Classical vein surgery is based on binding of the confluence in the deep vein in the groin or behind the knees. The surgery involves making one or more incisions upon the desired area (usually the groin or leg) followed by insertion of a special wire into the vein. The wire is tied to and advanced through the vein to a desired depth. The vein is then pulled out from the body. The incisions are stitched up, and pressure dressings are applied to the incision.This procedure is a basic operation for the veins used for many years, and if it is carried out properly, it can give the patient discomfort for shorter or longer periods of time.
Disadvantages of vein surgery using the classical method
– The main disadvantage of basic vein surgery procedure is prolonged recovery time (approximately 3 weeks, although it is individual for each patient). In addition, after the removal of the saphenous main trunks, the remaining vains send chemical signals for new blood vessels to be generated (neovascularization). For traditional surgery, reported reappearance rates, which have been tracked for 10 years are approximately 60%. Such veins can not be treated with conventional surgery,rather some of the modern methods of vein treatment have to be applied.
– The procedure is painful and post-operative recovery is slow and hampered by the way in which the veins are stripped, namely, pulled out of the legs. Operative trauma is relatively large and during the procedure, unintentional damage to surrounding tissue and associated nerve structures can occur.
– The other big disadvantage of this method is unsatisfactory aesthetic effects. Scars and subcutaneous hemorrhages are visible in the area where the procedure is performed.
– The incidence of recurrence is also a disadvantage of this operational method.
– Classical vein surgery is usually performed under general or spinal anesthesia.
Classical vein surgery – possible complications
Complications that can occur using this surgical method of treatment of varicose veins can beleg swelling due to lymph glands, scars and aesthetic problems of the leg or a bad reaction to general or local anesthesia.
Because of this, in recent years, stripping has been replaced with new, modern operative methods of treatment, which have a lower risk of adverse effects, which are virtually painless, leave no scars and offer faster recovery and the immediate ability to work. Those are: Radiofrequency ablation, endovenous laser ablation, and the latest and the best method – obliteration of varicose veins with superheated steam.
Stripping has also undergone some modification, so it can now be performed with a lot less injury to surrounding tissue (atraumatic stripping, PIN stripping) or under local anesthesia.
Our experience in VMA and in our clinic confirmed that the modern methods of treatment may provide more reliable results and can apply to most patients. We highlight the method of obliteration of varicose veins with superheated steamoperating procedures which we have adopted among the first in Europe, and certainly the first and only in the region.