Laser ablation for varicose veins - EVLA
Endovenous Vein Ablation EVLA is a venous insufficiency treatment method which relies in passing a laser fibre into the varicose vein for a laser session. Thus released laser energy shrinks and finally closes off a varicose vein and therefore no surgery to remove varicose veins is needed.
A chronic venous insufficiency treatment through eliminating the sources of pathological alterations in blood flow is intended to:
- reduce the risk of deep venous thrombosis (DVT) and pulmonary embolism (PE) development/ recurrence;
- reduce the risk of thrombophlebitis development / recurrence;
- reduce the risk of venous ulcer development / recurrence
- minimise troubles like oedema, myospasms, leg heaviness and fatigue;
- achieve a better leg appearance.
We have been involved in performing intravenous procedures since 2007.
- postoperative haematomas and pain are definitely less nagging than after classical stripping surgery,
- minimised surgical invasion and no scars,
- a relatively short time of the treatment (ca. 30 minutes),
- only local anaesthesia (no spinal needle insertion, no intubation),
- you are likely to leave hospital 2-3 hours upon the procedure,
- relatively short convalescence – without the need to reduce your normal daily routine,
- you are likely to return to work only 5-7 days following the procedure,
- this type of laser treatment is a proven method which has been applied over the past 25 years,
- the risk of treatment failure and varicose vein recurrence is ca. 5%.
Eligibility for a surgery is determined during a specialist consultation on the basis of a USG Doppler examination performed by your attending surgeon. It involves an estimation of indications and technical possibilities for the procedure and developing a treatment plan.
Medical eligibility is verified and the laser treatment is performed by:
Stanisław Molski, MD. PhD. DSc.
Michal Molski, MD. PhD.
Schedule your visit via e-Appointment.
Pricelist, reimbursement provideed by insurance companies:
- Cost of verifying a patient’s eligibility for the procedure with USG scan is 120 €
- Cost of laser ablation for varicoseveins - EVLA ammounts to 1400 €
- Follow-up appointments up to 4 weeks following the procedure – free of charge.
- We signed contracts concerning medical eligibility and procedure coverage with: eg. Luxmed a partner of BUPA
- Check if your insurance coverage includes the cost of medical eligibility or procedure
- If required we will prepare a treatment plan for your insurance company
Symptoms and indications for the procedure:
- Feeling of leg heaviness receding or reducing after resting, especially when keeping your legs in a lifted position
- Muscular, calf contractions at night, intensifying after seating or standing in the same position for a long time, and also when in high temperatures
- Expanding sensations in calves
- Foot, ankle or calf swelling increasing after seating or standing in the same position for a long time, and also when in high temperatures
- Pain alongside the veins
- Tingling sensation, numb sensation in legs
- Restless leg syndrome
- Itchy skin
- Melanoderma, particularly in the area of ankles
- Noticeable bulging and curving varicose veins
- Thrombophlebitis and deep venous thrombosis
- Shank ulcers – most frequently around ankles
The course of procedure:
A laser fibre is passed through a thin tube into the knee vein which allows to avoid incisions, scars as well as postoperative haematomas which are related with classical varicose veins surgery. After endovenous laser treatment, you will wear a compression stocking.
You are able to leave hospital on your own only 2 hours following the procedure.
- You should wear a compression stocking day and night until the follow-up visit.
- You must not make any essential decisions, drive motor vehicles or consume alcohol or other stimulants for the period of 24 hours following the procedure.
- You may find the skin surface over the vein closed, especially above knee particularly painful when touched, insignificant bruises are common. The application of paracetamol, ibuprofen or other painkillers as well as heparin gels for varicose veins will successfully solve the troubles.
- Postoperative bruising, if any, will settle and absorb within several weeks.
- After discharge from hospital, you should carry on your normal daily routine but avoid overstrain and too much walking.
You are likely to return to work ca. 5-7 days following the laser procedure.
- A follow-up visit is scheduled before your flight home
- Follow-up visits, if necessary, are free of charge for the period of 4 weeks following the procedure
- Varicosities shrink and dissaper within 4 weeks after procedure. If you still notice varicosities after this time you are advised to get a medical consultation in order to determine indications for a supplementary treatment, e.g. sclerotherapy
- You are advised to get a medical consultation if you notice new varicosities or recurrent symptoms like haeviness ro swelling
Should you have any doubts or notice any distressing symptoms such as leg swelling, fever, do not hesitate to contact a doctor.
Information and registration available 09.00-19.00 on weekdays by phone on: +48 52 326 58 00 or day and night service available through an e-Appointment form.
The procedure concerning disease and treatment may vary depending on a patient and a surgeon’s experience.
Should you have any queries about the laser procedure, preparation for it or postoperative treatment, a fee for surgery or cost coverage by your insurance company, do not hesitate to ask your surgeon.