After the operation, my leg became swollen. The most dangerous edema occurs against the background of arterial thrombosis, which threatens the development of acute ischemia and gangrene of the limb. this danger requires urgent consultation with a vascular surgeon and

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Questions and answers on: leg swelling after surgery

2013-03-13 07:13:44

Valery asks:

Hello! I would like to consult with you. I had a venectomy on my right leg on February 21st. After the operation, the doctor said that during the first week, bandage every hour elastic bandage and get up for a 5-7 minute walk. In the second week, increase walking to 10-15 minutes. And then you can walk more, but bandage your leg for 2 months. Now 3 weeks have passed since the operation and I am following the doctor’s recommendations. But after walking, when I unwrap my leg, I notice that my leg is slightly swollen in the shin area, and more swollen in the ankle area. And the skin color is a little purple. When I lie down, the swelling subsides a little and the color becomes more natural. When I go to the shower, I have to completely unwrap my leg and wash myself standing. And I noticed that on the front of the shin, slightly thin veins seemed to be bulging out under the skin. Tell me this could be a relapse or is this normal. And did the doctor correctly explain to me my actions during the recovery period? It’s just that I have such a profession (electrical installer) that I’m on my feet all day and move a lot around the floors. The doctor said that in two months you can already work, just wear compression stockings. Is it so? Thanks in advance for your answer.

Answers Tarasyuk Yuri Anatolievich:

Hello, Valery! The principle of your rehabilitation is to MOVE! The sooner and the more. I don’t understand what your doctor was guided by when prescribing bandaging every hour... In order to quickly complete rehabilitation and prevent the development of relapse, you need to wear class II compression stockings immediately after the operation. You need to wear them every day according to the principle “get up - put on, take off - go to bed” for 6 months. As for your work, as I already wrote, moving is good. But! Still, everything should be in moderation!

2015-06-11 10:23:18

Evgeniya asks:

Good afternoon Please help me figure it out!

3 days ago I had surgery for combined hemorrhoids of the 2nd degree: disarterization (suture ligation) with tightening of the internal node + removal (with something cauterizing, possibly with a laser) of the external node. After removal, a hard “stump” remained in place of the external node, like scar tissue, and next to it an empty soft leather “bag”. After the operation she was sent home. At home that same day I started my period. On the 2nd day, severe menstrual pain began, and on the morning of the 3rd day, the empty soft leather “bag” next to the hard stump turned into a lump and next to it there was another lump - very small.

1. If this is post-operative swelling, can it appear on the third day after surgery or should it have appeared immediately, on the first day?

2. Is this not a relapse of external hemorrhoids?

3. Can varicose veins appear in the saphenous veins of the anus, as happens on the legs?

The second appointment with the doctor is only in a few days, and I am very worried. I will be very grateful for the answer.

I am attaching photos on the first, second and third days after the operation.

http://s019.radikal.ru/i621/1506/5c/604807726e5c.jpg

http://s008.radikal.ru/i305/1506/a4/996a046fc110.jpg

http://s019.radikal.ru/i639/1506/2e/8eafb83dd933.png

Answers Ilchenko Valery Viktorovich:

Good afternoon, dana clinical picture characteristic of exacerbation of (acute) external hemorrhoids with the possibility of developing thrombosis of the external hemorrhoid (not necessarily). After this type surgical treatment a scheme must be assigned conservative treatment(venotonics, anti-inflammatory drugs, laxatives, local anesthetic suppositories with an anti-inflammatory effect and an appropriate diet. This way, a complex effect is obtained and the treatment will be effective. Laser vaporization hemorrhoids is not an absolutely radical method of treatment and may be accompanied by recurrence of the disease. After this, the nodes may hurt for a long time, and scars may form due to carbonization. In my opinion the most radical method removal of external hemorrhoids - radio wave (ultrasonic) excision (excision) of the latter. THD method in treatment internal hemorrhoids very effective, 95% relapse-free results.

2015-03-26 13:45:49

Olga asks:

Hello, dear specialists! Please advise me and help me figure it out! I am 30 years old. In September 2014, I was admitted to the hospital with swelling in my legs and rapid heartbeat. After the results of an ultrasound and hormone tests, I was diagnosed with diffuse toxic goiter. I’ve been undergoing treatment for 7 months, I’ve been taking tyrosol, and my dose is being reduced or increased. Behind lately there was this picture:

Ultrasound in early January!
Total volume according to the Brunn method: 29.70
Right lobe - 16.04, Left lobe - 13,66
Age level of the upper limit of volume - 13.0
Increase relative to upper limit - 128%
Conclusion: Sonographic picture diffuse goiter II degree

1. In January I took 5 mg of tyrosol - after which the hormone results were as follows:
TSH - 0.014 (normal 0.27 - 4.2)
T3 - 2.85 (norm 2.0 - 4.4)
T4 - 0.864 (normal 0.93 - 1.7)
Leukocytes - 5.34 (normal 4.0 - 9.0)

2. In February, I was prescribed 10 mg of tyrosol - after which the hormone results were as follows:
TSH - 5.99 (normal 0.27 - 4.2)
T3 - 2, 3 (norm 2.0 - 4.4)
T4 - 0.591 (normal 0.93 - 1.7)
Leukocytes - 2.92 (normal 4.0 - 9.0)

After these results, the doctor told me to stop taking tyrosol for 3 weeks and after 3 weeks to monitor these tests.

