Fields of treatment / Varicose Veins Treatment / Varicose vein surgery – LASER

Varicose vein surgery – LASER

Varicose veins or varicose veins most commonly affect the superficial venous system of the lower limbs. Today, they are referred to as one of the diseases of civilization, in the development of which a number of risk factors contribute, whether it is a family predisposition, hormonal changes, a lifestyle associated with insufficient physical activity, obesity or prolonged standing. It most often affects women and becomes for them not only a health problem, but primarily a cosmetic problem.

Information and appointments

One Day Surgery Centre Hradec Králové
recepce@1chirurgie.cz / +420 495 269 768 (weekdays 10 a.m.-3 p.m)
Štefánikova 454/28a, 500 11 Hradec Králové (Hvězda Complex)

Laser operation of varicose veins

It is a modern gentle method that reliably replaces the classic surgical operation of the veins of the lower limbs. Damaged veins are not surgically removed, but are treated with intravenous photocoagulation with a laser beam followed by closure of the treated veins.

At our workplace, we now use a modern laser so-called endovascular device (EVLA) for the procedure, which has laser fibers with radial (circular) beam emission and a beam wavelength of 1470 nm, which significantly increases the absorption of energy by the vein wall and thus enables the treatment of venous trunks even of larger diameter.The lower working temperature of the laser then acts gently on the surrounding tissues.The advantage of this method is not only the minimal incidence of complications, but above all minimal pain after the procedure.

Inquire about the possibility of treating varicose veins using an endovascular laser (ELVA) at our workplace.

Varicose veins in detail

How do varicose veins form?

Varicose veins are a manifestation of venous insufficiency, when due to the influence of blood pressure, the weakening of the venous wall expands and the function of the venous valves is impaired. A vein affected in this way acquires its typical coiled course.

Types of varicose veins

  • Spider veins (spider veins) - small red veins with a diameter of less than 1 mm, mostly causing only an aesthetic problem
  • Reticular varices - dilated blue veins with a diameter of 2-3 mm
  • Trunk varicose veins - large dilated veins with a diameter of up to several tens of millimeters with a pronounced vein pattern protruding above the skin surface, can lead to the appearance of skin defects or leg ulcers

Symptoms of varicose veins

Varicose veins develop over a long period of time and are mainly a cosmetic problem in the beginning. Gradually, leg pain, swelling and visible varicose veins develop, which, if left untreated, can lead to serious health complications, including venous thrombosis or the development of skin defects and leg ulcers.

Details about the treatment

What is the preoperative preparation before laser varicose vein surgery?

Before the laser procedure, only an examination by a general practitioner and a laboratory examination of blood coagulation are usually necessary.

The procedure itself is very comfortable, performed on an outpatient basis, under local (local) anesthesia and takes only a few minutes. Under ultrasound control, a laser catheter is introduced into the vein by injection (puncture), with which the laser beam is applied. The gradual action of the laser beam results in complete closure of the "sealing" of the vein. A compression stocking is applied to the treated limb.

After the procedure, the patient is escorted home after a short rest. The day of surgery should take place in a rest mode, but with short walks. Pain after the procedure is minimal, on the third day there may be a pulling pain in the course of the main venous trunk, but it disappears after a few days. A small postoperative hematoma may appear at the site of the procedure.

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.

On the second day after the laser procedure, you can start walking normally and return to your normal activities. Sports load is allowed after approximately 2 weeks

  • minimal or almost no pain after the procedure
  • significantly shorter recovery time (on the order of a few days) compared to classic surgical invasive treatment, which requires an average of 3-5 weeks of incapacity for work
  • no burns, no bleeding
  • significant cosmetic effect without scars
  • no skin changes (hyperpigmentation, hypopigmentation)

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