Varicose Vein Surgery

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Varicose Vein Surgery

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Thailand Varicose Vein Surgery in Bangkok Hospitals

Also known as augmentation mammaplasty, breast augmentation surgery involves using breast implants to fulfill your desire for fuller breasts (breast enlargement) or to restore breast volume lost after weight reduction or pregnancy (breast enhancement).

There are a number of different varicose vein treatment options, depending on your particular situation. These may include:

  • Compression stocking Other self-care strategies
  • Procedures such as sclerotherapy or vein ablation (which uses a laser or radiofrequency)
  • Surgery

Surgery is used mostly to treat large varicose veins. Specific options include:

  • Surgical ligation and stripping
  • Ambulatory phlebectomy
  • Endoscopic vein surgery

Best Candidates for Varicose Vein Surgery

Vein stripping may be recommended for:

* Varicose veins that cause problems with blood flow (venous insufficiency)
* Leg pain, often described as heavy or tired
* Ulcers or sores that are caused by excess pressure in the veins (venous ulcers)
* Blood clots or inflammation in the veins (phlebitis)
* Improving the appearance of the leg
* Lipodermatosclerosis - fatty tissue under the skin that hardens over time from high blood pressure in a vein

Today, doctors are doing fewer vein stripping surgeries because there are newer, non-surgical ways to treat varicose veins. These other treatments are less painful and have a much faster recovery time.

Preparing for Breast Augmentation

It is important to recognize that bulging surface varicose veins are often due to underlying problem veins. In order to get better results, these underlying veins should be treated, in addition to treatment of the surface veins. In the case of bulging surface veins, most physicians use duplex ultrasound to evaluate the underlying veins of the leg prior to developing a treatment plan.

Varicose Vein Surgery Overview

With this varicose vein surgery, problematic veins are tied shut and completely removed from the leg. Removing the veins does not affect the circulation of blood in the leg. Veins deeper in the leg take care of the larger volumes of blood. Most varicose veins removed by surgery are surface veins and collect blood only from the skin.

This surgery for varicose veins requires either local or general anesthesia, and must be done in an operating room on an outpatient basis.

Ambulatory Phlebectomy

Ambulatory phlebectomy is a method of removing varicose veins on the surface of the legs. It is done in the office under local anesthesia. This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required. Veins are very collapsible such that even large veins may be removed through the tiny incisions used in this technique. The patient is able to walk following the procedure.

After treatment, a compression bandage and/or compression stocking are worn. Your physician will advice you how long to wear any bandages or hose. Many physicians recommend that you walk or bike after treatment. This reduces pressure in the veins, increases the flow in the veins and reduces the risk of forming a blood clot.

Transilluminated Powered Phlebectomy (TIPP)

Transillumination for Vein TreatmentTransilluminated Powered Phlebectomy (TIPP) is a minimally invasive procedure for removing varicose veins that is performed using the TriVex System.

Transillumination is a unique feature - much like a flashlight placed under the skin - that allows a surgeon to see, accurately target and remove varicose veins, then visually confirm the extraction. Traditional varicose vein surgery is considered a "blind procedure," meaning that surgeon cannot see the vein or confirm removal.

The procedure in performed in an operating room under a light anesthetic. The surgeon works through two small incisions in a darkened room.

The tumescent canula illuminator is placed under the varicose vein. The cool xenon fiberoptic light allows the surgeon to see the varicose veins easily through the skin. Tumescent fluid, similar to that used in liposuction, is infused under the skin, loosening the vein from the surrounding tissue and providing local anesthesia.

A second instrument, the vein remover, is then guided to the veins using the TCI light. The vein is suctioned into a small hole at the tip of the vein remover and a protected blade cuts the vein into small pieces that can be suctioned out of the body.

The procedure can be performed in about 30 minutes. The small incisions do not require stitches. With the large volume of local anesthetic used, most patients wake up without any pain and go home in about one hour. Normal activity is encouraged immediately and most patients return to work in 2–3 days.

Vein Ligation

Ligation historically has been used in an attempt to treat both bulging varicose veins and underlying veins. During this type of vein surgery, incisions are made over the problem vein and the vein is tied off. This is done in order to cut off the flow of blood to the varicose vein, which in turn causes it to become less visible.