After 3 weeks the results are:
TSH - 0.087 (normal 0.27 - 4.2)
T3 - 3.57 (normal 2.0 - 4.4)
T4 - 1.13 (normal 0.93 - 1.7)
Leukocytes - 5.52 (normal 4.0 - 9.0)

Today I saw the doctor, he ordered me to take tyrosol again, but at 2.5 mg and control leukocytes every week. At the same time, he said that if the leukocyte count decreases, an operation will be needed ((I’m very upset about this(
Please advise what to do in this case! Thanks in advance for your answer!

Answers Berezhnaya Irina Yurievna:

Hello Olga, you have been diagnosed with thyrotoxicosis. Treatment is carried out comprehensively, depending on the nature of the cause and is divided into conservative and surgical. Even before surgery, preliminary drug preparation is carried out until the stage of compensation for thyrotoxicosis is reached. Unfortunately, the most common method of treatment is still surgery. It is impossible to provide consultation on thyrotoxic conditions in absentia, because a full assessment of the condition includes clinical course (including degree), accompanying illnesses, concurrent use of medications.

2014-08-22 14:42:15

Irina asks:

Mom is 72 years old. Half a year after the operation (the stoma was removed). Her leg and soft tissues began to hurt sharply, she could not stand on her leg. They prescribed Airtal and a diuretic (severe swelling of both legs). The pain continues, what could it be. How can I help her.
Help with advice.
Thank you.
Irina.

Answers Tkachenko Fedot Gennadievich:

Hello Irina. This is very similar to deep vein thrombosis lower limb. Be sure to consult a qualified proctologist or surgeon for an in-person examination.

2014-06-20 12:50:44

Andrey asks:

Hello, Doctor.
In 2008, there was a comminuted fracture of the left tibia (accident), immediately after the fracture, swelling appeared. An operation was performed: open reduction, MOS of the left tibia plate. After the operation, the swelling subsided somewhat, but still remained. The doctor answered my questions that the edema is “rective”, that is, the body’s reaction to the plate installed in the leg and when it is removed, the edema will go away. A year later, the plate was removed, on the 14th day the stitches were removed and the surgical wound opened. After this, an ultrasound scan was performed, according to the results of which: Left: In the lumen of the common, superficial femoral vein, parietal thrombotic masses, moderate recanalization, and signs of valvular insufficiency are visualized. In the lumen of the popliteal vein there are hyperechoic thrombotic masses, mild recanalization. The posterior tibial veins are not clearly visualized, the blood flow is significantly reduced, there are signs of valvular insufficiency. The main trunk of the great saphenous vein is dilated, lumen compression is complete, moderate trunk valvular insufficiency. The saphenofemoral anastomosis is incompetent. The posteromedial inflow on the thigh and lower leg is dilated, varicose, and compression of the lumen is difficult on the thigh. Incompetent perforating vein along the medial surface of the middle third of the leg. A Becker cyst measuring 2x1.5 cm is visualized on the upper third of the leg.
Right: The femoral and popliteal veins are patent, fully compressed by the sensor, the valves are intact. The posterior tibial veins are not clearly visualized. The main trunk of the great saphenous vein is somewhat dilated, the lumen is completely compressed, the valves do not function in the lower leg. The saphenofemoral anastomosis is stable. Incompetent perforating vein along the medial surface of the middle third of the leg.
Ultrasound scanning conclusion: Signs of post-thrombotic changes in the deep veins of the lower extremities, post-thrombophlibetic changes in the great saphenous vein on the left, varicose changes subcutaneous veins of the lower extremities. Becker's cyst on the left.
In the end, on the spot surgical suture an extensive trophic ulcer, approximately 20x15 cm, was formed, which for a long time It was not possible to close it either conservatively or surgically. And at the end of 2011, an operation was performed to ligate the incompetent veins. As a result: a large one was removed saphenous vein and incompetent perforating veins in the lower leg.
Now on UZDS: Deep veins thighs, popliteal vein and veins of the leg with preserved lumen, with thickened walls, with old parietal linear thrombi, with good recanalization of more than 90-95%. The GSV has been removed. MPV is not changed. IN groin area enlarged lymph nodes.
Unfortunately, the treatment did not produce results, the ulcer does not heal and is very bothered by constant pain, especially in the summer, although I strictly follow all the doctors’ instructions, constantly wear class 3 compression, and undergo angioprotective therapy 2 times a year: Intravenously Wessel Due F, Actovegin. Then Vessel Due F tablets and Detralex, as well as constantly thromboass, or cardiomagnyl.
I don’t know what to do with her anymore, there’s no money for treatment abroad, and even in this state of affairs, she probably won’t be able to work because there’s no way to work normally. Maybe you can recommend something else that could be done. I really don’t want to lose my leg at 27 years old.
Sorry for writing so much, I just wanted to present the situation as fully as possible.
Thank you in advance for your answer.

Answers Lirnik Sergey Villenovich:

Good day, Andrey.
There is a history of deep vein thrombosis of the left lower extremity due to trauma.
Unfortunately, this happens quite often.
A trophic ulcer is a consequence of the lack of blood flow. I have been treating trophic ulcers for many years. All ulcers are different. And even similar patients may be treated differently. I cannot give recommendations without seeing the patient, his ulcer, tests and previous examinations. You can go to my website and read about trophic ulcers http://lirnyk.com.ua/ru/troficheskieyazvy.html see the results of treatment.
You can send a photo of the lower limb from different sides, from the fingers to the groin. It will be easier for me to understand what kind of ulcer this is.
Vascular surgeon Lirnik S.V.

