What are varicose veins?
Varicose veins are presented with dilatations in the peripheral veins, which happens more often to women than to men. Exact etiological factors for this condition are still unknown, although there are some that contribute to its occurrence. Varicose veins have a lot less collagen; therefore, they are much less elastic and prone to dilatations. Second reason is hereditary condition in which vein walls are weak and cannot perform its function well. In this type, additional factors are age, gender, professional occupation etc.
Problems that varicose veins create for women are also esthetic, but the main problem is unfortunately pain, with different intensities for each patient. Pain is usually located above the varicose vein or it can travel along entire extremity that has varicose veins. Pain is described as blunt, and it increases if the patient stands still in one position for a long period of time. Sometimes, night leg cramps are present, especially if there was some physical activity during the day. Swelling is there, too, and it can also happen at night. For women, problems might get more difficult in the menstrual period, which is connected with the influence that hormones have on the veins.
There are several different methods for dealing with varicose veins, depending on the condition of the veins. Most common method refers to the use of elastic compression bandages. They help a lot and reduce a lot of complications that occur because of the varicose veins. If a doctor decides that bandages are not helping, surgery is recommended. This procedure is usually very safe, but it might have some complications. Primary goal in the surgery is a complete restoration of the varicose veins, elimination of the symptoms and preventing skin issues which can occur as a consequence of having varicose veins.
There are several types of surgery. One is ligature of vena saphena magna, right beneath the confluence into femoral vein. Other type is stripping of vena saphena magna, but there is also extirpation of the varicose veins, which is used when the affected part of the vein simply cannot be saved, so it is cut out.
The most common post operative complication is hemorrhagia, which can start during the surgery, since the vein walls are very fragile. During stripping of vena saphena magna, lesion of lymphatic vessels might occur, and this ends with lymphatic edema after the surgery. Nerve lesions are also possible, especially nerves that run along the vein and the sign of this is numbness in certain areas after the procedure. Other complications are thrombosis, embolic issues, infections, etc.