Endovenous Laser Ablation (EVLA) is a minimally invasive procedure for the treatment of varicose veins. The laser fibre is introduced in the main superficial venous blood vessel that causes painful and unpleasant clusters of varicose veins.
The heat released at the tip of the laser transducer (photo thermal effect) causes changes inside and in the wall of the venous blood vessel and the vein shrinks. The final outcome the flow is blocked through the treated part of the vein.
Laser treatment is one of the latest and the most modern methods of varicose vein treatments. It has been used for more than ten years and has proven to be exceptionally effective (unproblematic in terms of complications) and has a very small percentage of complications, which has made it popular all around the world. Multiple studies have shown that the rate of success in the first year alone was approximately 98%.
The surgery is performed in local anaesthesia, and the patient can walk immediately after the procedure and can take painkillers following the doctor’s recommendation. The patient needs to wear elastic stockings during the day for two weeks after the surgery. Walking for 30 minutes several times a day is recommended in the further period of recovery.
Before the surgery, the patient must have an ultrasound examination of the lower limbs so that veins that are to be treated may be marked on the skin. Then the whole leg must be disinfected and covered by sterile compressed gauze. After that, the patient gets the local anaesthesia and a laser transducer is introduced in the affected part of the vein. Following that, in order to make the surgery completely painless, a solution for the tumescent local anaesthesia is injected under ultrasound monitoring. The laser treatment starts and lasts approximately 30 to 45 minutes.
Bruises on the skin, little swelling and tension or pain normally appear after the surgery and disappear after several days. The procedure may affect the nerves located near veins, but these occurrences are much less common than in classic vein surgery. In this case, patients feel less numbness, tickling or other sensations. In certain cases, painful keloid scars may appear on the skin. Other complications, infections, embolism, and thrombosis are very rare. Most side effects, such as redness, pain in the groin or thigh are transient and caused by the thermal effect of the laser. The pain is the most intensive 3-5 days after the surgery while all the side effects disappear several days after the procedure. Compared to a classic vein surgery (striping), the above-mentioned passing effects are minor, i.e. their volume and frequency are much smaller while the recovery is manifold faster.
Possible complications are limited to a chronic course of the disease that will, if it remains untreated, exacerbate over time. In the further course of the untreated disease, a blood clot may be created in the veins of the legs, which may extend to the deep venous system and the lungs, leading to the breaking and bleeding of veins, venous wounds on the legs (venous ulcers). Most often the disease of the superficial venous system may develop the swelling of the ankle and changes on the skin (dermatitis, eczema, hardened skin, etc.).
There is a huge misconception that veins are not to be treated during summer months when patients also have problems. Thanks to the minimally invasive procedure, laser vein treatment may be performed all the year round, including the summer months.
The centre was founded by doctor Dario Jocić, a vascular surgeon, after many years of his professional practice. His wish was to offer patients in this part of Europe all globally available, modern and minimally invasive treatment methods for varicose veins.
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