2013-09-14 04:37:21

Victoria asks:

Hello! I had a laparoscopy 5 years ago. They diagnosed an ectopic pregnancy, there was none, they were mistaken. After the operation, my back hurts a lot, more from the lower back to the tailbone. Neck, shoulders, arms hurt. There is pain in my arm and neck even when I comb my hair or write, I can’t carry a bag that is not very heavy, if I raise my arms vertically it also hurts, the muscles of my arms and shoulders hurt. My legs hurt along the back to the bottom, the heels and thumbs. More on the right foot, sometimes the ball of the foot swells. Sometimes my calves hurt. With any load it becomes heavy, there is not enough air, the whole back begins to hurt, then the legs and puts pressure on the head, noise in the head. Spirals are constantly moving in the eyes, with load they become larger, sometimes glare, near vision has deteriorated. The right eye is worse. There is swelling all over the body, more in the legs. Doctors call it pasty. My stomach constantly grumbles, hurts and presses. Allergies on the neck and head, red spots, itching. They found toxicity in the blood, but they don’t know why. There is a diaphragmatic hernia. Blood and urine tests are good. I did an MRI. There are profrusions and a cyst on the spine below. Neurosurgeons say that the pain is not from a cyst. Ultrasound of the blood vessels in the legs is normal. But I can’t check the lymph, I don’t have the equipment. There are congenital problems with the heart: aneurysm and valve prolapse. Thyroid hormones are normal. But before the operation, neither my heart nor anything bothered me. They diagnosed polyneuropathy and are treating it. They did blockades, drips of Berlition, Actovegin, Milgamma. It's a little easier, but not for long. I no longer have the strength to be sick. Please help me determine the cause of my illness

Answers Kachanova Victoria Gennadievna:

Hello, Victoria. Your question is not for correspondence consultation. Without examination, analysis and all medical documentation, I can’t say anything definite.

2013-05-08 09:09:48

Tatiana asks:

Hello! On April 2, my mother had a gastrectomy. T3N0M0. After the operation, she felt well. On the 3rd day after discharge, my mother began to have diarrhea and terrible weakness to the point of loss of consciousness, vomiting and a temperature of up to 38.5. Mom was hospitalized, prescribed IVs and nifuroxazide. And then antibiotics, because leukocytes increased 3 times. What It happened to my mother - it’s still scary to remember. The weakness was terrible, nothing hurt, just very bad, I couldn’t open my eyes. Now I seem to be better, I started eating, I no longer have a fever, only my left leg began to swell. The doctor said there was no need to do chemotherapy. I am worried about why there is swelling in my leg, do I need additional examinations??? Please answer me, no matter how much I write, everyone is silent. Thank you in advance.

Answers Kirsenko Oleg Vladimirovich:

Tatyana, I would do it computed tomography whole body with intravenous contrast and consultation with a vascular surgeon + prescribed vascular examinations - vascular ultrasound.

2013-05-04 07:03:42

Victoria asks:

