Endovenous laser coagulation, or laser treatment of varicose veins

Laser treatment of varicose veins

Endovenous laser coagulation (EVLK) is a modern, minimally invasive procedure for the treatment of varicose veins. The effectiveness of EVLK is so great that phlebologists regard this method as a fully-fledged alternative to classic vein surgery.

Treatment of varicose veins - Endovenous laser coagulation (EVLK) or laser treatment of varicose veins

Varicose veins of the lower extremities, or simply varicose veins, are an expansion of the superficial veins of the lower extremities, accompanied by valve failure and circulatory disorders. The term "varicose veins" comes from the Latin "varix" - "bloating".

Those. Put simply, varicose veins are swelling of the veins near the skin.

Why do varicose veins occur?

Varicose veins occur when the venous valves work. This leads to impaired venous outflow and varicose veins. This is not to say that only women are susceptible to such violations, men also have the disease. According to statistics, 67% of women and 50% of men suffer from chronic diseases of the veins of the lower extremities. These disappointing statistics show that regardless of gender, more than half of the population of our country suffers from varicose veins.

So how can you prevent varicose veins? Diagnose and treat?

Everything OK. The first and most important thing to know is that there is no prevention against varicose veins. You need to be prepared for the fact that regardless of your lifestyle, lifestyle, diet, and other behavioral factors, you can have varicose veins. There is no prevention, but there are symptoms and factors that can affect the premature onset and manifestation of varicose veins.


  • Legs constantly ache and swell (heaviness in the legs and increased leg fatigue)
  • Shoes get tight and uncomfortable at the end of the day.
  • The "pattern" of the socks on the feet is very clearly visible
  • A blue-red "network" of blood vessels began to appear on the legs (spider veins on the legs)
  • Cramps in the legs at night
  • Itching, redness, dermatitis, eczema on the legs, trophic ulcers
  • Tendency to develop varicose veins (you have already been observed / observed by a phlebologist)

All of these symptoms are signals from the body and you urgently need to see a phlebologist. If you cannot hear your body for various reasons, it can lead to varicose veins and become worse. Unfortunately, with the manifestation of varicose veins, you need to forget about skirts and clothes that allow you to show your legs, which is very uncomfortable for most women. The varicose veins themselves, if they have manifested anyway, should by no means be started and left unattended. As soon as the first symptoms appear, you must make an appointment with the doctor immediately.

It is important to understand that varicose veins are a disease and have complications that can seriously damage the patient's health. For example, dermatitis, ulcers and bleeding can not only permanently deprive a person of the ability to work, they can also lead to a disability. The formation of blood clots in varicose veins is also a significant complication. As many years of practice have shown, varicose veins cannot be cured with massage, tablets or ointments. Symptoms can be alleviated, but not completely cured! And the external manifestations of varicose veins do not give you the opportunity to feel safe while wearing skirts or undressing on the beach. Those. In addition to external discomfort, the patient also experiences psychological complaints from this disease and restricts himself in the choice of clothing and lifestyle.

If you suspect the appearance and development of varicose veins - do not hesitate to consult a doctor. You need to undergo a full examination (diagnosis) - an examination of the veins that will help pinpoint problems and make a diagnosis or dispel your doubts. If the suspicion is confirmed, experts will help you choose an individual method of treatment and eliminate varicose veins.

Is there no cure?

There is! We offer patients the opportunity to get rid of varicose veins. We give you the opportunity to return to your usual lifestyle and not feel uncomfortable thinking about your own legs. But before treatment, it is worth understanding that different methods of treatment can be used at different stages of the disease.

Stages of varicose veins:

  • Intradermal and segmental varicose veins with no pathological veno-venous discharge
  • Segmental varicose veins with reflux in superficial and / or perforating veins
  • Extensive varicose veins with reflux in superficial and perforating veins
  • Varicose veins with deep venous reflux

In a specialized clinic you can get treatment in all stages for varicose veins of all kinds.

How do you treat varicose veins?

