Do varicose veins of the lower extremities have to be treated surgically?

Not all patients with varicose veins of the lower extremities require surgery**. However, patients are advised to consider surgery if:

The veins of the lower limbs are severely twisted and clumped, and even the thighs are varicose veins;

After walking and standing for a long time, the legs feel sore, heavy and even depressed edema of the lower legs, which affects the normal life and work of the patients;

There was **eczema, stasis dermatitis caused by varicose veins, which still persisted after **department**;

The patient himself feels that varicose veins affect the appearance;

The leg veins are tortuous and clumpy, and there are often red, swollen, hot, and painful phlebitis;

Patients with varicose veins who have a clear family history of varicose veins of the lower extremities may be considered for surgery as soon as possible**. At the same time, it should be clear that the patient does not have contraindications to surgery such as deep vein thrombosis of the lower extremities and inferior vena cava return disorder before performing varicose vein surgery**.

Depending on the severity of the disease, generally speaking, mild varicose veins can be controlled by wearing compression stockings first, and severe ones of course require surgery**, because serious ones can lead to complications and even old rotten legs. Drugs don't work very well.

Varicose veins of the lower extremities are mainly caused by standing for a long time or engaging in heavy physical activities for a long time, which leads to the obstruction of the venous valves of the lower limbs, the obstruction of venous return, and the increase of pressure in the tortuous blood vessels, thus causing them to expand. It is recommended to go to a regular hospital for symptomatic treatment**, avoid sitting for a long time, and appropriately elevate the lower limbs to avoid blood stasis.

Surgery is the most effective method. Nowadays it is all minimally invasive surgery, and varicose vein surgery is a minor operation. Do not worry.

Mild varicose veins can be treated conservatively** or by injection**.

Usually avoid sitting and standing for a long time, you can walk around and tiptoe more, often elevate the affected limb, wear medical elastic stockings, elevate the leg before going to bed, do more exercise such as swimming and jogging, and do not do exercises that increase the pressure on the lower limbs.

If you can't avoid standing and sitting for long periods of time, you can walk a few steps when you're okay, tiptoe, or wear medical compression stockings.

Sleeping with varicose veins in the legs can help blood flow back in the legs, reduce the pressure on the valves in the lower limbs, and delay the development of varicose veins.

Hello, when varicose veins are relatively mild, you can do without surgery**, or the patient is busy with work and does not have time for surgery, the following are some methods and techniques to reduce the symptoms of varicose veins and delay the development of varicose veins.

The most important method is to relieve venous pressure in the lower limbs;

1.Avoid standing in place for a long time, you can simply stop walking, let the leg muscles move, and reduce the pressure on the legs; When sitting for long periods of time, changing the sitting position frequently or placing the calves horizontally can facilitate blood return; Doing some kicking movements can promote the return of venous blood.

2.Wearing size-verified medical compression stockings can effectively prevent varicose veins and control the progression of the disease;

3.Avoid wearing clothing that is too girdle or abdomen; If the clothing in the waist and abdomen is too tight, it will affect the venous return of the lower limbs and aggravate varicose veins;

4.Pay attention to weight, obesity is an independent risk factor for varicose veins, and the heavier the weight, the heavier the burden of venous blood return on the legs.

5.Prevent constipation, when constipation, abdominal pressure increases, causing celiac varicoce.

6.Eat more fiber-rich foods and limit excessive salt intake.

7.Drugs**.

In addition, regular leg care and calf muscle massage can relieve lower limb fatigue and prevent the occurrence of varicose veins.

If the degree of varicose veins is not very severe, of course you can choose to be conservative**. Mild to moderate varicose veins of the lower limbs can be relieved by elevating the affected limbs, reducing heavy physical labor or standing for a long time, etc., or you can buy elastic stockings with a certain strength and effect to make the varicose veins return better. However, if the degree of varicose veins of the lower extremities is severe and conservative** is ineffective, then I recommend surgery** to avoid more serious complications.

The difference between varicose vein surgery for the lower extremities ** and conservative**.

1. Varicose veins may have no obvious clinical symptoms for several years or even longer, but this does not mean that varicose veins are not dangerous, and with the development of the disease, complications such as venous thrombosis and infertility may occur.

2. In the past, the elderly or asymptomatic people could start with conservative ** including drugs or strong socks, which has a certain universality and is based on factors such as surgical trauma and burden. There is also a certain amount of truth in considering the heavy economic burden and the risk of surgery for the patient's advanced age.

3. However, to date, medicine has changed, and in terms of varicose veins, is it better to have early surgery or be conservative**? There is a subtle change in this problem, and more and more patients with varicose veins are opting for early surgery.

