Laser technique, or endovenous laser coagulation (EVLC), is a safe and fairly simple method of treating varicose veins. The procedure involves the action of a laser on the affected vein, as a result of which the vascular wall “sticks together”, and gradually the vein completely dissolves. The blood supply to the legs is not damaged because normal blood flow is provided by deeper vessels. Thus, laser treatment of varicose veins in Lviv at the Korona Clinic effectively fights the expansion of the venous wall, eliminates venous blood flow disorders, and prevents complications of varicose veins.

• Indications and contraindications
• Equipment
• Preparation for the procedure
• Features
• Stages of the procedure
• Rehabilitation

The phlebologist surgeons of our clinic use the latest-generation laser, which selectively acts on the walls of the vessels and guarantees quick and painless treatment of varicose veins.

Important! Laser treatment of veins is performed only by a doctor’s prescription!

The cost of a phlebologist examination is 750 UAH.

Indications and Contraindications for Laser Vein Removal

The main indications for laser removal of veins in Lviv are:

• Subjective symptoms (heaviness in the legs, pain even after minimal exertion, swelling)
• Dilation of the great saphenous vein up to 12 mm
• Varicose veins with a limited number of dilated tributaries
• Straight, smooth anatomical course of the great saphenous vein
• Lack of improvement after conservative treatment

Laser removal of varicose veins is contraindicated in:

• Established thrombophilia
• Need for long-term blood-thinning therapy
• Chronic ischemia of the lower extremities
• Cardiovascular pathologies
• Decompensated diabetes mellitus
• Deep vein thrombosis
• Inability to maintain adequate physical activity after the procedure

Equipment for Laser Treatment of Varicose Veins at the Korona Clinic in Lviv

For laser treatment of varicose veins, specialists of the Korona Clinic use the most modern German Dornier laser, which affects exclusively varicose veins and does not damage surrounding tissues.

Since 2001, lasers with a wavelength of up to 940 nm have been used in surgical phlebology. The spectrum of their radiation is absorbed mainly by hemoglobin in the blood. Their use is associated with the development of complications such as carbonization, vein perforation, skin burns, and damage to paravasal structures.

A qualitatively new stage in the development of EVLC can be considered the use of lasers with a wavelength of 1470 nm. Studies have shown that this spectrum of radiation is absorbed mainly by water contained in the blood and vascular tissues. Due to this, a more uniform distribution of laser energy occurs, and less radiation power is required for effective thermocoagulation. In addition, the risk of damage to the vascular wall and paravasal structures is reduced.

The wavelength of the Dornier laser is 1470 nm.

How Laser Surgery for Vein or Vessel Removal Takes Place

Laser removal of vessels in Lviv at the Korona Clinic is performed on an outpatient basis according to the standards of leading European hospitals, so there is no need for extensive examination as before open surgery, which is performed in a surgical hospital under general anesthesia.

The patient only needs a consultation with a vascular surgeon who carefully assesses the condition of the lower extremities and, if necessary, performs an ultrasound of the veins (Dopplerography).

As for special recommendations, anticoagulants such as heparin should not be taken before the intervention.

Features and Benefits of Laser Vein Surgery

If you are considering laser surgery for varicose veins, the price at the Korona Medical Center corresponds to the regional average, while the results include fast disappearance of varicose veins and relief of leg swelling. EVLC is performed by qualified phlebologists and differs from classical surgery in the following ways:

• No hospitalization required, unlike venectomy
• Local anesthesia instead of general or spinal anesthesia
• Procedure duration of 60–90 minutes
• No scars left on the skin

Steps of Laser Treatment for Varicose Veins

Laser treatment for varicose veins using endovenous laser coagulation requires the delicate work of an experienced specialist and takes place in 5 steps:

Step 1. The phlebologist surgeon performs a puncture of the skin to reach the affected vein.

Step 2. A thin emitter is inserted into the puncture and advanced to the lesion site under ultrasound control. The doctor monitors the movement of the fiber-optic cable on the screen of the ultrasound diagnostic device.

Step 3. As soon as the end of the emitter reaches the affected area, laser radiation is turned on.

Step 4. The hemoglobin of erythrocytes absorbs laser energy and heats up. This leads to boiling of the plasma and blood elements and to gluing of the vessel walls.

Step 5. A dense thrombus forms at the site of irradiation, which completely dissolves in a short time.

Rehabilitation after Laser Vascular Removal

Special rehabilitation procedures after laser vascular removal are not required, but the key to the patient’s recovery is:

• Wearing class II compression hosiery for 3 weeks
• Avoiding thermal procedures for 1 month (hot baths, sauna, beach)
• Avoiding prolonged sitting or standing
• Taking daily walks of 1–1.5 hours

Laser treatment of varicose veins is characterized by low trauma and the absence of incisions on the skin, so you can take a shower the day after the procedure. However, in each case, recommendations are given individually by a phlebologist.

You can drive immediately after the intervention, provided there is no dizziness.
After the removal of varicose veins, it is important to constantly maintain physical activity.

You can make an appointment for a consultation and examination at our medical center by calling: (050) 282-98-68, (068) 776-65-54.