Hello, Doctor! I am writing to you in the hope of help. I know that you are professionals and I really hope that you can help me. I had a laparoscopy 5 years ago. Hydatid was confused with ectopic pregnancy I live in small town And this operation is performed by gynecologists; a young girl with no experience did it for me.
After the operation, my back hurts a lot from the lower back to the tailbone. The legs hurt along the back to the bottom of the calf, heels and big toes. More on the right. I can’t stand or walk for more than 15-20 minutes, my lower back starts to hurt and my legs hurt more and more, then I can’t step on them and the pain goes up the spine to my head, it starts to put pressure, my head hurts and there’s a veil in my eyes. It is very painful to climb the stairs. When bending forward and backward, the pain in the back and legs intensifies. Behind the knee of the right leg there is a pulling, as if a vein is hurting. In the morning I can’t get up on my feet, it’s heavy, it takes about 30 minutes to get going. The soles of the feet and palms of the hands periodically burn, go numb, and leg cramps occur.
With any physical activity you feel bad, there is not enough air, as if there is a congestion somewhere and there is nothing to breathe and it begins to put pressure on your head. Even when I get dressed, I start to choke and my head presses. When I stand too, especially when I straighten up straight, I immediately begin to put pressure on my head and behind my ears and I begin to choke. If you can’t sit or lie down, all your muscles begin to ache. There is trembling and weakness in the legs and arms. There is pain in the muscles of the arms even with a slight load when I comb or write. I can’t carry a bag that’s not very heavy, my arms hurt and the pain immediately goes to the lower back, tailbone, legs and puts pressure on my head.
My near vision is greatly reduced; I can’t see near with my right eye. Spirals and midges constantly move in the eyes and never disappear; with load, they become more numerous. There are colors in the eyes like splinters. When I close my eyes I also see white dots. The eyes hurt in the middle, it feels like they are popping out, it hurts to turn to the side
All the time there is pressure on the back of my head, my forehead, the veil in my eyes prevents me from looking, glare, double vision, everything blurs, my consciousness is confused, I can’t concentrate, my vision narrows, I feel nauseous, I feel dizzy. The head seems to be filled with something. There is periodic ringing and noise in my head. It’s like there’s sand in the neck, in the eyes and behind the ears.
Swelling all over the body, especially the legs, at the bottom of the legs like cuffs and lumps under the skin. It hurts to touch your feet. The muscles atrophied, became soft, as if they were not there at all. I'm all puffed up. Doctors say pasty.
In the abdomen above the navel there is pain, pressure, cutting, especially after eating. The stomach is constantly distended, constantly grumbling and there is a lot of gas. There is dysbacteriosis. As soon as I eat, I also feel bad, I’m choking and there’s pressure on my head. I often feel nauseous in the morning and continue throughout the day. Feces have bad smell, contains particles of undigested food.
At night the side I’m lying on goes numb, I have to roll over all the time, I can’t sleep on my stomach, there’s pain in my lower back, legs and head. I can’t sleep on my back for a long time; it puts pressure on the back of my head and my head starts to hurt. Right leg It hurts at night and twitches in the fingers. There are lumbagos like a needle from the sole upwards. I wake up several times at night from a strong ringing in my head. And also when I fall asleep I hear it several times strong ringing. At night I sweat a lot, all my hair and shirt are wet. The pressure drops from 90 to 60 or 85-55 and then I can’t get up at all. Before the operation, my blood pressure was 120 over 80. This was my constant blood pressure, I felt good and was never sick or in the hospital. If I was sick, it was rare and only acute respiratory infections.
According to blood tests, there is toxicity, it exceeds the norm by 2.5 times. Red spots constantly appear on the neck and eyes and itch, flake, and the head itches all the time. Many red dots and moles have appeared on the body and they are becoming more numerous. There are bruises under the eyes. Hair is falling out a lot. I constantly feel very tired
Before the operation I weighed 50-52 kg. Every year my weight increases, I eat the same. This is due to swelling of the blood vessels. There's probably a lack of traffic somewhere. Now I weigh almost 60. I am constantly tired, even when I wake up. Fatigue is growing and since lunch I can barely walk, I have no strength to move at all.
It seems to me that there are problems with blood vessels, the spine and the gastrointestinal tract. Most likely, the vessels or adhesions between organs are mechanically clamped and the sidal or other nerve is affected.
Our doctors cannot understand anything. I went for examinations to another city. . Did an MRI: disc protrusions L4-S1, archiodal cysts of the sacral canal and sacral foramen S1-S2, L4-S1 Rotated, reduced height at the L4-5 foramina? The left intervertebral foramen was stenated. Signs of osteochondrosis L4-S1 left-sided foramental disc protrusion. The neurosurgeon said that the pain comes from the fact that blood vessels or nerves in the peritoneum may be affected, or adhesions.
There are congenital heart problems. Valve prolapse and aneurysm I am sending you the results. Help me please! Tell me, what's wrong with me? Is it possible to come to you for examination? I have no strength to live like this anymore. Thank you in advance.

Answers Shitikov Timofey Alexandrovich:

Dear Victoria! Have you ever had a traumatic brain injury? Blows to the head, falls?? You can come by reception phone: 056-371-20-33

2013-03-02 17:29:17

Natalia asks:

Bimalleolar and tibia fracture. The first adjustment did not help due to severe swelling legs, a tight plaster cast was applied. Surgery was scheduled, but 2 ulcers formed under the cast. The doctor said that the operation could not be done, it could cause an infection, and 2 weeks after my fall, they adjusted it again, put it in plaster, cut out a window to treat the ulcers, told me to smear it with brilliant green and immediately sent me home. A control shot, 10 days later, showed a good result, the tibia is healing normally on its own, but the doctor said to come back in 2 weeks, the wounds will heal and you can have surgery, if something suddenly goes wrong again. I have questions for you, dear professionals, of this nature. 1. The foot was severely twisted when realigned (varus). I doubt that I will be able to recover from this, I am 57 years old, my grandmother once never recovered, there is fear. 2. The control photo will be taken in 5 days. This means that I will already be in a cast for 4 weeks (after the second adjustment), will it be possible for me to know exactly what will happen next, or do I need a control test again?

Answers Guzhevsky Igor Vitalievich:

Good afternoon, despite the rather long description, it is impossible to understand the situation only on its basis; to determine treatment tactics, you need to see with your own eyes the latest radiographs of the fracture site; however, it can be said that in many similar cases treatment method closed reduction and plaster immobilization does not allow achieving good results.

Don't be alarmed by leg swelling after surgery. This is quite normal phenomenon, occurs in most people. Especially if the operation was performed to remove varicose veins. Strange behavior the body is due to a number of factors and causes that should be studied and, if necessary, treated. The best treatment will prevent the occurrence of postoperative swelling.

General information

Postoperative swelling occurs for many reasons. Often leg swelling after surgery to treat varicose veins occurs due to unpredictable reasons:

  • Features of the surgeon's manipulations;
  • Tendencies and characteristics of the patient’s body.

More often, swelling of the patient’s legs appears after surgery on the second or third day. Gradually begins to decrease. In the former, the decrease is barely noticeable, while in the latter it occurs rapidly. After about a week, the legs no longer swell.

Swelling after surgery

If the swelling remains for a long period, the patient begins to get nervous and becomes restless. There is no point in guessing and fighting on your own without finding out the causes. Consultation with your attending physician will be required. The doctor will make a plan further actions to get rid of swelling.


