Laser treatment of varicose veins - indications, features of the procedure and price

The procedure for treating veins with a laser is called laser therapy and is prescribed by a phlebologist. Varicose veins without treatment lead to serious complications. Modern reliable laser therapy refers to minimally invasive techniques, performed without pain or injury.

What is laser coagulation of the veins?

The result of laser coagulation lasts for several years, subsequent relapses of varicose veins are prevented. Intravascular laser therapy is recognized as one of the most effective methods of treating varicose veins. Its goals are the gluing of vases, giving an aesthetic appearance.

The laser treatment involves bonding the vessel and its complete healing, eliminating the need for the use of chemicals.

Therapy is fast and safe. A light guide is inserted into the affected vessel, which emits a stream of energy. It is absorbed by hemoglobin, heat is released, which heats the blood cells and vascular walls.

The blood is squeezed out of the vessels, the vein is "sealed". After the treatment of varicose veins with a laser, the effect is resolved by wearing compression underwear, which does not allow the recovery of blood flow in the damaged vein. The vessel is covered with connective tissue, it no longer interferes with the patient.

laser treatment of varicose veins

Advantages and disadvantages of the procedure

Intravascular laser coagulation of varicose veins has advantages and disadvantages. These include:

professionals versus
Reduced trauma, no scars, bruises, edema after surgery. The operation is performed only in a specialized medical institution.
No bleeding, no pain. Low efficiency with advanced modules.
There is no need for extensive incisions. The need for further surgery when the diameter of the vein is above the norm - incisions are made.
Minimal risk of infection. Wearing compression underwear for a week (according to reviews, it causes discomfort).
No special training, short-term rehabilitation. High price.
Local anesthesia is easily tolerated by patients.
Both legs can be treated at the same time, the load is minimal.
A quick procedure: it takes only 35 minutes and in an hour the patient can already go home.
No hospitalization required.

Indications for laser coagulation of the veins of the lower limbs

  • varicose enlargement of the small and large saphenous veins;
  • the mouths of the pots are less than 1 cm wide, have a smooth course with slightly expanded or healthy branches;
  • therapy is effective for varicose veins with a small volume of the affected area.

Preparation for laser vein removal

Before laser coagulation, duplex angioscanning is performed to accurately study the position of the vein and its coils. On the day of the procedure, no special preparation is required for the patient, if necessary he is given a sedative. All manipulations are carried out under ultrasound control. Local anesthesia is performed: the puncture site is anesthetized.

Laboratory and instrumental examination

To exclude contraindications, the patient is referred for examinations and ultrasound. Laboratory tests include:

  • general analyzes of urine, blood;
  • liver function tests (levels of proteins, creatinine, urea, bilirubin, glucose, liver enzymes, cholesterol);
  • coagulogram (fibrinogen, international normalized ratio, blood group, Rh factor);
  • blood test for HIV, syphilis, hepatitis;
  • electrocardiogram;
  • urological, gynecological analyzes.
ultrasound of the veins before laser treatment of varicose veins

Preliminary markup

Laser treatment of varicose veins involves preliminary marking by a doctor. Show the direction and course of the ships, it is necessary to understand the purpose of the work and the place of introduction of the LED.

EVLK technique

Laser therapy is divided into several types, differing in the type of insertion of the LED:

  1. Percutaneous - performed without contact with the skin, suitable for the initial stage of varicose veins. Removes the vascular network, small vessels with a diameter of not more than 3 mm.
  2. Endovasal - the introduction of an LED into the damaged vein, through which the laser beam is delivered to the damaged areas.
  3. Combined: a combination of phlebectomy with laser coagulation. Indications: The diameter of the entrance vein orifice is more than 1 cm, an incision of up to 1. 5 cm is made, then a laser is inserted.

More often, an intravascular procedure (intravenous laser coagulation of the veins) is performed. Its stages:

  1. Local anesthesia at the puncture site.
  2. Puncture of the skin of the shin.
  3. Introduction of LED with laser connection.
  4. Coagulation of the vessels.
  5. Removing the LED.
  6. Disinfection of the puncture with an antiseptic, protection from infection by applying a bandage.
  7. After the patient is asked to stand upright on the couch, he slowly stands up to avoid vascular collapse.

Rehabilitation period

Minimally invasive laser therapy does not imply a stay in hospital, therefore, an hour after the procedure, the patient is sent home. He has to wear compression clothing for a week. Other measures useful for successful wound healing and the prevention of complications include:

  • weight control;
  • avoid prolonged standing or sitting positions;
  • proper diet, diet;
  • wear comfortable shoes without heels.

Possible postoperative complications

Laser treatment of varicose veins still has some consequences. Discomfort, slight pain at the puncture site (resulting from improperly administered anesthesia) are considered safe and pass quickly. If they persist for more than 2 days, it is dangerous, it is urgent to consult a doctor.

Serious consequences are considered:

  • trauma to healthy tissues, hematomas, edema;
  • inflammatory process, suppuration;
  • thrombosis;
  • worsening of the course of varicose veins;
  • fever, redness of the treatment site;
  • heaviness, muscle pain when walking;
  • paraesthesia.
leg examination before varicose vein treatment with a laser

Contraindications to the procedure

Absolute contraindications for the procedure:

  • predisposition to thrombophlebitis, thrombosis;
  • blood disorders, lymphatic circulation, heart failure;
  • oncological diseases;
  • pathology of blood clotting;
  • chronic varicose vein syndrome.

Relative contraindications:

  • inflammation of the skin;
  • exacerbation of chronic diseases (for example, gastric ulcers);
  • pregnancy, lactation;
  • overweight.

Price

The price of the procedure varies depending on the stage of the disease. The price level is influenced by the location of the clinic, the quality of the equipment used, the experience and qualifications of the doctor.