anesthesia : local, general, or epidural; deep vein thrombosis prophylaxis
procedure: classical surgery (stripping), laser surgery, or cryosurgical surgical procedure involving the removal of the main surface veins, ligation or cauterization of the perforating veins, and removal of varicosed branches of the tibialis vein. Klapp stitches are used. In the case of small varicosities, we obliterate the vessels using pharmacotherapy
POST OPERATIVE CARE :
Postoperative pain often requires intravenous painkiller administration in the first 24 hours. Compressive stockings must be worn for 1-3 months prophylactically after the surgery. Stitches are removed 10-14 days after the procedure.
LENGTS OF TIME PATIENT MUST REMAIN AFTER THE PROCEDURE:
TIME NEED FOR RECUPERATION:
Depending on the extent of the surgery, recuperation can take 10-14 days. Edema and bruising is almost always present. After the procedure, the limbs must be bandaged or compressive stockings must be worn for approximately 2 weeks (compressive bandages for a total of 1-3 months). The limbs must be elevated when the patient is in bed.
REQUIRED TEST :
bleeding time, clotting time, blood morphology, EKG, To determine the cause of the varicosities a Doppler ultrasound of lower limb veins is required.
uncontrolled hypertension, uncontrolled diabetes mellitus, coagulopathies, vascular hemorrhagic diathesis, infections in the treated area
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