The comparison of varicose veins treatment methods

comparission of different varicose veins treatment methods

There is no perfect method to treat every patient. Each of methods has its advantages and disadvantages as well. A surgeon’s professional experience and the possibility of combining and matching the most relevant treatment methods for an individual patient allow to achieve optimal effects and maintain a minimum procedure risk.

When choosing a certain procedure one should consider the recurrence character of the disease which frequently leads a patient to carry on treatment in the future.

Procedures and operations:

MethodAdvantagesDisadvantagesReturn to workThis treatment is most relevant for

 

 

 

EVLT Laser Ablation Procedure

- quick and effective technique typically used to treat deep varicose veins which are relatively small in diameter

- the cheapest intravenous ablation procedure

- incisionless procedure, no suturing required

- a laser cannula reaches very high temperatures, even several hundred degrees Celsius, which may cause skin burning and discoloration

- not recommended for the treatment of tortuous varicose veins and veins measuring > 1cm in diameter

- inflammatory reaction remains for up to 14 days following the procedure

 

 

 

3-10 days

- a patient suffering from varicose veins which are relatively small in diameter and without sizeable bulgy varicose veins

 

 

Radiofrequency Ablation Procedure using the
Celon RFITT 

-  the temperature of the procedure

- little or no inflammatory reaction or pain complaints

- for the treatment of varicose veins measuring >1cm in diameter

- not recommended for the treatment of tortuous varicose veins

- may cause skin burning and discoloration in case of very superficial varicose veins

 

 

 

1-3 days 

- a patient suffering from advanced or recurrent varicose veins which are superficial or tortuous

- a patient suffering from varicose veins which are large in diameter and superficial

- a person suffering from other diseases

 

 

Steam Ablation Procedure
SVS

- for the treatment of recurrent, tortuous and superficial varicose veins

- for the treatment of varicose veins measuring >1cm in diameter

- the temperature of the procedure

- the lowest discoloration risk

- insignificant inflammatory reaction 

 

 

3-10 days 

- osoba z zaawansowanymi lub nawrotowymi żylakami o powierzchownym lub krętym przebiegu

- osoba z niewydolnym pniem żylnym o dużej średnicy i powierzchownymi żylakami

- osoba obciążone innymi chorobami

 

Ultrasound Guided Foam Sclerotherapy 

- the price

- recommended for the treatment of recurrent, tortuous and superficial varicose veins

- no anaesthesia required

- the highest recurrence risk – the bigger vein diameter the higher recurrence risk

– inflammatory reaction and discoloration in case of superficial varicose veins

- it is necessary to repeat the procedure many times

 

 

1 days 

-  a patient disqualified from other treatment methods

- a patient suffering from varicose veins which are small in diameter

 

 

Stripping with Miniflebectomy

 

 

- refunded by the NFZ 

- portal vein ligation which increases the recurrence risk

- 2 big skin incisions at least  

- large post-op haematoma

- the risk of varicose vein removal failure up to 50% (data from literature sources)

 

 

2 - 3 weeks 

 

- a person who can afford to be on a two-to-three week sick leave 

- someone who doesn’t mind post-op scars 

 

 

Crio-stripping + Miniflebectomy

 

 

- Refunded by the NFZ 

- portal vein ligation which increases the recurrence risk

- 1 big skin incisions at least 

- large post-op haematoma

- the risk of varicose vein removal failure up to 50% (data from literature sources)

 

 

 2 - 3 weeks

- a person who can afford to be on a two-to-three week sick leave

 - someone who doesn’t mind post-op scars

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Anaesthesia:

All varicose vein treatment procedures and operations are performed in local or tumescent anaesthesia and anaesthesiology sedation. A local anaesthetic is provided to the area of the varicose vein to be removed. Tumescent anaesthesia is the practice of ultrasound guided injecting a very dilute solution of local anaesthetic into the area closest to the vein to prevent pain, reduce haemorrhage and enhance the desired effects of ablation procedure. This kind of anaesthesia doesn’t require a spinal tab or intubation which ensures you comfort, safety, rapid recovery period and quick return home.

  • Ablation procedures (EVLT, RFITT Celon, SVS) are performed in tumescent anaesthesia and the skin over the treatment area is anesthetized including ultrasound guidance and anaesthesiology sedation; 
  • Surgery procedures (stripping, crio-stripping) are performed in anaesthesiology sedation and in local anaesthesia and the skin over the treatment area is anesthetized; 
  • No anaesthesia is required for sclerotherapy procedures;

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Remarks:

This website describes standard aspects concerning your disease and treatment. It is not intended to replace professional medical treatment or talk between you and your surgeon about your disease and relevant treatment. The treatment method characteristics as well as recovery periods provided herein are based on our 7-year experience gained in the Eskulap Hospital and are only an estimate and may vary depending on the patient.

The procedure concerning disease and treatment may vary depending on a patient and a surgeon’s experience.

Should you have any queries about the procedure, pre-op preparation or postoperative treatment, a fee for a procedure or cost coverage by your insurance company, do not hesitate to ask such questions to your surgeon.

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