Causes and diagnosis

Whenever postoperative edema It is worth first of all to identify the causes of this condition of the legs. There are several reasons of various nature. First of all, it is necessary to exclude thrombosis. The disease involves the formation of blood seals that accumulate in venous vessels and arteries. This serious complication which often occurs in patients after surgical intervention. Left without proper attention, it leads to disastrous results.

To diagnose thrombosis, ultrasound is used, in particular scanning. The examination will give full picture about the condition of the legs and veins. If suspicions are confirmed, you should not take independent measures. You will need to consult a doctor - phlebologist, who specializes directly in vascular diseases. Rehabilitation after removal of varicose veins is the responsibility of the doctor. After examining the patient’s condition, the doctor will prescribe medications that thin the blood and relieve swelling.

If the cause does not lie in vein disorders, it is possible that the legs are swollen due to lymphatic stagnation. Throughout the human body there is a mass of veins, arteries and lymphatic vessels. They accumulate excess liquid, causing swelling of the feet and other parts of the body. In liquid large quantities contains protein. This type of postoperative swelling is called lymphedema. This pathology cannot be ignored. The causes of lymphedema vary.

Treatment

To quickly get rid of swelling of the legs and feet, you need to follow simple recommendations, do simple procedures:

  1. Lymphatic drainage. The method is to carry out medical worker manual massage. This is done after the appointment of the attending physician; it is possible to harm the recovering body after surgery on your own. Lymphatic drainage includes light stroking of the tissues of the legs and feet, deep impact on the lymph nodes. The use of this method to combat edema is highly effective.
  2. Compression jersey. The use of special knitted tights or stockings helps to effectively relieve swelling after removal of varicose veins. The speed of achieving the result depends on the characteristics of the body. When prescribed, the doctor will evaluate the benefits of knitwear and prescribe wearing. Modern manufacturers offer an abundance of models of good, attractive appearance, indistinguishable from simple stockings.

    Compression underwear

  3. Diet. Many doctors in postoperative period recommend sticking to special diet. The main principle is to reduce the consumption of water and drinks. A strict diet will help reduce the risk of increased swelling in the legs. Compliance water balance extremely important.
  4. Medicines. At severe swelling feet and legs caused by the treatment of varicose veins, doctors prescribe special diuretics that quickly help cope with the resulting dysfunction. Common potent medications of this type include furosemide and Lasix. The drugs will help rid the body of excess accumulated fluid.

Only a doctor can competently, quickly and painlessly relieve swelling. You shouldn’t take action on your own without knowing the reasons. The doctor has the knowledge and capabilities. If after surgery to eliminate varicose veins your legs begin to swell, you should immediately inform your doctor.

Traditional methods

Multi-page list useful tips and recipes can be found in the time-tested folk medicine. Many people leave good feedback recipes from the time of grandparents, who did not have the opportunity to turn to doctors in time, who imagined how far medicine would advance in helping patients.

Rubbing oil into skin

Traditional recipes suggest relieving swelling of the legs using:

  • Rubbing olive oil into the skin;
  • Vinegar compresses will help;
  • It is permissible to prepare infusions of St. John's wort or chamomile, which help in the fight against edema;
  • Problem areas can be rubbed with valerian tincture;
  • Copper sulfate will help relieve swelling.

There is a known recipe for a wonderful drug that will have invaluable benefits if your legs are swollen. To prepare you will need:

  • Onion;
  • Copper sulfate in the amount of 15 g;
  • 20 g of spruce resin;
  • Olive oil 50 g.

Grind the ingredients and put on fire. The resulting composition is brought to a boil, and the gas is immediately turned off. The drug is filtered and cooled. The resulting mass is applied to the legs and secured with a bandage. The procedure is done several times a day until the legs stop swelling.

Effective folk recipes if swelling occurs after removing the plaster. Using modern medicine in tandem with folk remedies, it will be possible to achieve the desired result and relieve swelling in a short time.

Removing plaster

Important points

Some patients suffer long time swelling after varicose veins. It is possible to avoid trouble if you do simple manipulations. You will need to follow the rules:

  1. In the postoperative period, it is worth reducing salt and liquid intake as much as possible.
  2. Do not get carried away with too hot baths, which can cause swelling.
  3. A contrast shower, on the contrary, will improve blood circulation in the body and help relieve swelling after surgery.
  4. In order not to provoke the occurrence of edema, the load on the operated areas of the body should be reduced.
  5. It is not recommended to stay for a long time fresh air, in direct sunlight.
  6. If your feet are very swollen, place your limbs in an elevated position to reduce areas of swelling.
  7. Shoes and clothing during the postoperative period should be comfortable and spacious.
  8. Don't drink alcohol.
  9. You should consult a doctor to prescribe diuretics.
  10. A set of exercises has been developed to combat edema.

The reasons for prevention are known to people. Take a closer look at the position of your legs after surgery. It is better to place your feet with your toes up.

Swelling of the leg after surgery is completely normal. It’s another matter if the swelling is very large or does not subside for too long. How to distinguish normality from pathology?

Typically, swelling after surgery subsides within a week. But it happens that they last longer and cause trouble for the patient.

Diagnostics

In case of persistent swelling, it is necessary to do ultrasound examination legs - duplex scanning. It will help eliminate this terrible consequence operations such as thrombosis (formation of blood clots in the veins).

