Fields of treatment / Varicose veins treatment

Modern cosmetic treatment of varicose veins

  • Anesthesiology and intensive care

    Anesthesiology and intensive care focus on monitoring and maintaining patients' vital signs during operations.

  • Celon RFITT – radiofrequency ablation of varicose veins

    The method is a minimally invasive procedure in which the superficial venous trunk is closed intravenously using a thin probe that is introduced into the venous trunk through a small wound.

  • Clarivein – mechanochemical ablation of varicose veins

    The Clarivein method was developed in the USA in 2010 for the minimally invasive treatment of the veins of the lower extremities – the great and small saphenous veins, but also the venous connections.

  • Classical treatment of varicose veins

    Varicose veins or varicose veins most commonly affect the superficial venous system of the lower limbs. Today they are called one of the diseases of civilization.

  • Our doctors – specialists

    Get to know our doctors - specialists in varicose vein surgery

  • Prevention of thromboembolic disease

    Varicose vein disease is associated with a certain risk of developing deep vein thrombosis due to the slowing down of venous flow in the affected veins by so-called venous stasis.

  • Sclerotherapy

    Sclerotherapy is the intravenous administration of an active substance that causes destruction of the endothelium (inner lining of the vein) and damage to the collagen tissue of the vein wall.

  • Varicose vein surgery – LASER

    Laser surgery is a modern, gentle method that reliably replaces the classic surgical operation of the veins of the lower extremities. Damaged veins are not surgically removed, but treated.

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)

Advantages of varicose vein treatment at our workplace

We perform diagnostics with color duplex ultrasound, classic surgeries “for the insurance company”, with miniphlebectomies, varicose vein recurrence surgeries and classic and foam sclerotherapy.

  • knowledgeable vascular surgeons with long experience in the hospital workplace
  • thorough comprehensive diagnosis with color duplex ultrasound
  • the radical nature of the operation – complete removal of all damaged veins with an emphasis on the long-term result
  • excellent cosmetic effect thanks to the most modern endovascular and miniphlebectomy methods
  • painless operation and postoperative period
  • program for the prevention of venous thrombosis and pulmonary embolism
  • outpatient procedure with a short stay in bed
  • no or minimal incapacity for work

Our vascular specialists

MUDr. Stanislav Jíška

MUDr. Miloš Černý

Modern treatment of varicose veins

Modern treatment of varicose veins Modern treatment of varicose veins is based on accurate ultrasound diagnosis with color duplex ultrasound. Using color mapping, the extent of venous damage and the places where the surgical intervention will be most effective are precisely determined. The goal is to perform a painless, effective outpatient procedure with quick recovery, practically immediate return to work and the best possible cosmetic effect.

This is made possible by the development of mini-invasive surgical methods, the essence of which is the gentle closure of the main superficial venous trunk with thermal energy (radiofrequency, laser), or a combination of mechanical and chemical action on the venous endothelium (ClariVein). The venous trunk then remains in the limb and is gradually absorbed. The remaining small veins are treated with miniphlebectomy procedures, in which the veins are gently removed from tiny 2-3 mm punctures using fine hooks. Small wounds do not need to be sewn, they are only covered with special tapes.

The classic operation of varicose veins “for the insurance company”, where the affected vein trunk is torn out of the limb, is abandoned mainly because of the unsparing nature, pain, longer recovery and a much worse cosmetic effect.

At our workplace, all vascular procedures are performed with the participation of the anesthesia team, which consistently ensures maximum comfort and safety of the patient during the entire procedure and in the postoperative period.

Modern surgical procedures and their modifications

Due to the nature of the disease, only surgical treatment is effective. Pharmacotherapy and compression therapy only have a supportive effect. Currently, the following modern surgical procedures and their modifications are most commonly used:

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 occurrence of complications, but above all minimal pain after the procedure.

On the basis of a detailed ultrasound examination, the damaged venous trunk is targeted and carefully closed with a thin radiofrequency probe inserted intravenously, emitting precisely defined thermal energy. During the procedure, the vein shrinks and closes, and gradually it is absorbed. The remaining small veins are most often removed by the miniphlebectomy CHIVA method via minimal injections. The advantages of the new method compared to the classic operation are obvious: maximum gentleness, minimal invasiveness, high efficiency and safety, excellent cosmetic effect, much less post-operative pain and discomfort, shorter convalescence and even incapacity. Unlike the older EVLT laser technology, the radiofrequency probe operates at a lower temperature and thus minimizes the risk of thermal damage to the surrounding tissues.

The ClariVein method is suitable for minimally invasive treatment of veins of the lower limbs – large and small saphenous veins, but also venous connectors – perforators and other affected veins. Under ultrasound control, a catheter is inserted into the treated vein, where its tip rotates very quickly, which leads to the contraction of the vessel. At the same time, a sclerosing solution is injected into the tip. The rotation of the tip ensures uniform contact of the solution with the inner wall of the vein and its sclerotization and subsequent closure along its entire length. The risk of damage to accompanying nerves of veins, skin, subcutaneous tissue and the occurrence of pain due to heat is completely excluded.

This surgical method is a combination of the removal of the main venous trunk by the classic “insurance” method, supplemented by miniphlebectomy of the remaining small varicose branches using special mini-invasive hooks and needles. It is suitable, among other things, for recurrent varicose veins. It represents an interesting price compromise in the spectrum of venous performance.

A suitable method for removing fine veins that are outside the main blood stem may be the CHIVA method.This method is very gentle, so it can usually be performed on an outpatient basis, using local anesthesia, and the patient leaves “on his own” after the procedure.In precisely defined locations of the affected area, we make an injection or make a small incision and treat the veins, or gently remove them.

The advantage of this operation is that there is no need to sew the treated areas, in most cases it is enough to use suture plasters. The overall treatment can be supplemented with sclerotization as needed. Punctures and wounds will heal within a week, and minor bruising caused by the procedure will disappear completely within four to six weeks.

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