1.What is saphenous vein?
The veins of the lower limb are divided into two sets of deep and superficial veins, one set is the deep vein, which is the main character responsible for the venous return of the lower limb, and the superficial vein is the supporting character.
2.What is saphenous varicose vein?
The saphenous vein and its genera only dilate and tortuous, forming a worm-like bulge, which mostly occurs in the front inner part of the lower leg.
3.Saphenous varicose vein and lower limb varicose vein: most of the time, lower limb varicose vein means saphenous varicose vein, but small saphenous varicose vein also belongs to the category of lower limb varicose vein, but small saphenous varicose vein is not as common as saphenous varicose vein.
4.Why do I get saphenous varicose vein?
The internal cause is the weakness of the vein wall tissue, and the external cause is the high pressure in the veins caused by uprightness.
5.Who is prone to get saphenous varicose vein?
People who have saphenous varicose vein in their family, especially their parents; people who work in upright position, such as teachers, chefs, salesmen, surgeons, etc.
6.Is saphenous varicose vein dangerous?
Saphenous varicose vein is a change in the shape of the vein and is not dangerous in itself. However, severe saphenous varicose vein causes slow blood flow in the veins of the lower limbs, which may lead to deep vein thrombosis of the lower limbs, which may be life-threatening, and the early stage of deep vein thrombosis of the lower limbs will have pain in the stomach of the calf, accompanied by obvious swelling of the calf.
7.Does saphenous varicose vein have to be operated?
Not necessarily. Mild to moderate saphenous varicose veins can be treated without surgery, while surgery is generally recommended for severe varicose veins.
8.What if I don’t have surgery for mild to moderate saphenous varicose veins?
Avoid sitting and standing for a long time, walk more after wearing medical elastic stockings, observe the varicose veins in the lower limbs, if you find that the varicose veins are aggravated, you should go to the vascular surgery department immediately if there is swelling in the lower legs.
9.Will the surgery affect the venous reflux of the lower limbs?
No, superficial vein is the supporting role of venous return, and deep vein is the main role, so the surgery of superficial vein will not affect the venous return of lower extremity.
10.Does the surgery require hospitalization?
Hospitalization is required because currently we perform this procedure in a ward operating room. If in the future we can equip the outpatient operating room with laser treatment equipment, the surgery can be performed without hospitalization.
11.Is saphenous varicose vein surgery a major surgery? How is the surgery done?
Saphenous vein surgery is a minor surgery. Ten years ago, the surgery was called high saphenous vein ligation and stripping, which was more traumatic and painful after surgery. In the last decade we have been treating varicose veins with endovenous laser technology, which is less invasive and less painful after surgery. Laser surgery has also gone through two stages, at the earliest we did not do high saphenous vein ligation but only laser saphenous vein closure according to the suggestion of laser therapy instrument manufacturer —- UK, after the surgery some patients had recurrence, from four years ago we improved the surgery method, now the standard procedure is high saphenous vein ligation plus laser saphenous vein closure, after the surgery there is very little recurrence, but also achieved the purpose of less trauma It is also less invasive and less painful. In recent years we have introduced radiofrequency saphenous vein treatment equipment, the advantage of which is that it does not require high saphenous vein ligation, which means that there is no incision at the root of the thigh, because radiofrequency treatment is performed under direct ultrasound vision, which ensures high saphenous vein closure, and its treatment effect should be comparable to standard laser surgery, with all the advantages of laser surgery, but the disadvantage is that the cost of the radiofrequency rapid closure catheter applied during the operation is higher. .
12.How many incisions should be made for the surgery?
Traditional high saphenous vein ligation with stripping has more than two incisions; if there is no varicose vein with severe varicose into a mass or traffic vein with severe reflux exists, laser saphenous vein closure surgery only requires a small incision in the groin; radiofrequency saphenous vein closure surgery generally has no incision.
13.The effect of surgery: traditional high saphenous vein ligation, standard laser saphenous vein closure and radiofrequency saphenous vein closure have comparable effect.
14.Timing of surgery: Severe saphenous varicose vein needs surgical treatment, but the surgery is not urgent, it is a typical elective surgery, you can easily schedule the surgery according to your work and life situation.
15.Post-surgery precautions: you should elevate the affected limb and move your toes, walk after getting out of bed, not stand still or sit still, and wear medical elastic stockings as early as possible after surgery, which can prevent deep vein thrombosis and varicose vein recurrence.
16.How long can I get off the ground after surgery?
24 hours.
17.How long can I be discharged from the hospital after surgery?
Three to four days.
18.How long after the surgery can I return to work?
It depends on the nature of your work. If you work in a standing or sitting position, it is recommended that you consider starting work after two weeks, and that you wear medical compression stockings, walk around more between work sessions, and elevate the affected limb when sitting. If the work does not require long periods of standing or sitting, and the work is not too intense, you can also start working within two weeks, and you are advised to exercise your discretion according to your specific situation.
19.What conditions cannot be operated?
varicose veins in the lower limbs since childhood; varicose veins in the lower limbs are extensive, and there are also severe varicose veins in the thighs, especially with thickening and growth of the lower limbs and skin erythema; swelling of the lower limbs is obvious.
20.What should I do if I can’t have surgery?
Go to the specialist of vascular surgery to clarify whether there is congenital malformation of lower limb blood vessels, clarify whether there is deep vein thrombosis of lower limb, and decide further treatment plan according to the result of examination, never operate rashly, otherwise it will have serious consequences.