If thrombosis is present, urgent consultation with phlebologist- specialist in vein diseases. He will prescribe medications that thin the blood and prevent it from forming clots.

If the veins are in order, then the cause of edema is stagnation of lymph. Lymphatic vessels, as well as arteries and veins, are located throughout the body. They collect “dirty” fluid from tissues, containing a lot of protein. Along the way lymphatic vessels There are lymph nodes - under the jaw (“glands”), under the knees, in the groin, under the armpits.

Stagnation of lymph is called lymphedema - lymphatic edema. Eat separate disease lymphedema, but we won’t look into it. We are interested in secondary lymphedema, which forms after surgery.

Legs swell. they hurt. This makes movement difficult and causes a lot of trouble. What can you do to reduce swelling in your legs?

Do you know that there is a non-surgical method for treating coxarthrosis? Read

Treatment of leg swelling

To cure postoperative swelling, a set of measures is used.

  1. Manual lymphatic drainage. It is done by specially trained medical personnel. It is a manual massage, where you alternate between very light stroking of the skin and a deep massage. lymph nodes. Only a doctor should prescribe such a massage; you cannot do it yourself, it can cause harm!
  2. The same applies to compression hosiery. Some patients are prescribed to wear compression stockings or tights, while others are contraindicated.
  3. Diet - doctors usually recommend reducing fluid intake for a while so that swelling does not increase.
  4. It is better not to keep your legs in the “down” position. When lying or sitting, make sure your feet are slightly elevated. To do this, you can place a pillow or a rolled blanket under them.
  5. Drug treatment is prescribed by the attending physician

After leg surgery, swelling is not uncommon; doctors know very well how to deal with it.

Therefore, if you notice that your legs are swelling and you feel fullness or other discomfort, immediately tell the surgeon who operated on you about this. And he will prescribe the appropriate treatment for you.

After the operations itself various localizations Swelling (or bruising) will certainly occur, which appears due to poor circulation. If your leg swells after surgery, you need to restore blood microcirculation in the damaged area (that is, in the leg) - in this case, the swelling can be eliminated fairly quickly.

Leg swelling after surgery? Then you should apply ointments aimed at resolving hematomas (if any) and elimination of edema. So, which ointments are preferable to use for getting rid of swelling?

Lyoton is a drug for external use, which is indicated for phlebitis of the superficial veins, hemorrhoids, elephantiasis, lymphangitis, mastitis, injuries, bruises and, of course, swelling.

Skin gel Bruise - off, which contains medicinal leech extract, helps get rid of bruises by eliminating bruises (that is, resolving them). It removes swelling after surgery and injuries, helps reduce inflammation. The gel also masks “non-cosmetic” areas.

Traumeni S is a drug that has anti-inflammatory, analgesic, immunomodulatory and regenerative effects. Indicated for injuries, dislocations, bruises. If your leg swells after surgery, then it is also used.

In the first days (also if your leg swells) after surgery, doctors recommend taking vitamins and mineral complexes, which are aimed at improving the condition of the whole organism. It is also advisable to take natural ingredients(in particular, medicinal plants), which help restore immunity and body function.

Anti-swelling massage

Since massage restores muscle tone, it is advisable to carry out a course of massage procedures, which will also help eliminate congestion in the lymphatic and blood vessels, relieving you of swelling and bruising quite quickly.

If your leg swells after surgery, what should you do?

1. Avoid foods that can cause swelling, and also try not to drink a lot of water. The swelling should go away on its own in the second week after surgery, but if you don't want it to linger, try not to eat anything that can cause more swelling.

2. It is undesirable to take baths, but cold and hot shower will improve blood and lymph circulation, which, accordingly, will reduce swelling and prevent fluid from accumulating in the tissues.

3. Strong physical exercise immediately after surgery is a big mistake, since such exercises do not contribute to any speedy recovery, nor the rapid resorption of edema.

4. Long stay exposure to the sun is contraindicated if you want to get rid of swelling. This is because heating the body with ultraviolet rays causes even more swelling.

5. Do not put the poor leg that has undergone surgery in a vice - for now, limit yourself to loose-fitting clothes. When the swelling will subside, you can return to your usual style of clothing.

6. When sleeping, place the operated leg above body level. You can place it on several pillows, stacked one on top of the other. The main thing is that the leg is slightly elevated: this will help speed up lymph and blood circulation.

7. Alcohol only increases swelling, and does not contribute to speedy recovery after surgery, so it is necessary to avoid it.

8. In the absence of contraindications, you can take diuretics that relieve swelling.

9. And, of course, when the leg swells after surgery, be sure to consult your doctor, let him give the necessary recommendations.

One of the most common phenomena after surgery is swelling. Swelling after facial surgery becomes very noticeable, which leads to a deterioration in the patient’s appearance, mood and well-being.

If edema is neglected, further complications are possible, so it is better to get rid of such a problem in a timely and correct manner, otherwise serious consequences may arise.

Swelling after surgery on the face can occur as a result of even minor surgical intervention. If the integrity of the tissue is compromised, in most cases swelling will certainly appear.

Attention

After surgery, an accumulation of lymph appears in a certain area of ​​the face in the area of ​​damaged tissue. Such accumulations, in turn, appear due to increased work immune system which is trying to provide normal functioning and full functioning of the body, despite recent surgical intervention.

