Vascular surgery

Varicose vein treatment

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State-of-the-art approach to varicose vein treatment

Crossectomy is currently considered to be one of the most modern and effective methods of varicose vein treatment. If you want to get rid of varicose veins once and for all, think about this procedure, because there is no other method that offers better medical outcomes and aesthetic effects.

Endovenous laser treatment is a minimally invasive and practically painless procedure. A fibre-optic cable is put into the saphenous vein which is closed by means of laser-emitted thermal energy in the process called ablation. Both legs can be treated during a single session.

After the surgery, you will have to wear a compression stocking on the treated leg. If you’re suffering from extensive varicose veins, reticular veins and spider veins, you are well advised to combine this treatment with foam sclerotherapy. Patients who are professionally active will be happy to hear that this method enables quick return to full activity.

Frequently asked questions

Perioperative trauma is much more limited after laser varicose veins removal compared to traditional methods, so the outcomes are visible much faster. There is less discoloration, thickening and hematomas. Transient swelling of peripheral parts of limbs may occur. Patients resume normal physical activity much faster. Just as in the case of foam sclerotherapy, it should be remembered that laser varicose vein removal is a process involving a whole team of specialists, starting from diagnosis through the procedure and ending with physical therapy and cosmetology.

The procedure should not cause any hair loss in patients. If this is the case, patients should run diagnostic tests in specialist trichology clinics.

It is recommended to make diagnostic tests and Doppler Duplex ultrasound, as well as plan for a proper treatment. Next, basic tests recommended by the surgeon. The procedure can be performed with the help of an anaesthesiologist under local anaesthesia or sometimes using only infiltration. Patient comfort and safety is always our top priority.

The use of minimally invasive techniques in the treatment of venous failure combined with preoperative diagnostics allows us to achieve much better results and reduce the risk of complications. A properly performed procedure is 90-95% effective. It should be remembered that the procedure itself is only one piece of the treatment process and the patient should be followed-up by the operating doctor until the end of his or her life.

As with every other procedure, there is a risk of complications, such as intraoperative bleeding, hematomas and thickening, as well as rarely postoperative relapses. However, compared to traditional methods, the use of minimally invasive techniques, including laser, significantly increases safety and minimizes possible complications.

The first varicose vein removal procedure, the so-called Babcock's stripping, was carried out in 1905. The idea behind the procedure, i.e. stripping of the superficial venous system, is still used today. The first surgery using laser technique in the treatment of venous insufficiency was performed almost 100 years later. Thanks to the development of minimally invasive techniques, such as laser therapy, perioperative trauma has decreased and patient safety has decidedly improved. It should be remembered that the "golden standard" in minimally invasive techniques always involves the use of Doppler Duplex ultrasound for every procedure.

Useful information

Procedure duration ca. 60 - 120 minutes
Required lab tests blood group, complete blood count, clotting screen (APTT and INR), electrolytes (Na, K)
Type of anaesthesia to be decided by your doctor
Length of stay to be decided by your doctor (max. 24 hours)
Convalescence ca. 10-14 days
Suture removal on day 7-10
Dressing change --------
Contraindications bleeding diathesis, coagulation disorders, unregulated high blood pressure, unregulated diabetes, purulent infection of the skin and mucous membranes, pregnancy

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