Surgical methods for removal of varicose veins

Laser endoluminal photocoagulation ( used from 2000)

These laser types are used – KTP, diod laser, NdYag, CoolTouch laser

The laser fibre is inserted into the vein, laser radiation is very well absorbed in hemoglobin, here the light energy changes into the thermic energy, warm the vein wall and blood and so it comes to the sealing of the vein.

Advantages of laser endoluminal photocoagulation

• Particular branches of varicose veins can be sealed with assistance of laser too, it does not have to be combined with extirpation of varicose veins.
• An undemanding and outpatient treatment
• All varicosities can be treated, including relapses
• Risk of recanalization until 3%

Radiofrequency Ablation of varicose veins ( used from 2000)

Electrode Closure ( Radiofrequency appliance) is inserted into the vena saphena magna (VSM), the great saphenous vein and with the contact of electrode and vein wall dones to occlusion (closing) of VSM.

Radiofrequency ablation is always combined with classic surgical treatment – extirpation of varicose branches VSM mostly with assistance of Mueller hook.

Advantages of Radiofrequency Ablation of varicose veins

• An undemanding procedure, usually outpatient, without hospitalization
• Almost always combined wit surgical extirpation of varicose všine
• Relapses cannot be treated

Outpatient phlebotomy

Varicose veins are pulled out (only damaged part sof vein are removed) – with assistance of Mueller hook or extirpation knives or combined with stripper (string is inserted in to the vein and then is the vein pulled out - ministripping).

• Used mainly for smaller collateral types of varicose veins
• Choice of the method depends on your state of health, not on your age
• It is an outpatient treatment performed under local anaesthesia, without hospitalization
• The longest time of convalescence and healing