Hello! I am Slavin Dmitry Aleksandrovich, candidate of medical sciences, associate professor, doctor of the highest category, leading phlebologist (one of the best), vascular surgeon at the Giannis clinic. Certified specialist in surgery, vascular surgery and ultrasound diagnostics. Member of the Executive Council of the Association of Phlebologists of Russia.
I have been practicing surgery for more than 18 years; I became interested in phlebology after an internship in France in the early 2000s. And since then, the science of vein treatment has been the main area of my medical and scientific activity.
Many techniques were performed for the first time in our region, improved and replaced by others, more effective. I went from open and endoscopic vein operations to laser surgery for varicose veins, mastered ultrasound diagnostics and all types of sclerotherapy. I began performing the first operations on veins using a laser in Kazan in 2010, and today this method of treating varicose veins is widespread in our republic. But we are not standing still, and hundreds of laser operations have already been successfully performed using the new technology with radial light guides, without pain and on veins of any diameter. At the same time, the cost of laser treatment has not increased significantly and is comparable to other clinics that still use outdated end light guides.
The need to create this site is due to the large number of patients suffering from various venous diseases, who have many questions related to their health status.
On the Internet and the media you can find a lot of “effective” methods of treating varicose veins, such as, for example, hirudotherapy, “miracle” boots, ointments and dietary supplements, which not only will not help, but will also harm in some cases.
The lack of truthful information gives rise to certain myths about varicose veins among patients and delays their visit to a specialist. Although treatment by a phlebologist today can be carried out without pain and with high efficiency, which is confirmed by the experience of using laser techniques, the effectiveness of which is close to 100%.
The commercialization of this area has led to the fact that veins are treated by untrained doctors who do not know ultrasound diagnostics, using outdated standards and techniques who have never treated veins before. Having analyzed our work experience, we tried to cover the main sections of phlebology in an accessible and at the same time professional manner (from the Greek “phlebos” - vein and “logos” - knowledge, thought).
According to modern statistics, 25-33% of women and 10-20% of men in industrialized countries suffer from varicose veins of the lower extremities, 3 - 11% have trophic changes in the skin, trophic ulcers in 1-2.7%. High rates are also recorded in our country. Such a high frequency of occurrence allows us to safely call this pathology a “disease of civilization.”
Despite certain advances achieved in this area, the problems of phlebology have not become less relevant, which is associated with the high rate of relapse of the disease, amounting to 20%-30% in traditional open operations on the veins. Such unsatisfactory treatment results are associated with the lack of correct ultrasound diagnostics, formulaic surgical tactics, the slow introduction of modern minimally invasive treatment methods into clinical practice, and the lack of necessary equipment and trained doctors in this specialty.
We are ready to offer you modern and low-traumatic methods for diagnosing and treating chronic venous diseases, as well as the most affordable prices for the services of a phlebologist in Kazan. In my practice I use only effective techniques that ensure high results.
You can get a preliminary consultation or make an appointment with a phlebologist in Kazan by calling: +7 (843) 273-16-17 or +7 (843) 272-50-50.
endovenous laser obliteration - EVLO - fast, safe, reliable
Varicose veins on the legs are a fairly common problem in modern society. This is a chronic disease that is characterized by serious circulatory problems.
Surely, almost all of us have experienced the feeling of heaviness and swelling of our legs at the end of the day. As a rule, after a night's sleep, all symptoms disappear. This is the whole catch - after all, the patient seeks treatment for varicose veins on the legs only when the situation is advanced and requires surgical interventions. Fortunately, the achievements of modern medicine make it possible to treat varicose veins of the legs effectively, painlessly and even without scars!
Endovenous laser vein obliteration (EVLO) or endovasal laser coagulation of veins has undergone significant changes over the past few years, and has become an integral procedure for many phlebologists for the removal of main varicose veins. Outdated generators with a wavelength of 980 nm have been replaced by new high-energy laser systems with a wavelength of 1470 nm. This allowed phlebologists to significantly reduce power during the intervention. Due to this, there is no heating of nearby tissues and the pain syndrome is significantly reduced, and, consequently, the patient’s recovery in the postoperative period is faster.
About sterility . Sterility during the procedure for removing main varicose veins with a laser plays a significant role. Many clinics, trying to save money, still sterilize “disposable” light guides. A mandatory condition of our clinic is the use of a disposable LED, which the doctor must remove from a disposable bag with special markings in the presence of the patient. Each new package has an identification number (bar code), which is necessarily pasted into the patient’s medical history and in the operating log. Safety and effectiveness of laser interventions is guaranteed only if all international standards for this procedure are observed.
About individuality . Each patient is individual, and in practice there are no patients with the same form of varicose veins. In this regard, the experience of a phlebologist and an individual approach to each patient is the main part of the success of the operation to remove varicose veins on the legs. Before you decide to treat veins with a laser, find an experienced phlebologist, find out where he studied laser technologies, where he learned the intricacies and intricacies of endovascular vein surgery.
