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Varicose Veins Surgery
Having distended veins in the legs? Chronic pain in the calf and thigh? You could have varicose veins surgery. Varicose veins are a dilatation of the veins in the leg due to improper emptying of the veins. Over time, the varicose veins tend to progress, and unattended care can lead to a lot of complications. Getting early treatment and diagnosis of varicose veins can help you get ahead of the disease while maintaining your quality of life. Medintu can help you get in touch with the best varicose vein surgeons in your city.
What are Varicose Veins?
Varicose veins are dilated veins that appear as tortuous swelling, usually on the legs and sometimes in the other parts of the body. Varicose veins happen due to the collection of blood in the veins due to backflow. This backflow of blood is what causes the dilatation of the veins, and it is because of the absence of what are known as venous valves.
Venous valves prevent the blood in the veins from flowing back due to gravity and make sure that the blood keeps moving toward the heart. When the valves fail,the collection of blood in the veins gives rise to varicose veins, which are most commonly found in the legs. Varicose veins are a very common health concern and can be adequately addressed by varicose veins surgeons or general surgeons.
Why choose Medintu?
Medintu is one of the leading medical service platforms in the country and is committed to delivering the best healthcare at the most affordable prices. We are catering to the healthcare needs of several Indian metropolitan areas, such as Pune, Mumbai, Hyderabad, Chennai, Vizag, Delhi, Kolkata, Banglore,
and Ahemadabad, with home-based services such as sample collection, radiodiagnostics, online doctor appointments, and home-based nursing care.
Medintu is associated with the best varicose veins surgeon and vascular surgeons in the country, with years of training in the specialty and the use of advanced technology for minimally invasive varicose vein surgery. Get operated on by the most gentle and caring hands to go ahead and live your best life, free of pain and restrictions. Please book your appointment with our consultant vascular surgeon today.
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Who is at Risk for Varicose Veins?
Varicose veins tend to happen in certain sexes and people of specific professions. Some people at
increased risk of varicose veins are as follows:
1. Females, due to increased estrogen levels
2. Pregnant women
3. Weightlifters
4. Doctors
5. Traffic police
6. Obese people
7. People with a family history of varicose veins
8. Leg injury
9. hormonal medication
What are the Complications of Varicose Veins?
Varicose veins, if left untreated, can lead to several complications that can be functional and
cosmetic.
1. Venous ulcers in the region between the calf and ankle
2. Deep vein thrombosis
3. Lipodermatosclerosis or champagne bottle deformity of the legs
4. Chronic pain in the leg
5. Bleeding due to a tear of the veins through the skin.
What are the Signs, Symptoms and types of Varicose Veins?
The following are some of the common signs and symptoms seen in varicose veins, and they are as
follows:
1. pain in the area affected by varicose veins increased on standing or sitting for long periods
2. swelling in the legs and ankles on prolonged standing or sitting with legs hanging
3. cramping pain or stiffness during activity
4. changes in the color and texture of the skin of the affected area
5. Itching or irritation in the areas with varicosities
6. Ulcers at the affected sites are called venous ulcers, which may even bleed sometimes.
Types:
Varicose veins can be of different types, depending on the size of the veins.
1. spider veins of breadth less than 1 mm, which are tiny dilated veins near the skin surface resembling
spider webs.
2. Reticular veins of size between 1-3 mm, which are small blue-green veins seen on the skin.
3. varicose veins with a size above 3 mm. These can be located anywhere on the body, such as the legs,
inside the pelvic region, and even the rectum and anus, as hemorrhoids.
What are the Varicose Veins Causes?
Varicose veins can be because of a variety of different causes, some of which are listed as follows:
1. Hereditary: for some people, varicose veins may run in the family, and they are more likely to get
affected.
2. Female Gender: Women are more likely to develop varicose veins because of the effect of estrogen.
3. Pregnant Women: Pregnant women are likely to develop varicose veins due to the pressure of the
pregnant uterus on the veins that bring back the blood from the lower limbs.
4. Hormonal Pills: These are rich in estrogens and progesterone, which can lead to hormonal changes
and affect the veins
5. Previous Injury: Past injury to a part can damage the veins and supporting tissues around it to cause
varicose veins.
6. High Blood Pressure: raised blood pressure can also cause damage to the veins.
7. Lifestyle: Smoking and obesity can also cause varicose veins in individuals.
8. Weakness of Muscles: Muscles act as pumps for the veins. Therefore, muscle weakness can also cause varicose veins.
What are the tests done for Varicose Veins?
