Treatment of varicose veins in men on legs: conservative and operative

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From this article you will find out whether there are differences in how to treat varicose veins in men and women, what should be the right therapy, what is dangerous is slowing down with treatment.

Conservative therapy for varicose veins

  • Minimally invasive treatment for varicose veins
  • Surgical treatment of varicose veins
  • Long-term effectiveness of
  • treatment According to vascular surgeons who are engaged in varicose veins, differences in symptoms, complications, methods and outcomes of treatment in women and menno. There is only a difference in applying for medical care: representatives of the stronger sex are only registered with a doctor for neglected cases, so they often have to resort to surgical treatment.

    Unfortunately, it is possible to treat varicose veins in women and men only with the help of surgical interventions. However, even after them, the frequency of recurrence of the disease is quite high.

    Next, let's talk about the methods of treatment that are used in men( and in women too).

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    Conservative therapy for varicose veins

    Varicose veins in men do not always need treatment. If this disease does not cause the patient any symptoms, then medical aid is not needed.

    Treatment is usually performed:

    • for relief of symptoms - if varicose veins cause pain or discomfort;
    • for the elimination of complications - for example, trophic ulcers or edema on the legs;
    • for cosmetic reasons.

    If treatment is needed, doctors can first recommend non-drug methods:

    Method name Description
    Wearing compression stockings These are special stockings that squeeze the leg and improve venous blood flow. They can help alleviate the pain, discomfort and swelling on the legs caused by varicose veins. There are many sizes and compression classes of compression stockings. For most patients, doctors prescribe wearing 1( easy compression) or 2( moderate compression) class. To put on compression stockings it is necessary in the morning, and to remove - before a dream.
    Regular physical exercises The main pump that pumps out venous blood from the legs is the calf muscles. Regular physical exercises include walking for 30 minutes a day( preferably upward inclined), climbing on tiptoes, flexing and unbending the foot. You need to do them several times a day.
    Weight normalization Normalization of weight in obese men helps to reduce venous stasis and prevent deterioration of leg varices. To this end, you must follow the rules of healthy eating and exercise.
    Avoiding prolonged standing or sitting Prolonged standing or sitting contributes to impairment of outflow of venous blood from the legs, so with varicose care it must be avoided
    Smoking cessation Smoking contributes to venous insufficiency of the lower extremities, in which blood accumulates in the legs
    Elevated position of the legs during rest To raise your legs to a level above your heart in a supine position you need at least 15 minutes 4 times a day, this helps alleviate the symptoms of

    Drug medication for varicose veinsand the feet of the men is auxiliary. None of the drugs used has proven to be highly effective. Most often doctors prescribe diosmin and hesperidin. These are semisynthetic flavonoids, which increase the tone of the venous wall, reducing stagnation of blood in the lower limbs.

    In the development of complications, anti-inflammatory and anesthetics, local bactericidal preparations, antibiotics, ointments or gels with glucocorticosteroids are used.

    Advantages and disadvantages of treatment with lifestyle changes:

    Advantages of Disadvantages of
    Prevents worsening of existing symptoms of varices Does not relieve the disease

    Advantages and disadvantages of compression stockings:

    Advantages of Disadvantages of
    Improves blood circulation Needs to be worn all day
    Feet can be hot, they can sweat
    Need to be changed for new every 3-6 months
    Click on photo to enlarge

    Minimally invasive methods of treating varicose veinsveins

    With mild varicose veins, doctors can recommend minimally invasive treatment to men( operations with minimal intervention).These methods are performed under local anesthesia.

    Endothermic ablation

    This is one of the main methods of surgical treatment performed with varicose veins. Its essence consists in the use of radio-frequency or laser energy for the coagulation of the affected veins. In endothermic ablation, a thin catheter and a special instrument emitting RF waves or laser irradiation are injected into the vein lumen, which heat the vascular wall and lead to its coagulation.

    advantages of radiofrequency ablation Disadvantages
    minimum discomfort Rarely available in hospitals
    wires through small incisions
    Not very spoils the appearance
    feet Facilitates
    symptoms of formation of small scars

    advantages of laser ablation Disadvantages
    wires through small cut can cause a feeling of tensionin the legs, pain and formation of hemorrhages
    Facilitates the symptoms of

    Sclerotherapy

    If the patient does not fitndotermicheskaya ablation, it can carry out sclerotherapy. This method of treatment consists in injection into the lumen of the vein of a special chemical substance, which leads to its scarring and "gluing".Currently, there is a more modern method of sclerotherapy, in which a special "foam" is introduced into the vessels under ultrasound control. This allows you to "glue" larger veins than with traditional methods.

    Benefits sclerotherapy Disadvantages
    varicose veins begin to fade after a few weeks You may need to repeat the treatment until the disappearance of varicose veins
    Facilitates symptoms may develop
    relapse may cause changes
    color may cause the formation of blood clots, headaches, fainting, irritation around the sitethe introduction of
    In rare cases, it can lead to a stroke

    Surgical treatment of varices

    With severe varicosity, the use of maloinazivnyh techniques are not justified, so doctors recommend surgical treatment.

    Stripping

    Most often, vascular surgeons perform a stripping operation( removal of the saphenous vein with a special probe).With this intervention at the proximal end of the vein, the surgeon makes a cut through which a special probe is inserted into its lumen. Moving it towards the foot, the doctor over the distal end of the probe again makes an incision, and then fixes the vein to his head with a thread. Then slowly withdraws the probe through the proximal incision, removing the vein along with it. During the operation, this procedure usually has to be done several times, since it is often impossible to remove the entire vein in one stage. Small varicose veins are stitched with a special ligature.

    Advantages of
    Advantages of Disadvantages of
    Immediate removal of varices Recovery takes 1-3 weeks
    Relieves symptoms Necessity of inpatient treatment
    Click on photo to enlarge

    Miniflebectomy

    Another common surgery for treating varicose veins in men on legs is that surgeons removevaricose nodules through small incisions of 1-2 mm in size. Then they use a special hook through this incision to remove a site of the affected vein, bandage and cross it. Part of the vein is removed by slowly winding it onto the clamp.

    Click on photo to enlarge

    Transilumination phlebectomy

    One of the newest surgical methods for treating varicose veins used in women and men is transilumination phlebectomy. During this operation, the surgeon makes one or two small incisions through which a special instrument with a light source is inserted under the skin. This allows him to see which veins need to be removed.

    These operations are usually performed under regional or general anesthesia.

    Regardless of the type of minimally invasive or surgical treatment, it is mandatory to use compression stockings after it.

    Long-term effectiveness of

    treatment Minimally invasive and surgical methods for eliminating leg varicose in men have high efficacy in the short term. However, long-term prognosis in the treatment of this disease is not so rosy - according to statistical data, the frequency of relapses after 5 years is 20-60%.The repeated development of varicose veins is more common in patients who have undergone endothermic ablation or sclerotherapy. In addition, a good long-term outcome depends on the continued use of compression therapy after surgery.

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