improvement or healing of other disorders and complications of varicose vein disease.

Recommendations before the operation flebectomia


Preparation for the removal of the veins is absolutely simple.

Do the shower, completely remove the hair with the leg on which it is carried out the operation, before the operation, the skin of the feet must be healthy and not have pustular disease. If the operation is expected to do under general anesthesia, on the eve of the operation prescribed mandatory cleaning enemas. For the operation comes at a large shoes and clothes. If you are taking medications, be sure to inform your doctor.

During operations, can be used several drugs, and if you have an intolerance or allergy to any medication, especially for the novocaine and transport of substances, please inform the surgeon.

Directions to la flebectomia

  • with a wide varicose veins;
  • if subcutaneous vienna pathological extended;
  • if the varicose veins of the subcutaneous veins accompanied by tiredness of the legs and swelling;
  • if on the face the signs of disorders of the outflow of blood — a feeling of heaviness, swelling, fatigue of the legs, even without the varicose of superficial veins;
  • if there are trophic disturbances of the skin, which are not amenable to conservative treatment (regardless of the presence or absence of varicose veins of the subcutaneous veins);
  • varicose veins, accompanied by venous ulcers;
  • the severe thrombophlebitis of the veins dilated.

Contraindications for flebectomia

  • in a later stage of varicose vein disease;
  • hypertension;
  • in coronary artery disease;
  • in the event of a serious infectious disease processes;
  • the advanced age of the patient;
  • inflammatory processes in the foot, eczema, pyoderma, panting, erysipelas, etc.;
  • do not perform any operations in varicose veins and in the second half of pregnancy.

The operation for the removal of varicose veins - flebectomia

During the surgical treatment of varicose veins are simply removed. This operation lasts about 1-2 hours. Removal of the subcutaneous veins does not interfere with the normal flow of blood and safe for the body, because through the subcutaneous vienna (that is to say, their striking for varicose veins), usually not more than 10% of the blood. 90% of venous blood tolerate deep, and the so-called connective veins of the legs. Therefore, the removal of the veins under the skin these vessels without work, they take a load of movement on himself. After the surgery are virtually invisible scars, only 4-5 mm.


In case of incorrect operation of the valves of the veins, performs the correction insolvent valves, with the aim of restoring the normal flow of blood. After the operation the veins that you need to follow some guidelines, the main of which — elastic compression.

After surgery, the patient is encouraged to available for 1.5—2 months to use an elastic bandage or elastic stockings. In addition, to restore the function operated on the foot prescribed venotonic drugs.

However, this is so far accompanied by a high risk of scarring. Recently developed techniques that allow you to perform plastic surgery for valves great saphenous vein without removal of the veins. These operations, if varicose veins are very effective, but up to now are very complex, and has a small circle of specialists.

The rehabilitation after the surgery flebectomia

After the surgery removal of the veins recommendations vary for every patient — it depends on the degree of varicose veins of the patient, presence of chronic diseases, the general health, but also the nature and scope of the operation. Therefore, after the intervention of the veins listen carefully to your surgeon and follow his recommendations.

With the first hours after the intervention it is recommended that you turn, bend the legs, etc., a simple lift at the end of the bed 8-10 cm greatly improves the flow of blood in the veins.

The day after surgery in the case of varicose veins disease ligation is performed with the use of compression stockings or elastic bandage on both feet from the tips of your fingers until the joints of the knee. Are allowed only after ligation. Even after the removal of the veins are the recommended physiotherapy exercises and a light massage as a prevention of thrombosis.

7-10 days after the surgery, you should not do aerobics, gymnastics, or on the exercise bike, and also a sauna and a Turkish bath. 8-9 day to remove the seams, and the prescribed course of physiotherapy and treatment of the water. Elastic compression is necessary not less than 2 months after the liberation from the seams.

Particularly important are the exercises in varicose veins for the elderly. This is the perfect prevention of postoperative complications — the slowing of the venous outflow of blood, and postoperative thrombosis. Perhaps, for the prevention of thrombosis, also named drugs.

The results of the operation and the complications after the flebectomia

Complications flebectomia improbable, but there are. The forecast of complications depends on the severity of the lesion of the venous system, and, of course, by other concomitant diseases. On the first day are possible bleeding from wounds, bruises. Bleeding measured is small the subcutaneous veins, which are not tied during the operation, and bruises pass in a matter of 7-10 days after surgery.

Thromboembolism (obstruction of the arteries in consequence of the separation of part of a blood clot) after the removal of varicose veins can be caused by a deep vein thrombosis of the lower limbs. Deep vein thrombosis — a rare complication flebectomia, the reasons for which become slowing down the flow of blood in the veins, the infection in the wound, a long bed rest. The prevention of a blood clot is output in the first shots after surgery, compression therapy and the use of drugs to improve the properties of the blood.


The operation for varicose veins, moreover, does not exclude the development of relapse — are removed only the sick people of vienna, and varicose veins. But with the passage of time, in the case of non-respect of the mode of prevention of varicose veins, even veins healthy can become sick. Started in the early stages of treatment, is more effective.

Cosmetic effect after flebectomia largely depends on the stage of varicose vein disease, features, price in the venous system and the presence or absence of complications of varicose disease. So, in the early stages of varicose veins the size and quantity of scars can be reduced to a minimum. If varicose veins running, and accompanied by venous ulcers, dermatitis, and extensive pigmentation, these cosmetic defects remain even after the operation with small scars on the field of cuts. Cosmetic effect flebectomia seriously depends on the individual susceptibility to the formation of scar tissue. Some of them also with serious damage of the skin, thin scars. Others even if very slight damage, there is predisposition for the formation of coarse, the speaker above the surface of the skin scar.

Mini-flebectomia (micro-flebectomia)

In recent years, in the centers of phlebology, dealing with the treatment of varicose veins, the more and more widespread receives the method mini-flebectomia (micro-flebectomia). Mini-flebectomia is the removal of veins through tiny holes of the skin. To perform this procedure requires a serious engravings, as for operations for varicose veins. Depending on the stage of varicose veins, for the realization of micro-flebectomia may not require neither the hospital nor general anesthesia. The procedure mini-flebectomia can be performed as an outpatient procedure, with a minimum of local anesthesia, because the mini-flebectomia — absolutely painless technique.

After the removal of the dilated veins in the field of their removal are formed bruises. The bruising went from the sun after 2-3 weeks, and after 1-2 months, virtually no trace of varicose veins and the operations does not remain.