What are the adverse consequences of great saphenous vein resection?

In life, we all know that when varicose veins of the lower limbs develop to a certain extent, if complications such as aseptic inflammation (phlebitis), pigmentation, ulcers, congestive dermatitis, rupture and bleeding occur, then amputation is necessary to ensure the patient's life safety. In fact, with the development of minimally invasive technology in recent years, varicose vein surgery has become a common minor surgery, and the postoperative incidence rate has also been significantly reduced.

So what are the complications after varicose vein surgery?

Clinical symptoms: obvious swelling of the lower limbs, shiny skin, and deep tenderness in the calf gastrocnemius muscle. (More common on one side) Early identification: If there are bruises or nodules on the skin, and tenderness or pain is on the surface of the skin, it is often a normal reaction after surgery. Pinch the calves on both sides for comparison. If there is deep tenderness on one side, go to the hospital for D2 aggregate and deep venous B-ultrasound to confirm it.

Prognosis: Early detection has a good prognosis. Varicose vein surgery in the lower limbs will not directly cause deep vein thrombosis, but the hypercoagulable state caused by the surgery and prolonged bed rest after surgery may induce deep vein thrombosis. Prevention tips: Choose minimally invasive surgery, walk early, and choose experienced experts to shorten the operation time.

Clinical symptoms: hypoesthesia or loss of skin sensation in the medial ankle or dorsum of the foot. Early identification: Touch the skin area with your fingers and feel numbness. Prognosis: No impact on function. Recovery is slow, but there are no serious consequences. The saphenous nerve innervates the skin and begins to run gradually along with the great saphenous vein below the knee, with the two almost adhering to each other at the ankle. Some patients have to sacrifice part of the nerve in order to treat the diseased vein here.

Prevention Tips: Experienced doctors use a range of surgical techniques to reduce the incidence of nerve damage. Such as selective treatment of the great saphenous vein trunk, separation of the ankle trunk and nerves, and stripping of the vein from bottom to top.

Clinical symptoms: Long, cord-like lumps on the inner thigh, with darker skin color and sometimes tenderness. There is a pulling sensation when walking. Early identification: Same as above. B-ultrasound can confirm it. Prognosis: Good. It usually disappears gradually after a few weeks. Superficial phlebitis often occurs during laser or radiofrequency surgery to preserve the great saphenous vein trunk.

Prevention tips: The bandage pressure should be kept tight after surgery and the bandage time should be extended appropriately. Alternatively, choosing to remove the main trunk of the great saphenous vein can completely avoid this complication.

Clinical manifestations: high fever, chills, redness and tenderness of large areas of skin on the calves, and edema. Early identification: lightly touch the red skin with your fingers and you will feel pain. Routine blood test showed elevated white blood cell count. Prognosis: Generally, high fever will appear in the calf after 1 to 2 days. Other symptoms subside in about two weeks. Acute reticulolymphangitis is also known as "erysipelas", and tinea pedis and diabetes are the main causes. Severe varicose veins can cause nutritional disorders in the skin and can also cause obstruction of lymphatic return, leading to inflammation. The main pathogens are Staphylococcus aureus and Streptococcus, so penicillin is very effective in treatment.

Prevention tips: Early surgery. Opt for minimally invasive surgery. Control tinea pedis, blood sugar, etc. before surgery. Keep your skin clean.

Clinical manifestations: Flaky bruises on the skin (mostly on the inner thighs) which may be painful. Early identification: Same as above. Prognosis: Generally disappears after a few days or weeks without sequelae. Subcutaneous hematoma is often caused by factors such as loose bandage and patient obesity. Surgery is common and has no adverse consequences. Prevention tips: Experienced doctors will use certain hemostasis techniques during surgery, and the bandage should be tight after surgery. Clinical manifestations: Blisters were found on the skin after the bandage was removed. Early identification: There are marks on the skin from tight bandages.

Prognosis: Generally disinfected and bandaged, the patient will recover after a week. This usually happens when the bandage is too tight in obese patients. This is caused by some patients being allergic to disinfectants or excipients. Prevention tips: Stop bleeding thoroughly during surgery and avoid excessively tight bandages. Clinical manifestations: heavy bleeding, cold skin temperature and pale color of the lower limbs. Early identification: The dorsalis pedis artery disappears and the bleeding is bright red and jet-like. Prognosis: If not treated promptly, the consequences can be serious. Femoral artery injury is a serious medical accident, and the main causes are doctors' lack of vascular expertise and inexperience. Prevention tips: Choose a vascular surgeon to perform the surgery.

Clinical manifestations: excessive bleeding and swelling of the lower limbs. Early identification: Severe lower limb swelling may occur after surgery. B-ultrasound can confirm. Prognosis: severe deep vein thrombosis. Femoral vein injury is a medical malpractice. It often occurs when the great saphenous vein is ligated too high, or the femoral vein is mistakenly ligated as the great saphenous vein. This will not happen when an experienced vascular surgeon performs the procedure.