Sclerotherapy is generally used only as an adjunct to surgery to deal with residual varicose veins.
Traditional surgical treatment The traditional surgery of high ligation and stripping of saphenous vein or small saphenous vein and stripping of varicose veins in the calf, commonly known as "cramping and peeling", is highly traumatic, with many incisions, bleeding, and obvious scarring, although it is effective.
Minimally invasive treatment In recent years, the development of minimally invasive techniques has brought the treatment of varicose veins to a new level. In recent years, the development of minimally invasive technology has brought the treatment of varicose veins to a new level. The treatment of superficial varicose veins of the lower limbs and "old rotting feet" or "old rotting legs" has been transitioned to minimally invasive surgery from traditional surgery, which is expected to become the preferred method for the treatment of varicose veins of the lower limbs due to the advantages of a small scope of trauma, a shorter hospitalization time, a certain therapeutic effect, and small surgical scars. This technique is expected to become the treatment of choice for varicose veins of the lower limbs due to its advantages of less trauma, shorter hospitalization and less scarring.
The characteristics of minimally invasive technique for the treatment of varicose veins of the lower limbs are: ① the cumulative trauma to human tissues is reduced from 280cm2 in traditional surgery to 6cm2; ② the cumulative length of the surgical incision is reduced from 25cm to 4cm; ③ hospitalization time is shortened from 2-3 weeks to 1 week; ④ there is only a tiny scar at the root of the thighs, and the rest of the incision of 4mm to 5mm is healed without scarring, which is minimally invasive and has the advantages of minimally invasive and minimally invasive surgery. The rest of the 4mm to 5mm incision will not leave a scar after healing, which is minimally invasive and has certain cosmetic effect.
At present, there are few large general hospitals at home and abroad that can carry out this technology. Vascular Surgery Department of the Second Provincial Hospital carries out minimally invasive treatment of superficial varicose veins of the lower extremities and other diseases with equipment mainly from the United States and Germany, such as Trivex rotary cutter, VENUS radiofrequency vein closure instrument, SurgiLas semiconductor laser therapy instrument, etc., which is one of the most advanced equipments in China and abroad at the present time. Vascular surgeons with standardized training can make individualized treatment plans according to patients' conditions and needs. At present, our department has listed this technology as a routine method of treating superficial varicose veins of the lower limbs.
Prevention:
Paying attention to the following points can prevent the occurrence of varicose veins, slow down the development of lesions and prevent recurrence after treatment.
Increase physical exercise in general to enhance physical fitness; do not stand for a long time and avoid heavy physical exercise.
Do lower extremity vascular gymnastics.
Long-distance airplanes and trains, every half an hour to walk a few steps or in situ activities of the calf, to promote the venous return of the lower extremities, the conditions can wear medical pressure compression stockings.
Avoid plastic tights to exacerbate the condition.
People who work for a long time standing, can not take a sauna, sunbathing for a long time, the temperature of the bath water should not be more than 40 ℃, warm can be. It is best to use warm cold water to rinse the legs after the bath.
Other aspects: the need to quit smoking, to prevent chronic coughing, to maintain urinary and bowel movements, female patients should not wear high heels.