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Laser treatment of varicose veins (EVLT) — is a modern minimally invasive method of eliminating varicose altered veins using laser energy. The procedure is performed through a small puncture of the skin, does not require large incisions and allows you to quickly return to your usual way of life.
At the «Oxford Medical» clinic, laser treatment of varicose veins is performed by experienced vascular surgeons using modern equipment. Make an appointment for a phlebologist consultation at a time convenient for you through the online appointment form or by the contact center phone.
Endovenous laser obliteration (EVLO) is used for varicose vein disease. The method
may be recommended to patients if conservative treatment of varicose veins does not
provide the desired result.
The main indications are:
varicose dilation of the subcutaneous veins of the lower extremities;
pain, heaviness and swelling in the legs associated with impaired venous blood circulation;
venous reflux (reverse blood flow in the vein), confirmed during the examination;
progression of varicose vein disease and enlargement of altered veins.
Before the intervention, the patient undergoes a consultation with a phlebologist and comprehensive diagnostics. This allows determining whether laser treatment of veins will be the optimal method in a specific case.
Doctors of «Oxford Medical» recommend not waiting for a significant enlargement of veins or the development of complications. Timely consultation with a specialist helps to carry out treatment in the early stages of the disease and achieve a better result.
Endovasal laser coagulation of varicose veins belongs to modern low-trauma methods of treating varicose vein disease, however the procedure is not suitable for all patients. Before the intervention, the doctor assesses the general state of health, the features of the venous system and possible risk factors.
The main contraindications to carrying out the procedure may be:
acute deep vein thrombosis;
severe disorders of arterial blood circulation of the lower extremities;
active inflammatory or infectious processes in the intervention area;
inability to move independently or wear compression knitwear after the procedure.
Individual conditions are not always absolute contraindications, but may require additional examination and preparation. For example, with decompensated diabetes mellitus or pronounced obesity, the doctor assesses individual risks and determines the optimal treatment tactics.
Doctors of «Oxford Medical» recommend not assessing the possibility of carrying out EVLT independently. The decision regarding the advisability of the procedure is made after examination and diagnostics, which allows choosing the safest and most effective method of treatment.
Before the procedure, the patient is usually recommended to:
undergo ultrasound of the veins of the lower extremities to assess the condition of the superficial and deep veins;
take basic laboratory tests as prescribed by the doctor;
have a cardiogram done and undergo additional examinations to assess the general state of health.
After receiving the results of the examinations, the vascular surgeon determines the scope of the intervention, the specifics of carrying out the procedure and provides individual recommendations regarding preparation.
On the eve of EVLT, complex preparation is usually not needed. On the day of the procedure, it is recommended to come in comfortable clothing and shoes, as well as to take compression knitwear with you if the doctor previously recommended it.
Doctors of «Oxford Medical» recommend informing the specialist about all chronic diseases, allergic reactions and medicines that you take. You should not independently cancel or change the regimen of taking anticoagulants or other medications before the procedure — such decisions are made by the doctor individually.
Laser ablation of veins is performed on an outpatient basis and usually does not require hospitalization. The procedure is performed under local anesthesia through a small puncture of the skin, without large incisions and suturing.
Under ultrasound guidance, a vascular surgeon inserts a thin laser light guide into the lumen of the affected vein. After this, local anesthesia is performed around the vessel, and laser energy affects the venous wall from the inside. As a result, the vein closes, and blood flow is gradually redistributed through healthy vessels.
Endovasal laser coagulation allows eliminating pathological venous blood flow without removing the vein through incisions. Thanks to this, the procedure is considered a modern minimally invasive method of treating varicose vein disease.
The duration of the intervention depends on the scope of treatment and usually ranges from 30 to 60 minutes. After the procedure is completed, compression knitwear is put on the leg, after which the patient can leave the clinic on the same day.
Laser coagulation of varicose veins is considered a safe treatment method. Serious complications after the procedure occur rarely, however it is impossible to completely exclude their risk, as with any medical intervention.
In the first days after the procedure, temporary reactions may occur, which usually do not require special treatment:
bruises at the puncture sites;
moderate soreness or a feeling of tension along the treated vein;
minor swelling of tissues;
temporary induration along the course of the vein;
short-term skin pigmentation.
Such changes most often gradually disappear during the recovery process.
According to US National Library of Medicine, serious complications after EVLT occur infrequently. In isolated cases, thrombophlebitis, deep vein thrombosis, infectious complications, a burn of surrounding tissues or temporary disturbances of skin sensitivity are possible.