4. As the main means of conservative treatment of varicose veins, drugs and tights can only delay the development of the disease, but not the root of the disease, therefore, the drug can only be used as a supplement. While power socks are an effective method, they must be used for a lifetime and are expensive and cumbersome; Currently, most patients who initially use socks opt for surgery. Since surgery is necessary, it seems that the time and effort invested in conservative ** has been wasted.

Varicose veins of the lower extremities are common and refer to the convolution, elongation, and dilation of the superficial venous system of the lower extremities. Primary lower extremity deep vein valve insufficiency, lower extremity deep vein thrombosis, and isolated varicose veins of the lower extremities can all cause varicose veins of the lower extremities. Simple varicose veins, formerly known as primary varicose veins of the lower extremities, refer to those whose lesions are only located in the superficial veins of the lower extremities.

Most occur in the great saphenous vein, and a few occur in combination with the small saphenous varices or in the small saphenous vein alone.

Guidance: Hello, you are now accompanied by pain and edema, lower extremity deep vein valve insufficiency or lower extremity deep vein thrombosis, it is recommended that you do a lower extremity angiography, if necessary, surgery**.

If it is a mild varicose vein, it can be delayed by conservatively, and the surgery is mainly for moderate and severe varicose veins, and if there are aesthetic requirements for mild varicose veins, varicose vein surgery can also be performed.

Severe varicose veins are recommended for surgery**, and conservative** can only delay the development of varicose veins.

Mild varicose veins can be carried out with compression stockings**, it is best to go to the vascular surgery department of a regular hospital to check the specific degree of varicose veins, and then treat the symptoms according to the specific situation**. Usually avoid sitting and standing for a long time, elevate the lower limbs to increase blood circulation when resting, eat more vegetables and fruits, and eat less spicy food.

Traditional surgery: saphenous vein high ligation + decortication (commonly known as cramp peeling), this surgical method has large wounds, low aesthetics, more bleeding, and easy healing, but it is inexpensive, effective for varicose veins, minimally invasive surgery, small wound, high aesthetics, less bleeding, and low surgical rate. Compared with traditional surgery**, it is higher.

If it is simple superficial varicose veins of the lower limbs, the general clinical symptoms are mild, the progression is slow, and most of them are manifested as simple varicose veins, and in a few cases, there may be thrombophlebitis, venous ulcers, etc.; If it is a deep vein valve insufficiency, or even a deep venous return obstruction, the condition is relatively serious, the calf has a feeling of heaviness when standing, easy fatigue, and even swelling and bursting pain of the lower limbs, and the later stage will occur ** nutritional changes, desquamation, atrophy, pigmentation, eczema ulcer formation.

Conventional surgery and laser surgery.

The traditional surgical wound is large and unsightly, and the recovery is slow, and the probability is high.

The laser surgery is small, beautiful, and has a fast recovery, and the probability of laser surgery is small.

Analysis: Varicose veins, commonly known as fried tendon legs, are the most common diseases of the venous system.

Suggestions: Surgical extraction surgery, incision in the groin, cutting and ligation or extraction of the saphenous vein, requiring hemibody or general anesthesia, and hospitalization for 2-3 days. If the varicose veins are too severe, several small wounds may be needed to remove the varicose veins one by one.

The cost is based on the condition.

Analysis: Most patients with varicose veins are not severe and do not need to be **, and health care and prevention are the most important. However, if the varicose veins are too severe, it is easy to produce repeated ulcers, infections and bleeding, and misbelieving in home remedies and using the wrong method will aggravate the symptoms of varicose veins.

Therefore, the best way to do this is to consult a specialist for appropriate advice.

Varicose veins refer to the tortuosity and dilation of veins due to factors such as blood stagnation and weak venous walls. Varicose veins can occur in many parts of the body, such as hemorrhoids are actually a kind of varicose veins, and clinical manifestations include esophageal and gastric varices, varicoceles and abdominal wall varices. Varicose veins most often occur in the lower extremities.

It is worth emphasizing that varicose veins are secondary manifestations of other lesions.

Quit smoking, because smoking can change the viscosity of the blood, and the blood becomes viscous and easy to stagnate.

Varicose veins of the lower leg are one of the most important diseases and one of the most common diseases of the blood vessels of the extremities. Varicose veins mostly occur in the lower extremities.

The main reason for the formation of varicose veins is due to the congenital vascular wall membrane is relatively weak or the same posture is rarely changed for a long time, blood accumulates in the lower limbs, and the venous valve is destroyed over time, resulting in high venous pressure, which makes the blood vessels protrude from the surface of the ** surface.