Another reason for the appearance of swelling on the face after surgery may be an inflammatory process.

The inflammatory process can occur as a result of non-compliance with the doctor’s recommendations by the patient, as well as as a result external factors, for example, a cold or exposure to wind on the face. In such cases, the patient exhibits elevated temperature skin face and redness.

After surgery, swelling on the face almost always appears, but in each patient it has one degree or another.

The main factors that influence the degree of swelling are:

  • individual characteristic differences of the patient’s body;
  • state and functioning of the immune system;
  • adherence or non-compliance with the doctor’s recommendations;
  • general state health;
  • patient's lifestyle.

In most cases quick release swelling on the face after surgery depends mainly on the patient’s efforts, as well as strict adherence to recommendations for rehabilitation period. In the case of a sufficiently long period of presence of swelling and absence of manifestations the slightest sign its decrease, you should immediately consult an experienced doctor.

As a rule, swelling begins to appear “in all its glory” on the second or third day after the operation.

After just a few days, under conditions proper care, the swelling will decrease significantly, and by the second week after surgery the swelling will completely disappear. But most patients are often interested in the most effective methods to get rid of swelling after facial surgery.

Postoperative swelling on the face and getting rid of it

You should try to follow some recommendations that will help eliminate post-operative swelling on the face faster.

  1. Limit consumption hot water. You shouldn't wash your face hot water, it is also not recommended to take a hot shower or bath with hot water. The best option There will be a contrast shower, which will help get rid of the accumulation of fluids in the tissues. Regarding hot water, it should also be mentioned that you should also avoid going to the bathhouse or sauna. You should not spend a lot of time outdoors in sultry and hot weather, as prolonged exposure to the sun can lead to increased swelling.
  2. The first 2-3 days after the operation it is necessary provide cold compresses to the face or to a specific area. As an alternative, you can use cold cabbage leaves. Cold compresses should be applied every 3-4 hours.
  3. Rest and peace. After the operation, care should be taken to ensure complete rest and complete rest for the patient. An important point is the recommendation to keep your head slightly elevated while sleeping. You should also avoid straining your face of various kinds, for example, sitting at the computer or watching TV for a long time, reading a book late into the night, or using frequent and active facial expressions. You should also give up training in a gym or fitness club, morning jogging and other physical activities for a while.
  4. Properly formulated diet. First of all, the patient should exclude foods that may increase swelling. You should not drink too much liquid or consume salty foods, especially before bed. It is recommended to completely exclude salt from the diet for certain time. Also, the foods you eat should contain a minimum of sodium. You should not drink alcoholic beverages, which affect blood circulation and lead to increased swelling.
  5. After the operation you should avoid stress on the body such as physical, and moral. Any stressful situation or physical fatigue will contribute further development swelling.
  6. Help needed specialist If you still cannot get rid of postoperative swelling on your face on your own, then you should consult a doctor. Additional massages or exercises may be required special purpose to reduce swelling. Your doctor may also prescribe diuretics to help you quickly get rid of fluids in your body. In some cases, a specialist prescribes hormonal injections, but you should know that they are not suitable for all patients. Therefore, you should only contact professionals and experienced doctors.

How to remove swelling from the face after surgery quickly and effectively

There are some methods that will quickly get rid of post-operative swelling on the face at home:

  1. It is necessary to wipe the face or a certain area of ​​the face with ice cubes. Moreover, ice can be made in advance from tea or chamomile infusion.
  2. You can make a mask, for which you need to brew a couple of tablespoons of green tea leaves, infuse, strain, cool and wipe your face with tampons or a towel.
  3. Raw potatoes or cucumbers will quickly help get rid of post-operative swelling on the face.

It should be remembered that the rapid disappearance of postoperative swelling on the face depends mainly on the responsibility of the patient, as well as the individual characteristics of his body.

Such a completely normal (at a certain age) and even desirable operation as facial plastic surgery should be approached with joy. In the end, unlike an operation to “remove something sick,” plastic surgery only removes excess fat, age and complexes, and after rehabilitation it gives strength, optimism and a great mood. Congratulations to Zhenya, and here are my tips on the topic of “swelling after plastic surgery” - what to do?

Firstly, it is a mistake to think that “post-plastic edema” can be relieved with diuretics. IN in this case, completely different mechanisms for the occurrence of edema are involved, so excess removal of potassium from the body is fraught with disruptions in the functioning of the heart, which is not at all necessary after a full-fledged operation

Also, it is advisable to refrain from vegetables, fruits and berries, increasing urination and fermentation in the intestines (for example, watermelons, cranberry juice, raisins, grapes, berries, cucumbers, etc.)

Take aspirin (or non-steroidal painkillers) as a “painkiller” and “blood thinner”, since in this situation, aspirin can cause bleeding

Salt, alcohol, coffee and smoking are prohibited

Set aside the capsules fish oil and aged garlic for two months in the refrigerator

All that will promote overall healing and reduce swelling and bruising, and this:

Multivitamin complex
vitamin C (accelerates tissue healing, strengthens the walls of blood vessels, stimulates the production of young collagen)
vitamin K (strengthens the walls of blood vessels)
beta carotene (or vitamin A)
protein diet

And also, during the rehabilitation period, to relieve bruises and swelling after facial plastic surgery, the following substances and preparations are simply necessary:

After plastic surgery, doctors prescribe all the same drugs and substances as for varicose veins veins More precisely, this is all that is aimed at improving blood circulation, strengthening blood vessels and capillaries, relieving swelling and inflammatory processes, as well as improving lymph flow (lymphatic drainage) and venous outflow. Only the use of these substances guarantees safe and efficient flow post-rehabilitation period.

