• Laser varicose vein surgery using the EVLA method (endovenous laser ablation) is a modern, minimally invasive method with high efficiency. Its advantage is that the vein does not need to be physically removed – it is closed from the inside using heat from the laser.
• The main advantages of EVLA: fast recovery – return to normal activities within 1-2 days, almost painless procedure without the need for general anesthesia, minimal risk of complications, excellent aesthetic result – no large scars, no need for hospitalization – the procedure is performed on an outpatient basis.
• The method is suitable for various degrees of varicose veins, including cases with pain, swelling or aesthetic discomfort.

The course of the procedure 

• EVLA works on the principle of introducing a thin laser fibre into the affected vein. The laser light is converted into heat, which closes the vein from the inside.
• The procedure is performed under ultrasound control, making it extremely precise and gentle. During the treatment, the patient feels only slight heat or pressure.
• Duration of the procedure: 30-60 minutes, depending on the extent of involvement.
• After the procedure is completed, the patient puts on compression stockings and can go home immediately.

Befor the procedure

• Prior to the procedure, it is necessary to have a consultation with a vascular specialist physician who will determine the suitability of the EVLA procedure based on clinical examination, ultrasound imaging of the venous system, general health and medical history.
• The patient will be given all relevant information, the procedure and follow-up care. If EVLA is appropriate for the patient, the doctor will suggest an exact plan for the procedure.

After the procedure

• Recovery after EVLA is short and simple. The patient goes home immediately after the procedure, wears the recommended compression stockings as instructed by the treating physician, and returns to normal activities the next day.
• Common side effects such as mild redness, bruising or pressure at the site of the procedure resolve spontaneously. The attending physician will provide precise instructions for home care.

• This is a surgical procedure in which the affected veins are removed from the body. It is mainly performed on veins that are visibly bulging or causing health problems.
• In a phlebectomy, veins are removed using tiny incisions on the skin. The advantage of this method is that the incision sites are very small, the procedure is less invasive, quick and leaves almost no scarring.
• It is a modern method of treatment that brings patients not only aesthetic improvement, but also relief from the physical problems associated with varicose veins.
• Phlebectomy is often performed under local anesthesia, the reason being patient comfort and the safety of the procedure. Local anesthesia means that only the area where the surgery is being performed is numbed.

The course of the procedure

The procedure begins with the application of local anaesthesia.
Then the vascular surgeon makes small incisions near the affected veins. These incisions are often so small that no stitches are needed to close them.
Using a special instrument (phlebectomy extractor), the doctor removes the damaged veins. The whole process is relatively quick and usually takes a few tens of minutes to an hour, depending on the extent of the involvement.
During the procedure, the patient feels comfortable and can communicate calmly with the doctor.
Once all the damaged veins have been removed, a sterile dressing or compression stocking is applied to the incisions to help speed healing and minimize swelling.

Before the procedure

Prior to the procedure, the patient undergoes a preliminary examination with our vascular surgeon, who assesses the condition of the veins, the reasons for the procedure and the expected results.
The physician will also gather information about the patient’s medical condition, including allergies, medications taken, previous illnesses or surgeries, and possible risk factors.
The patient will be given instructions about eating and drinking before the procedure. It is usually not necessary to be fasting during surgery under local anesthesia, but the exact instructions depend on the surgeon’s specific recommendations.

After the procedure

• Patients are advised to wear compression stockings for several days after the procedure to promote circulation and minimize the risk of clot formation.
• During the first few days, there may be mild pain, swelling or bruising at the incision sites, which is completely normal and will gradually subside. However, should any unusual symptoms occur, such as excessive pain, redness or fever, it is important to contact your doctor immediately.
• After the procedure, we recommend avoiding prolonged standing or sitting and you should be active, such as going for short walks, to promote healthy blood circulation.