Doctors of «Oxford Medical» note: the risk of complications largely depends on the features of the disease, adherence to the technique of carrying out the procedure and following the doctor’s recommendations after the intervention. If after EVLT pronounced pain, significant swelling, sharp redness of the skin, an increase in body temperature or other unusual symptoms appear, it is necessary to consult a doctor.
Recovery after EVLT of the veins of the lower extremities usually proceeds faster than after classical vein surgeries. Most patients can return to everyday activity already on the day of the procedure or the next day. That is why laser treatment of varicose vein dilation is considered one of the most comfortable methods of treating varicose vein disease.
After the procedure, it is important to follow the doctor’s recommendations regarding the mode of physical activity and wearing compression knitwear. Depending on the scope of the intervention, recommendations may differ, however most often patients are advised to:
wear compression stockings around the clock during the first three days;
subsequently use compression knitwear during the daytime for 2-4 weeks in accordance with the doctor’s recommendations;
walk every day for at least 30–60 minutes;
avoid prolonged sitting or standing without movement;
temporarily limit intense physical activity, lifting heavy objects and strength training;
refrain from visiting the sauna, bathhouse and hot baths during the recovery period.
According to European Society for Vascular Surgery (ESVS), early activation of the patient and the use of compression knitwear after EVLT contribute to more comfortable recovery and reduction of postoperative discomfort.
Doctors of «Oxford Medical» explain: in the first days after the intervention, a moderate feeling of tension along the vein, minor bruises or discomfort during movement may be observed. Such manifestations usually gradually pass during the healing process.
The cost of laser removal of varicose veins depends on the scope of the intervention, the number of affected veins, the complexity of the case and the need for additional procedures. You can preliminarily find out EVLT prices here.
More detailed information regarding the possibilities, program and price of laser vein removal in a specific case will be provided by the doctor during the consultation. To make an appointment at a time convenient for you, leave a request through the online appointment form or contact the contact center by phone.
The information is for informational purposes and does not replace a doctor’s consultation.
Sources:
Laser treatment of varicose veins can be undergone at the «Oxford Medical» clinic. Our clinics are located on the right and left banks of the capital, so each patient can choose the most convenient location.
Like any medical intervention, EVLT has certain limitations. After the procedure, bruises, a feeling of tension along the vein, induration or minor skin pigmentation may temporarily occur. In addition, the method is not suitable for all patients. The final decision regarding the advisability of laser treatment is made after examination and assessment of the condition of the venous system.
After a successfully performed procedure, the closed vein is usually gradually replaced by connective tissue and stops participating in blood circulation. At the same time, partial recanalization may occur in a small proportion of patients — repeated restoration of the vein lumen. The risk of such a complication is low, and its likelihood depends on the features of the disease and compliance with the doctor’s recommendations.
EVLT effectively eliminates a specific affected vein, however it does not eliminate the body’s predisposition to the development of varicose vein disease. Therefore, over time, varicose changes may appear in other veins. To reduce the risk of recurrence, it is important to control body weight, maintain physical activity, follow the doctor’s recommendations and undergo preventive examinations.
In most patients, laser venectomy does not cause severe pain. During several days or weeks, moderate discomfort, a feeling of tension along the treated vein or minor soreness during movement may be observed. Such manifestations are considered a normal tissue reaction to the intervention and usually gradually pass.
In many cases, compression stockings are recommended to be worn around the clock during the first three days after the procedure, and subsequently — during the day for approximately one month. The duration of wearing compression knitwear is determined by the doctor individually.
In the first days after EVLT, alcohol consumption is usually not recommended. Alcohol can affect vascular tone, contribute to dehydration of the body and potentially increase swelling or discomfort in the postoperative period.
In many cases, treating varicose veins with a laser allows achieving a good result without large incisions and prolonged hospitalization. At the same time, in case of significant vein dilation, complex vascular anatomy or other features of the disease, the doctor may recommend surgical treatment. The optimal method is determined after examination.
Absence of large incisions. The procedure is performed through a small puncture of the skin, so after the intervention no large postoperative scars remain.
Local anesthesia. EVLT is usually performed under local anesthesia, without the need for general anesthesia.
Without hospitalization. The procedure is performed on an outpatient basis, so the patient can return home on the same day.
Fast recovery. In most cases, returning to everyday activity takes significantly less time compared with classical vein surgeries.
Minimally invasive method. Laser treatment allows minimizing trauma to surrounding tissues and the associated postoperative discomfort.
Low risk of complications. Provided that patients are selected correctly and the doctor’s recommendations are followed, the risk of complications after EVLT is low.
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