The clinics use a modern laser treatment method for varicose veins - endovenous laser coagulation (EVLK), or simply laser treatment of varicose veins. EVLK is a modern method that does not remove the vein and does not require incisions. The laser effect is carried out in the vein, it is "brewed" under the influence of high temperature. The vein itself turns into connective tissue over time.

What is this method, what is its essence and how does it help get rid of varicose veins?

Everything OK. The laser in medicine is a relatively new phenomenon (if you look at medical history as a whole). But even in a short period of time it has proven to be effective and reliable. The laser can significantly reduce the percentage of postoperative complications in patients, shorten the rehabilitation time and the time of the operation itself. In most other countries, the laser method for treating varicose veins is considered the most important and effective. Its effectiveness has been confirmed by scientific research. So, if you are concerned about the symptoms of venous insufficiency or the presence of varicose veins, it is time to see a phlebologist.

If your doctor prescribes (or recommends) surgery for you, don't be afraid. The operation for laser treatment of varicose veins does not require any special training. As the statistics show, more than 98% of patients tolerate the treatment of varicose veins with a laser without any problems.

In addition, the phlebologist advises you to buy compression stockings (these will be needed immediately after the operation). When buying stockings, it is better not to save and listen to the doctor's recommendation. Poor quality stockings can increase healing time or lead to complications (the doctor usually recommends compression class II knitwear and must be worn for 3-5 days). the legs before the operation (at least one day before the operation)

Before the operation, you need to undergo a standard examination:

  • General blood analysis
  • Biochemical analysis
  • Study of the blood coagulation system
  • Donate blood for markers of viral hepatitis, HIV, syphis
  • Take an EKG

How is vein laser treatment performed?

In the classic version, EVLK excludes any cuts. Those. There are no scars or cuts after the operation.

Stages of endovenous laser coagulation:

  1. The laser-sclerosed vein is marked under ultrasound control: the projection of the vein is simply drawn on the skin with a marker (its tributaries are also highlighted).
  2. Local anesthesia is given (the injection itself is the most painful feeling during the entire operation)
  3. A vein is punctured through a small puncture with a special venous catheter and a laser light guide is inserted through the catheter.
  4. Local anesthesia is administered. Various types of local anesthetics are used for anesthesia.
  5. EVLO is performed - laser radiation is turned on and the fiber is moved along the vein.
  6. Varicose veins are hardened or removed by micropunctions
  7. After the procedure, a compression bandage is applied (special rollers are attached to the vein, compression stockings are applied to the leg)

The entire procedure takes about 40 minutes. A few days after the operation, the doctor may prescribe sclerotherapy or miniflebectomy for large varicose veins of the great saphenous vein and small veins.

The main advantages of laser coagulation of varicose veins (EVLK):

  • Minimally invasive. Instead of making an incision with a scalpel, a micropunction is performed. There are virtually no subcutaneous hematomas after the operation. Healthy tissue is not attacked during the operation.
  • No general or spinal anesthesia required
  • Painlessness. The operation is performed under local anesthesia, the patient has no pain or mild discomfort
  • No hospitalization required. The operation is carried out on an outpatient basis. The patient doesn't even have to open a sick leave.
  • Long rehabilitation is not required. 1. 5-2 hours after the operation, the patient can return to the normal rhythm of life.
  • No hospitalization required
  • The lowest percentage of complications compared to other methods
  • Possibility of surgery for trophic ulcers
  • No age restriction

The laser treatment of varicose veins (EVLK) avoids the post-operative complications inherent in the classic "scalpel" treatment (and removal of veins).

The main contraindications to this method of treatment are:

  • Inflammatory changes in the skin and subcutaneous tissue at the site of the planned operation
  • Walking disabilities due to other diseases (osteoarthritis, consequences of a stroke, other diseases of the lower limbs and the musculoskeletal system)
  • Acute infectious or chronic diseases
  • Stenosing diseases of the arteries of the lower extremities. With such diseases, blood flow to the lower extremities is disturbed and surgery can make the situation worse.
  • History of repeated thrombosis, severe thrombophilia.
  • Pregnancy and breastfeeding (breastfeeding)
  • Being very overweight makes the necessary postoperative compression more difficult.

