Conventional Varicose Veins Surgery
Indication	Type 2, Type 3 e Type 4
Place for the procedure	Day Hospital
Hospitalization after the procedure	Not necessary  in most cases -  1 Day in some cases
Rest after the procedure	7 to 30  Days
Time for the procedure	1  to 5,5  hours
Return to domestic activities	7 to 21 Days
Return to Professionals Activities	7 to 30 Days
Return to Sport Activities	7 to 45  Days
Restrictions	Sun for 45 to 60  Days

It is a procedure that is accomplished at the Day Hospital or in a General Hospital, for patients with varicose veins of medium and thick caliber: Types 2, Type 3 and Type 4. The need of hospitalization will depend on the extension of the procedure, and it may vary from patient to patient.  The time of rest is longer, from 7 up to 30 days. 

This procedure will treat the visible veins and their causes. The Saphenous Veins,  the collateral ones, the perforating, and the reticular veins will be removed if they are sick. Therefore, the "roots" (Saphenous Veins ), the "trunks" (collateral branches) and the "branches" (microvarices) are treated.  The "leaves" (the vases) will be treated later with cryosclerotherapy.   ltados de Cirurgia de Varizes

The choice of the veins to be removed 

During the pre-surgery procedures, the patient goes through a phase that we call "demarcation" of the varicose veins. In this phase, the surgeon draws lines on the patient's legs that identify the sick veins.

The veins that should be treated in the surgery were identified in advance in clinical exams or through  ultrasound, showing the doctor  the points that present flow in the inverted  direction or stasis.

During the surgery, the surgeon will follow  the previous demarcation, as if it was a project, so that  the results are the best  possible.  

 

The issue of the Saphenous Veins  

The decision of extracting or not the Saphenous Veins  is a very important one. We have 4 Saphenous Veins . The 4 Saphenous Veins  most of the time are not visible, but the signs of  problems with them are identifiable by specialists.  When they are sick, they should be removed. If the Saphenous Veins are extracted or not, the immediate result is not going to vary much. But in a long term, the varicose veins can reappear  more easily if the sick Saphenous Vein wasn't removed.  The healthy Saphenous Veins,  as "roots" of a tree, do not appear. But if the tree is removed in the level of the earth, without the roots, it will sprout again.

Then,  to really control the problem and make the solution work longer, the "roots" - Saphenous Veins - , should be eliminated, if necessary. On the other hand, the Saphenous Veins  although they aren't  important for the  circulation of the blood, they can be used as substitutes or steppes, for the coronary arteries that are the vases of the heart, or for the arteries of members, when these are attacked. But the patient doesn't need to worry; the surgeon will always take the best decision, and only  remove the sick Saphenous Veins that  are useless as substitute. In some cases,  only 1 or 2 that present more alterations  may be removed, leaving the other ones that are normal or with small alterations, preserved for eventualities. In certain situations, the Saphenous Veins  are so altered and cause so many problems that all of them have to be removed. But in these cases, they would be useless as substitutes and they can be eliminated. If they are not removed,  the surgery will fail. If they are necessary  for a substitution in the future and they are not available, then other  techniques can be used, such as the use of mammary arteries and the angioplasties.

The Surgeon, using his common sense,  always takes all these factors into account and chooses  the best for the patient.  

 

 

The New Technique of Endovenous Laser Treatment - EVLT

A new technique was described for the treatment of the varicose veins of lower limbs with larger caliber, it is Endovenous Laser Treatment, or EVLT.

In this technique is used a LASER, that is transmitted by an optic fiber, that passed inside of the veins, treats them and eliminates the veins from the circulation.

The main advantage is a substantial improvement of therecovery time in the postoperative period , because the surgery becomes smaller.

For more details on EVLT clicks in the link below.

Ciru

More information EVLT Endovenous LASER Treatment

rgia de Varizes