Many physicians do not recommend this technique for most veins because the recurrence rate of varicose veins is very high. It is important to remember that bulging surface varicose veins are often due to underlying problem veins. These underlying veins should be treated, in addition to treatment of the surface veins, in order to get the best results.

Vein Stripping

Vein stripping involves tying off of the upper end of a problem vein and then removing the vein. Vein stripping is performed in an operating room. The patient is usually under general anesthesia.

Modern alternatives to vein stripping include endovenous laser treatment, radiofrequency occlusion and ultrasound-guided sclerotherapy. These techniques are done in-office under local anesthesia.

Sclerotherapy

Smaller veins are usually treated by sclerotherapy, which is the injection of irritant chemicals into the affected vein. If the vein isn't visible to the eye, the surgeon will use an ultrasound machine to help guide the needle (echosclerotherapy). The irritant prompts the vein to spasm and collapse in on itself. In time, the walls of the collapsed vein heal together, and the sealed vein can no longer carry blood. A compression stocking worn on the leg helps to speed this process; small veins need compression for around three to six days, while bigger veins need about six weeks.

Vein Surgery Results

You should no longer have varicose veins, and your symptoms should improve. Surgery should help prevent complications that varicose veins may cause.

Recovery After Vein Surgery

Your legs will be wrapped with bandages to control swelling and bleeding for 3 - 5 days after surgery. You may need to keep them wrapped for several weeks.

When you are resting, try to keep your legs raised higher than the level of your heart. Place pillows or blankets under your legs to raise them up.

You may also wear compression stockings. These help improve blood flow. It is very important to keep your bandages and compression stockings on until all the surgical cuts have healed. Your doctor will tell you when you no longer need them. To prevent the varicose veins from returning, you may have to wear compression stockings for a long time.

Your doctor may prescribe pain medicine. Take the medication before your pain gets severe. Do NOT drive or use machinery if you are taking narcotic pain medicine. The medicine will make you drowsy, and it will not be safe for you to drive or operate machines.

Take at least 10 to 12 short walks a day, for 5 to 10 minutes each. Do not sit or stand in one place for too long.

You will probably be able to return to your normal routine in 2 weeks. However, you should not do strenuous physical activity for 3 to 6 weeks. You should be able to shower 2 days after surgery.

Vein Surgery Post Operative Care

Be guided by your doctor, but general self-care suggestions include:

* Allow for one (or perhaps two) weeks off work following surgery. You will need to avoid any hard physical exertions during this time.
* Don't remove your bandages yourself. Leave bandages for your doctor to remove.
* To keep the bandages dry while showering, wrap your bandaged leg in plastic.
* Take at least a half hour walk every day.
* Sunburn can make scars look worse. Avoid sun exposure if possible for six months.
* Wear a compression stocking for as long as your doctor advises.
* Avoid prolonged periods of standing, or sitting with your legs crossed.
* Support stockings may be needed if your legs continue to ache.

You will need to have a check-up a few weeks after surgery and, again, several months later. About 20 per cent of people who undergo varicose vein surgery will develop new crops of varicose veins given time.

You may go home the day of the surgery. Remove the dressing on the second day after surgery, then you may shower. Under the "mepore" dressing are "steri strips" which should be left on for one week. Do not sit in the tub/bath for one week.

Sutures are absorbable. Only the suture outside the skin in the groin needs to be cut during the post-operative check, one week after surgery. Mobilise the leg/legs operated on as soon as possible i.e. immediately after discharge.

There are no restrictions to gentle activities. Keep your support stockings or tensor bandages on for several days after surgery. You may remove them at night. Minor discomfort is experienced along the path of the removed Greater Saphenous Vein due to bruising. This will disappear in 2-3 weeks.

Possible Vein Surgery Risks

Vein stripping is generally safe. Ask your doctor about specific problems that might occur.

The risks for any anesthesia include:

  • Allergic reactions to medicines
  • Breathing problems

The risks for any surgery include:

  • Bleeding
  • Bruising
  • Infection

The risks for vein stripping include:

  • Bruising or scarring
  • Nerve injury
  • Return of the varicose vein over time