It is worth noting that laser coagulation of veins, which was carried out before planning pregnancy, can not interfere in any way. On the contrary, when planning pregnancy, it is worth checking the condition of the veins of the lower extremities and having them examined by a phlebologist.

The number of procedures for complete relief from varicose veins is individual and depends on the degree of infection. Hence there is no precise number of procedures. Every organism has its own characteristics. The phlebologist assesses the condition of each patient individually and makes his own assessment based on the examination. It all depends on the number and degree of varicose veins. In addition to varicose veins themselves, it is important to understand the patient's body's ability to recover. A medical consultation will help you calculate how many interventions will be required to achieve the desired result and effect. It should be noted that the break between manipulations should not be less than 3 weeks - a month. Laser coagulation enables the patient to be freed from varicose veins and prevents other related problems.

Postoperative period:

  • Immediately after the operation, the patient must move (walk) for 1 hour, after which he can go home
  • On the next day and on the 7th day, a medical examination with a mandatory ultrasound examination is required
  • If an operation on the second leg is necessary, it will be prescribed a week later at the earliest.
  • Compression stockings are not taken off for the first 5 days, then they are only worn during the day for 1. 5-2 months
  • It is recommended that you walk briskly for at least 1 hour a day
  • At puncture sites and sclerosed veins, bruises or pigment spots can occasionally (individually) occur
  • For several weeks after the operation, prolonged static loads on the legs, flights, prolonged sitting, baths and saunas, hot baths should be avoided
  • You have to give up alcohol
  • Avoid wearing high heels

It should also be noted that there is a possibility of recurrence of the disease (insufficient obliteration of the venous lumen leads to its recanalization - restoration of blood flow and re-expansion). In most cases, this is because patients are not following medical prescriptions and are not adhering to medical prescriptions. As a piece of advice, EVLK patients can be advised (at least for the duration of rehabilitation) to give up bad habits and lead a healthy lifestyle (in terms of diet, daily routine and general stress). And for those who lead an athletic lifestyle and work in the gym, it is worth noting that classes can resume in 4-5 weeks. It is important to avoid heavy physical exertion (lifting weights, strength exercises). In addition, doctors prohibit fast running as a form of shock exposure (this includes jumps and tears). Such stresses after laser coagulation are highly undesirable. If there is an individual indication, doctors can perform a miniflebectomy (microflebectomy) in clinics.

Miniflebectomy- This is the removal of veins using miniature pricks in the skin. The procedure does not require any major cuts. Depending on the stage of the varicose veins, you may not need a hospital or general anesthetic to perform a miniflebectomy. In the clinic, the procedure is carried out on an outpatient basis under local anesthesia. This is because the miniflebectomy almost completely eliminates painful sensations. After the removal of varicose veins, bruises are formed in the area of removal, which disappear after 2-3 weeks (depending on the individual characteristics of the patient's body) and after 1-2 months, there are practically no traces of varicose veins, and the performed operation does not persist.

New life for your feet

After the operation, the recovery period passed and all traces of EVLK disappeared (i. e. after a relatively short period of time) on the patient's legs, and this is especially true for patients, the beauty of the legs returns. Inner calm will set in and the fear of the appearance of your beautiful legs will disappear. You no longer have to limit yourself when choosing a wardrobe. But with all this, do not forget and ignore the doctor's recommendations. It is necessary to be examined by a phlebologist after his appointment.

And you need to make a habit of strengthening blood vessels, not regularly, but constantly. The body needs your help. Reliable modern technologies, professionalism and experience of doctors and your active desire to get rid of the disease do not give varicose veins the slightest chance of development!

Think about the main advantages of EVLK over other methods:

  • In the case of outpatient surgery or discharge on the day of the operation, the duration of the operation is 30-40 minutes
  • Cosmetic effect. Lack of skin wounds and sutures
  • Low invasiveness of manipulation
  • No anesthesia required. The operation is performed under local anesthesia
  • Return to work is possible the next day after the operation