Fields of treatment / Varicose Veins Treatment / Classical treatment of varicose veins

Classic treatment of varicose veins for the insurance company without a patient surcharge

Classic surgical operation of varicose veins is effective and as the only method fully covered by the health insurance company, including stockings and pantyhose II. compression classes prescribed by your treating or general practitioner (on the Medical and Orthopedic Aid Voucher).

Contact our Vascular surgery department

Hradec Králové Clinic / recepce@1chirurgie.cz / +420 495 269 768 (weekdays 10 a.m.-3 p.m)

Pardubice Clinic / pardubice@1chirurgie.cz / +420 466 766 333 (weekdays 10 a.m.-3 p.m)

MUDr. Miloš Černý

MUDr. Miloš Černý is a sought-after precise vascular surgeon with certification, ČLK license and many years of experience, a specialist in modern complex mini-invasive treatment of varicose veins with an excellent cosmetic effect. He graduated from LFUK Hradec Králové. In addition to our clinic, he works at the Pardubice Hospital in the Department of Vascular and Plastic Surgery, where he cares for patients with vascular problems in the entire breadth of the field, deals operatively with the arterial and venous system and provides services in the interdisciplinary surgical ICU. He completed many courses and professional internships, is a member of professional societies and publishes professional articles.

Operative procedure

The procedure itself is most often performed as a one-day surgery, under general anesthesia. Through a small incision in the groin, a non-functioning vein is found at the point where it joins the deep venous system. Here the vein is ligated and the connection to the deep venous system is severed. The vein is then prepared and removed from the limb to the outside, most often in the area of ​​the ankle or lower leg. The remaining lateral varicose veins are then removed with special Smetana knives. The classic operation is effective, but it also carries disadvantages.

Types of treatment of varicose veins covered by health insurance

1. Compression treatment

  • With the help of calf, thigh or half-thigh stockings and pantyhose.
  • Fully or partially covered by public health insurance (in accordance with Act No. 48/1997 Coll., on public health insurance) covers compression elastic stockings and pantyhose II., III. and IV. compression classes.
  • A voucher for a medical and orthopedic device can be prescribed by your attending physician or general practitioner

2. Pharmacological treatment - Venopharmaceuticals

  • Supportive and complementary treatment designed to support the function of the vein wall.
  • Partially covered by public health insurance.

3. Sclerotization

  • Treatment of whiplashes, small veins, some types of varicose veins or residues after varicose vein surgery.
  • Covered by health insurance 12 times per year (for some types of varicose veins, 24 times per year).

4. Surgical treatment

  • Classic "open" surgical method (endovascular treatment or laser treatment is not covered by insurance).
  • Fully covered by public health insurance.

FAQ

What are the advantages of classic surgical operation for varicose veins?

The classic SURGICAL operation of varicose veins is effective and as the only method FULLY PAID by the health insurance company, including stockings and pantyhose II. compression classes prescribed by your treating or general practitioner (on the Medical and Orthopedic Aid Voucher).

The disadvantage of the classic surgical operation for varicose veins is longer incapacity for work lasting 3-4 weeks, greater post-operative pain and long-term wearing of elastic compression stockings after the operation, compared to other methods.

  • After the procedure, the patient is escorted home after 2-4 hours.
  • The day of surgery should take place in rest mode. To prevent swelling, it is necessary to have both lower limbs (operated and non-operated) in an elevated position.
  • For the first three weeks after surgery, it is necessary to use a limb bandage day and night (both a classic elastic bandage and a more comfortable compression elastic stocking can be used).
  • Walking is important from the first postoperative day. This is repeated short-term walking with an attached elastic bandage (stocking) and with restrictions on standing or sitting. Between individual errands, it is recommended to lie on the bed with slightly supported limbs and perform active movements in the ankle with the toe pulling.
  • From the 3rd day, you can shower the wound briefly, dry it properly and leave it uncovered. You can prevent wetting of the wound in the groin by applying a tab (longette) so that the skin does not rub against each other. Sutures are removed 7-14 days after the operation, depending on the condition.

For the first 4 - 6 weeks, it is necessary to avoid demanding sports activities. Normal exercises, such as cycling, swimming, can be carried out already 3-4 weeks after surgery. The measures are completely individual and dependent on the scope of the performance, your attending physician will recommend a suitable activity.

As a rule, only an examination by a general practitioner and a laboratory examination, including blood coagulation, are necessary before the operation. An ultrasound examination of the venous system is a matter of course.

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