The following tests can be done for varicose veins:
a. Doppler ultrasound: it is a common test done to visualize blood flow in the veins and identify faulty valves.
b. Duplex Ultrasound: It is done to visualize the anatomy of the vein as well as the blood flow
through it, is a highly sensitive scan.
c.Venograph: It is an invasive test that uses the injection of contrast to see the blood flow in the veins.
d. MRI, or magnetic resonance imaging, and computed tomography, or CT, are done on rare occasions to
rule out other diagnoses.
e.Plethysmography:It can be which can be a photo plethysmography or an air plethysmograph, which uses light
and air, respectively, to measure the efficiency of the venous supply and its functioning.
e. A clinical assessment or a physical exam to see visible signs and symptoms of varicose veins.
What are the Treatment options for Varicose Veins?
Varicose veins can be managed with lifestyle modifications, medications, and even surgical methods.
1. Avoid standing and sitting for long hours.
2. Use medical-grade compression stockings to maintain and improve blood flow.
3. Lifestyle modifications such as maintaining a healthy weight with a good diet and regular exercise
4. Medical treatment such as over-the-counter medications for pain management, use of antiplatelets
and anticoagulants, and phlebotomy to strengthen blood vessels such as diosmin, topical gels, and
creams to soothe skin irritation can help manage the symptoms of varicose veins.
5. Surgical methods can be used in severe cases of
a. Venous stripping, wherein the damaged vein is removed through incision in a severe case of varicose
veins.
b. laser therapy for small varicose veins like spider veins and reticular veins.
c. foam sclerotherapy, wherein a sclerosant is injected into the affected veins to close the veins. It is
done in larger veins.
d. High ligation and stripping: In very severe cases of varicose veins, the affected vein is tied up and then
removed or stripped.
Endovenous laser ablation, or EVLA, and endovenous radiofrequency ablation, or EVRA, are commonly
used minimally invasive procedures to close off the affected vein and are done under local anesthesia.
f. Ambulatory phlebectomy: This is done for medium-sized varicose veins, where the veins are removed
via small skin incisions on an OPD basis.
What is the procedure for varicose surgery?
Once the diagnosis of varicose veins is made and surgery is seen as the best option, a date for the surgery is decided upon. A thorough pre-surgical evaluation through routine blood tests and scans is done, and anesthetic fitness is evaluated. Admission is done on the day before surgery, and the patient is kept fasting throughout the night. Part preparation by shaving the part that will be operated on is done, and the patient is changed into an operating gown. The patient is shifted to the operation theatre at the time of surgery, and after a checkup by the anesthetist, the surgery is performed. Following surgery, the patient is kept under observation for 3–4 hours or overnight and then shifted to the ward for discharge.
How do I Recover from Varicose Vein Surgery?
Recovering from varicose vein surgery requires the following general guidelines, which will help enable a
faster recovery.
1. Follow all the instructions for postoperative care.
2. Use compression stockings to reduce swelling and enable better blood flow.
3. Keep your wound clean and do regular dressings.
4. Avoid prolonged periods of sitting or standing.
5. Slowly return to normal activities in 2–3 weeks.
6. Take your medications regularly.
7. Maintain a good and nutritious diet.
8. Follow up with your surgeon regularly.
9. Avoid smoking or drinking during the recovery period, as it may delay recovery
FAQs
How do you prevent varicose veins?
Varicose veins are a common problem and can be prevented by taking the following measures:
1. Elevating legs above the level of the heart while lying down
2. Exercising
3. Losing weight
4. Avoiding standing for long durations
5. Wear compressive stockings while standing for long periods, like in the profession of a teacher, doctor,
or traffic police.
6. Avoid garments that are tight around the waist.
What is the duration of varicose vein surgery?
- The total duration of a varicose vein surgery can be anywhere from 1 and a half hours to two and a half
hours in a more complicated case, after which the patient will be kept under observation for 3–4 hours
before being shifted back to the room.e
How long will it take to resume normal activity after varicose vein surgery?
Immediately post-surgery, strenuous exercise is to be strictly avoided, and after the second to third day,
one can slowly start their regular activities. After two weeks, one can shift to more moderate-intensity
tasks. One can resume exercise and heavy lifting after getting a consultation from the operating surgeon.
What is the cost of varicose vein surgery in India?
The cost of varicose vein surgery in India can vary anywhere from 35,000 to 1,50,000 rupees for surgery,
depending on the type of surgery, extent of the disease, disease severity, the doctor, and the city