Varicose veins in the lower extremities generally develop slowly and can be detected for several years, or even a decade, without obvious clinical symptoms. Because they appear to be harmless, many patients delay or start with conservative treatments and do not consider surgery until serious complications occur, often actually missing the best time for surgery. When is the best time for surgery? Varicose veins in the lower extremities, without pain or clinical symptoms is the best time for surgery, with fast recovery and good results after surgery. Once intravenous thrombosis, sterile inflammation, hyperpigmentation, ulceration, bruising dermatitis, rupture and bleeding occur, the results of surgery are often reduced. What should I do if complications occur? Acute redness and swelling of the lower extremities should be determined by a doctor immediately to determine whether the acute redness and swelling is caused by infection or other factors such as superficial or deep vein thrombosis. If it is caused by the acute formation of superficial vein thrombosis, especially if it is large in scope, surgical removal of the embolus is preferred along with the treatment of varicose veins in the lower extremities. Second, varicose vein rupture and bleeding In a few cases, even without clear trauma, the emergency situation of varicose vein rupture and bleeding occurs, and the venous blood often gushes out from the rupture and ordinary pressure cannot stop the bleeding. In such cases, it is important to elevate the lower extremity and apply pressure with gauze to stop the bleeding. Immediately after stopping the bleeding, seek medical help from a vascular surgeon and make an appointment for surgical treatment as soon as possible to avoid reoccurrence. Third, dermatitis, eczema, skin sclerosis Varicose veins can cause skin pigmentation, itching, flaking, redness and hardening of the lower extremities, and sometimes the local eczema caused may even spread to the whole body. Therefore, surgery should be performed as soon as the skin condition is under control. What are the results after surgery? Most varicose veins with skin changes can be improved after surgery, but the degree of improvement varies from person to person. IV. Occurrence of ulcers Once ulcers occur and the disease process has been delayed to the last stage, although the best time for surgery has been missed, active treatment is still needed: first, through wound dressing changes, so that the infection and trauma are under control, surgery should be booked as soon as possible. There are several causes of foot ulcers and different treatment methods, so it is important to have a careful examination by an experienced doctor to make a clear diagnosis. FAQ 1. I am a varicose vein patient and I am planning to get pregnant next year, should the surgery be done before or after the baby is born? Does it have any effect on pregnancy. For varicose vein patients who wish to get pregnant, try to deal with varicose veins before pregnancy, otherwise it will be tricky to deal with them in case of complications during pregnancy, considering the fetus. In the case of minimally invasive same-day surgery for varicose veins in the lower extremities, antibiotics and anesthetic drugs that may cross the placental barrier are not used in principle and do not affect the fetus. You can prepare for conception a few days after surgery. It will not delay the plan of pregnancy. 2.I am seven months pregnant and I found varicose veins in my calves, what should I do? Varicose veins may be triggered and aggravated during pregnancy due to the pressure of the fetus on the uterus and changes in estrogen levels. After a clear diagnosis by a vascular surgeon, you can wear elastic stockings for conservative treatment and then consider surgery at the end of pregnancy. 3.I am a 25-year-old student and have had varicose veins for 5 years, is it too early to receive love varicose vein surgery? With the popularity of medical knowledge and the increasing emphasis on health, the age of first visit for varicose vein patients has advanced. In the case of varicose veins in the lower extremities of young people, the first step is for the vascular surgeon to carefully understand the condition and examine it to clarify whether it is a congenital vascular malformation or a simple varicose vein in the lower extremities, and the former should not be operated blindly, while the latter is preferred to be operated on before complications arise if signs of significant aggravation are found. 4.Do older patients still need surgery for varicose veins? Elderly patients’ general condition decreases with age. If they do not undergo minimally invasive surgery in the early stages, and varicose veins complications occur later, they often cannot be treated because they cannot tolerate surgery. With the improvement of minimally invasive techniques and the maturity of same-day surgery, the procedure is less invasive, does not require hospitalization, and is performed in a comfortable environment. Minimally invasive same-day surgery is preferred for elderly patients without serious systemic diseases.