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Sclerotherapy

Sclerotherapy is a method of vein closure with the use of a chemical sclerosant. The procedure is almost painless – anesthesia is usually not needed at all.

Depending on the size of the vessel, several sclerotherapy techniques are used:

  • foam sclerotherapy – in the case of large varicose veins; 
  • sclerotherapy with a vein light illuminator – in the case of reticulated veins;
  • sclerotherapy with a magnifying lamp – in the case of spider veins (telangiectasia and venulectasia).

Indications for surgical procedure

Before sclerotherapy, a duplex Doppler ultrasound of the lower limbs must be performed to qualify the patient. The indications for the procedure are varicose veins and spider veins. The procedure is virtually painless and does not require anesthesia.

The procedure

Through puncture of the vessel malformations, a solution is inserted into the veins, which irritates the vascular endothelium causing the vessel to collapse and stick together. The most common sclerosant is polidocanol – a detergent that can be used as a liquid or foam. The medication is available in different concentrations, which are used depending on the diameter and the thickness of the wall of the vessel. After injecting the vessel, pressure is applied locally and, in some cases,, a temporary lift of the limb.

Recommendations after treatment

  • directly after the procedure we recommend a 15-20-minute walk
  • earing a class 1 compression stocking for 24 hours after the procedure and then during the day for one week
  • avoiding sun exposure of the limbs (for 1 month)

Already the next day the patients are able to return do moderate physical activity (walks, climbing the stairs, work which does not require intense effort). Return to exercise is possible after 1-2 weeks.

Other treatment options for varicose veins and spider veins

Endovenous laser treatment (EVLT)

Laser removal of varicose veins is a minimally invasive method of treating superficial vein insufficiency (i.e., varicose veins). The procedure involves closing ineffective venous trunks with thermal energy generated by a laser. The optical fiber of the laser device is inserted into the vein through a skin puncture. The procedure is conducted under local anesthesia and the patient can return home immediately after the procedure.

Ceny:

EVLT – one lower limb

4900 PLN

EVLT – both limbs

6500 PLN

Follow up appointment

free of charge

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Percutaneous laser therapy

Vasculaze and Lumecca lasers are used for coagulation and closure of mild vascular lesions. During the procedure, a specially designed instrument head sends light impulses causing the blood vessels to disappear. Several procedures are necessary to achieve the desirable effect and the improvement in the treatment area is gradual.

Prices:

Vasculaze

1000 PLN / session

Lumecca

1000 PLN / session

Follow up appointment

free of charge

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VeinOff therapy

VeinOff is a method of gluing the veins with the use of a therapeutic agent – a tissue adhesive. During the procedure, a therapeutic agent is injected into the vessel. After the administration of a small amount of adhesive, the surgeon applies pressure to the injection site for about 2–3 minutes. The adhesion initiates local inflammation, which in a few weeks leads to fibrosis and complete closure of the dysfunctional vein. The procedure takes a few up to a dozen minutes and is performed during EVLT or sclerotherapy.

Ceny:

VeinOff therapy

1200 PLN

Follow up appointment

free of charge

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