Due to lack of activity, the pressure in the veins of the lower extremities, which rely on the contraction and return of skeletal muscle, will increase, and prolonged venous lumen dilation will cause venous valve insufficiency and eventually develop organic insufficiency, resulting in varicose veins of the lower extremities. It is recommended that you go to the hospital for a check-up and follow the doctor's instructions**!

There are three types of methods for varicose veins of the lower limbs, including: support, varicose vein sclerosis and surgery. So far, there are no drugs that can completely ** varicose veins of the lower limbs.

Wearing medical sequential compression stockings is the most effective method of support**. Here are the three best ways to get varicose veins::

1. Compression** method (support**): wear elastic stockings or use elastic bandages to compress to reduce venous reflux and congestion. Medical sequential decompression compression stockings are a kind of product that has the function of promoting the return of venous blood to the lower limbs.

The medical sequential decompression compression stockings establish the highest support pressure at the ankle and gradually decrease it up the leg. Reduce to 70%-90% of the maximum pressure value in the calf and in the thigh.

25%-45%.This decreasing change in pressure can lead to the return of venous blood in the lower extremities, effectively relieving or improving the pressure on the veins and venous valves of the lower extremities. The best time to wear sequential compression stockings is when you get up in the morning, because at this time, the blood circulation is most smooth and the swelling has not yet started or you can raise your legs for 5 to 10 minutes before wearing compression stockings, this action can prevent blood from flowing back, and the effect of this action is more significant for people who stand for a long time.

2. Sclerosing agent**: The sclerosing agent is injected into the vein to destroy endothelial cells, causing vasospasm and inflammatory reactions to form thrombosis and fibrosis, so as to achieve the purpose of eliminating varicose veins. It is best used for small vein dilation.

Including allergies, local pain, necrosis and pigmentation, etc. If the sclerosing agent is accidentally injected into the artery, it can cause acral necrosis and amputation.

3. Surgery**: The purpose is to remove varicose veins, and the surgical methods include: high saphenous vein ligation, vein stripping, perforated vein ligation or simple phlebectomy.

Not all varicose veins are surgically removed, and it is important to make sure that the deep veins are open before surgery. The following patients may be operated on**:

Symptoms such as soreness and swelling are severe and unbearable.

Recurrence of thrombophlebitis. Blood vessel rupture and bleeding.

Blood stagnation causes complications such as inflammation and ulcers.

You will still need to wear an elastic bandage or compression stockings for a short time after surgery. There is still a chance of varicose veins** after surgery. Therefore, people who are prone to varicose veins should pay attention to prevention, that is, to avoid standing or sitting for a long time (if it is unavoidable, you can wear elastic socks), and have appropriate exercise.

It is recommended that you may wish to wear hospital elastic stockings, the effect is good, [suitable.

Symptoms] :** Lower limb blood circulation disorders and heavy soreness in the lower limbs caused by long-term standing, sitting still, and bed rest; Mild varicose veins, chronic varicose veins, venous blood stasis, phlebitis, varicose veins during pregnancy, swelling of the lower limbs, after saphenous vein stripping, varicose veins after sclerosis**, calf ulcers, post-deep vein thrombosis syndrome of the lower limbs, etc.

Yes, varicose veins of the lower limbs are commonly known as "earthworm legs", and they account for more than 90% of various vascular diseases.

In terms of appearance, it is mostly manifested as twisted and twisted green tendon protrusions like earthworms, and sometimes there will be atrophy of the lower legs, scaling, pigmentation, etc.

Although it is not painful or itchy, it not only affects the aesthetics, but also brings potential harm to the body.

There are four major harms of varicose veins.

1. Venous thrombosis.

Some patients can form thrombosis in the superficial varicose veins, which is manifested as local redness, swelling and pain, the formation of hard lumps, and the pain affects walking. If left untimely**, the blood clot may spread upward or through the communicating vein to the deep vein, causing deep vein thrombosis.

2. Pigmentation.

Long-term venous hypertension leads to increased capillary permeability in the calf area, rupture after exudation of red blood cells, and the deposition of hexirubin under the skin, which makes ** darken, developing from punctate to flaky.

3. Ulcers. Varicose veins cause nutritional changes that lead to the occurrence of ulcers, which can not heal for a long time, and the local foul smell and pus will have a serious impact on daily life.

4. Bleeding. The area through which the varicose veins pass is very fragile due to nutritional deficiencies. If you are not careful, it can easily lead to the rupture of varicose veins and cause massive bleeding.