Diosmin and hesperidin(natural flavonoids from citrus peels) - help improve microcirculation in the veins, reduce blood stagnation, and strengthen the vascular wall.

Pycnogenol - unique plant matter, obtained either from the bark of French pine or from grape seeds. At its core, pycnogenol is an oligomeric proanthocyanide, a substance that is the most powerful antioxidant known in nature. Pycnogenol strengthens the walls blood vessels and improves blood circulation, and therefore is a priority substance in world medicine for the prevention and treatment of varicose veins, as well as for relieving swelling and bruising in the postoperative period.

Aescin, found in horse chestnut extract. Escin is able to relieve inflammation in cells without reducing the level of phagocytosis, inhibits the enzyme hyaluronidase and helps reduce the permeability and fragility of blood vessels and capillaries. Escin normalizes the condition of the vascular wall, increases the stability of capillaries, and reduces their fragility. Refers to venotonic drugs plant origin, helps increase the strength and tone of blood vessels.

Rutin - has anti-edematous, anti-inflammatory, anti-blood clotting and antioxidant effect for swelling after plastic surgery. Increases vascular tone, strengthens capillaries and vascular walls. Reduces inflammation in the vascular wall, limiting the adhesion of platelets to its surface.

Ginkgo biloba, butcher's broom and gotu kola - also strengthen the walls of blood vessels, improve blood circulation, and reduce blood levels. inflammatory process.

Let's look at specific drugs.

⇒ In Russia, Venozol, Venarus, Phlebodia or Detralex are usually prescribed.

Venozol (active ingredients: diosmin (270 mg), horse chestnut extract (50 mg), hesperidin (30 mg), hazel extract (17 mg) and dihydroquercetin (3 mg)), price for 30 tablets. about 350 rubles
Venarus (active ingredients: diosmin (450 mg), hesperidin (50 mg)), price for 30 tablets. about 500 rub
Detralex (active ingredients: diosmin (450 mg)), price for 30 tablets. from 700 rub
Phlebodia (active ingredients: diosmin (600 mg)), price for 30 tablets. from 800 rub

FutureBiotics, VeinFactors, Varicose Vein Complex, 90 Veggie Caps - $15.65

Unlike the best Russian market Phlebodia, containing only 600 mg of diosmin, in this complex it 1000 mg(together with hesperidin). But, besides this, there is also a wonderful complex of all those substances that I told you about.

⇒ DiosVein Diosmin Complex - a mix of diosmin and hesperidin, and micronized(For better absorption)
⇒ Venocin - titrated horse chestnut extract containing 20% escin! (A study on patients showed cure of hematomas with just 2% escin in the gel).
⇒ Centellin is a titrated gotu kola extract containing 8% gotu kola triterpenes.
⇒ plus a whole mix of citrus bioflavonoids And butcher's broom extract
⇒ and the well-known Bioperine complex to improve the nutritional bioavailability of all the above benefits

For a good anti-edematous effect and strengthening fragile vascular walls It’s good to drink pure rutin. For example, from Solgar:

Solgar, Rutin, 500 mg, 250 Tablets - $23.08

and pycnogenol:

Healthy Origins, Pycnogenol, 100 mg, 60 Veggie Caps - $33.95

Anti-edematous cosmetics

Cosmetics for the rehabilitation period should also contain all the same substances as our capsules. Those. These are extracts aimed at relieving swelling, improving blood circulation, strengthening blood vessels and small capillaries, as well as reducing the inflammatory process in tissues.

Along with my favorite and “penny” ointment “Troxerutin” ( active substance- a derivative of rutin), I recommend these compositions, which are very well composed and contain exactly the substances that we need (and in titrated concentration, unlike the Russian incomprehensible and elusive manufacturer...):

Planetary Herbals, Horse Chestnut Cream, 4 oz (113.4 g) - $9.95(cream with horse chestnut, with a VERY high, titrated 20% concentration of escin, plus other extracts aimed at strengthening blood vessels and improving blood circulation)

Derma E, Soothing Eye Gel with Anti-Aging Pycnogenol, 1/2 oz (14 g) - $15.60

(also, a formulation with pycnogenol, escin, arnica, ginkgo biloba and other extracts aimed at relieving swelling and inflammation, as well as strengthening blood vessels)

Natural Care, Ultra Vein-Gard Cream, 2.25 oz (64 g) - $14.60(homeopathic decongestant cream with a very rich composition)

Plus, cosmetic ice helps very well against swelling in the first time after surgery! I told you how to easily prepare it in the post.

Plus, physical therapy!

I have already written this “just in case”, since, of course, a competent doctor will always prescribe physiotherapeutic procedures after plastic surgery. Specific prescriptions will depend on the practice and equipment available in each particular clinic.

And by the way!

And by the way, I recommend all these drugs and cosmetics to everyone who is tormented by swelling and fragility of blood vessels on the face! This is much healthier (in principle, for everyone) than taking fluid-removing medications at night! In any case, the condition of both the skin and the body will only improve with a course of taking rutin, escin, diosmin and other herbal joys.



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