Laser treatment of varicose veins - indications, features of the procedure and price

The procedure for treating veins with a laser is called laser therapy and is prescribed by a phlebologist. Varicose veins without treatment lead to serious complications. Reliable modern laser therapy refers to minimally invasive techniques, performed without pain or injury.

What is laser vein freezing

As a result of laser coagulation lasting for several years, recurrence of varicose veins is subsequently prevented. Endovasal laser therapy is recognized as one of the most effective methods of treating varicose veins. The goal is to glue the ship, giving it an aesthetic appeal.

Laser treatment involves the adhesion of vessels and scars completely, eliminating the need for the use of chemicals.

The therapy is fast and safe. A light guide is inserted into the affected vessel, which emits a stream of energy. It is absorbed by hemoglobin, heat is released, which heats the blood cells and vascular walls.

Blood is squeezed out of the vessel, the veins are "sealed". After treatment of varicose veins with laser, the effect is improved by wearing compression underwear, which does not allow blood flow in the damaged veins to recover. The vessel is overgrown with connective tissue, no longer bothering the patient.

laser treatment of varicose veins

Pros and cons of the procedure

Endovasal laser coagulation of varicose veins has advantages and disadvantages. This includes:

good Minus
Low trauma, no scarring, hematoma, edema after intervention. Surgery is performed only in specialized medical institutions.
No bleeding, no pain. Low efficiency with advanced form.
No need for wide slices. The need for additional surgical intervention when the diameter of the vein exceeds the norm - incisions are made.
Minimal risk of infection. Wear compression underwear for a week (according to reviews, it causes discomfort).
No special training, short -term recovery. High price.
Local anesthesia is easily accepted by the patient.
Both legs can be treated at once, the load is minimal.
The procedure is quick - it lasts only 35 minutes, and within an hour the patient can already go home.
No hospitalization is required.

Indications for laser coagulation of veins on the lower leg

  • small and large saphenous vein varicose enlargement;
  • vessel mouth less than 1 cm wide, having a smooth passage with little developed or healthy branches;
  • effective therapy for varicose veins with a small amount of the affected area.

Preparation for laser vein removal

Prior to laser coagulation, duplex angioscanning is performed to accurately study the position of the vein and its turn. On the day of the procedure, no special preparation is required for the patient, if necessary, he is given a sedative. All manipulations were performed under ultrasound control. Local anesthesia is performed - the puncture site is anesthetized.

Laboratory and instrumental examinations

To exclude contraindications, patients were referred for testing and ultrasound. Laboratory tests include:

  • general analysis of urine, blood;
  • liver function tests (protein levels, creatinine, urea, bilirubin, glucose, liver enzymes, cholesterol);
  • coagulogram (fibrinogen, international normal ratio, blood group, Rh factor);
  • blood tests for HIV, syphilis, hepatitis;
  • electrocardiogram;
  • urological analysis, gynecology.
vein ultrasound before laser treatment of varicose veins

Early marking

Laser treatment of varicose veins involves early marking by a doctor. It shows the direction and travel of the ship, it is necessary to understand the scope of work and the place of identification of the LED.

EVLK technique

Laser therapy is divided into several types, differing in the type of LED inserts:

  1. Percutaneous - performed without contact with the skin, suitable for the early stages of varicose veins. It removes vascular mesh, small vessels with a diameter of not more than 3 mm.
  2. Endovasal - the introduction of an LED into a damaged vein, where a laser beam is sent to the damaged area.
  3. Combination - a combination of phlebectomy with laser coagulation. Indications: the diameter of the entrance vein orifice is higher than 1 cm. An incision is made up to 1. 5 cm, then a laser is inserted.

More often, endovasal procedures (endovenous laser coagulation of veins) are performed. The ratings:

  1. Local anesthesia at the puncture site.
  2. Puncture on dry skin.
  3. Introduction of LEDs with laser connection.
  4. Ship freezing.
  5. Removing the LEDs.
  6. Disinfection of the puncture with antiseptic, protection from infection by using a bandage.
  7. After the patient is asked to take an upright position on the couch, then he slowly stands up to avoid vascular collapse.

Recovery period

Minimally invasive laser therapy does not mean being in the hospital, therefore, an hour after the procedure, the patient is sent home. She must wear compression garments for a week. Other useful measures for successful wound healing and prevention of complications include:

  • weight control;
  • avoid prolonged standing or sitting position;
  • proper diet, drinking regime;
  • wear comfortable shoes without heels.

Possible postoperative complications

Laser treatment of varicose veins still has some consequences. Discomfort, slight pain at the puncture site (arising from improperly given anesthesia) is considered safe and passes quickly. If they persist for more than 2 days, it is dangerous, an urgent need to consult a doctor.

Serious consequences are considered:

  • trauma to healthy tissue, hematoma, edema;
  • inflammatory processes, suppuration;
  • thrombosis;
  • deterioration of varicose vein travel;
  • fever, redness of the treatment site;
  • heavy, sore muscles when walking;
  • paresthesia.
foot examination before treatment of varicose veins with laser

Contraindications to the procedure

Absolute contraindications to the procedure:

  • tendency to thrombophlebitis, thrombosis;
  • blood disorders, lymphatic circulation, heart failure;
  • oncological diseases;
  • blood clotting pathology;
  • chronic varicose vein syndrome.

Relative contraindications:

  • skin inflammation;
  • exacerbation of chronic diseases (e. g. , stomach ulcers);
  • pregnancy, lactation;
  • overweight.


The price of the procedure varies depending on the stage of the disease. The price level is influenced by the location of the clinic, the quality of equipment used, the experience and qualifications of the doctor.