About relapses . With the advent of innovative laser technologies in the arsenal of phlebologists, the treatment of relapses has become much easier. There is no need to make incisions in the projection of scar tissue. The entire procedure for endovenous laser coagulation in case of relapses comes down to laser sealing of the remaining varicose vein from a small puncture under ultrasound control. A positive result can be observed the very next day: swelling, pain, cramps, as well as the varicose veins themselves disappear.
About pain . With the arrival of new radial light guides in Kazan, laser treatment of varicose veins has become absolutely painless, and in the hands of an experienced phlebologist, safe and almost instantaneous. A phlebologist who is fluent in endovenous methods will reliably, efficiently and painlessly eliminate varicose veins of any diameter without incisions or scars.
If you are faced with the question of how to cure varicose veins, I recommend the method of endovasal laser obliteration. This is a modern, highly effective surgical method for treating varicose veins, allowing the patient not to “switch off” from the normal rhythm of life. Laser treatment of varicose veins is actively replacing all other classical techniques, including due to its aesthetic component, which is especially important for the fair sex.
The first ultrasound image shows a varicose vein dilated to 1.3 cm. The second image shows the same vein a week after EVLO - the vein is obliterated, diameter 4-5 mm. In the third image - after 6 months - the vein is not visible at all in the surrounding tissues. The problem was solved without open (requiring incisions) surgery.
Varicose veins of the lower extremities are one of the most common vascular pathologies. This disease always progresses and does not go away on its own, and without effective treatment it can lead to complications such as chronic venous insufficiency, trophic ulcers, thrombophlebitis and bleeding from varicose veins. The process can only be stopped by a timely and correctly performed operation to remove varicose veins. The “popularity” of varicose veins is so high that it can be compared to myopia or carious teeth. Statistics confirm that about a third of women and men in industrialized countries suffer from varicose veins, 3-11% have trophic changes in the skin, trophic ulcers in 1-2.7%. It is also noted that varicose veins “get younger.” Already, almost half of the patients are between 30 and 35 years old. Moreover, varicose veins even affect children - 10-15% of high school students are already experiencing the first symptoms of the disease.
Conventional open surgical operations on veins were developed at the beginning of the last century, but unfortunately, they are still used in many clinics in Kazan and Russia. This is due to the lack of modern equipment, a formulaic approach to treating patients; many surgeons do not know ultrasound examination of veins and do not have special training in phlebology, which has been rapidly developing in recent years all over the world. This approach to the surgical treatment of varicose veins is accompanied by obvious disadvantages:
It is these factors that frighten patients and force them to postpone solving the problem, and this leads to the inevitable progression of varicose veins and the development of complications, including disability.
Minimally invasive treatments for varicose veins (varicose veins of the lower extremities) are usually called “procedures” rather than “surgeries.” They imply minimal impact on the patient’s body through a needle prick or a small puncture of the skin, but not a surgical incision with subsequent sutures and scars, which allows us to talk about “treatment of varicose veins without surgery.”
One of the latest advances in the treatment of this vascular pathology is the use of water-absorbing lasers (1470-1560 nm) and radial light guides.
Endovenous laser obliteration or coagulation (EVLO, EVLC) is a method of intravascular laser exposure to varicose saphenous veins, as a result they are completely closed, excluded from the pathological blood flow and completely disappear after 6-12 months. In this case, the intervention is performed under local anesthesia on an outpatient basis without hospitalization in the clinic.
For EVLO, there is no need to make skin incisions and remove the vessel; it is enough to install an ultra-thin light guide connected to a laser device in the vein through a single puncture. All stages of the procedure, from diagnosis to intraoperative navigation, are controlled using ultrasound angioscanning. EVLO has been used in clinical practice for more than 15 years.
EVLO is the procedure of choice in the treatment of varicose veins in the USA and European countries. This means that the doctor must first offer this method of treatment, and not a traditional operation, which no longer meets modern phlebology requirements.
Having familiarized yourself with the advantages of laser treatment of varicose veins listed below, you will not have to wonder how best to treat varicose veins in Kazan - the procedure has many advantages. Endovenous laser obliteration is performed by one of the most experienced specialists in the Russian Federation, Dmitry Aleksandrovich Slavin, who was the first to perform and introduce it into widespread clinical practice in the Republic of Tatarstan and Kazan.
Advantages of the laser method for treating varicose veins:
EVLO can be used as the main method of treatment in most patients with varicose veins, and the effectiveness of the procedure is 99.8%. The overall complication rate does not exceed 1%. Most often, in the first days after the procedure, only slight bruises and moderately painful compaction along the course of the coagulated vein are noted, which go away on their own in the near future.
Endovenous laser obliteration has a number of contraindications for its use:
Dr. Slavin D.A. has undergone specialized training in the most modern EVLO methods (ELVeSRadial Biolitec), uses the latest achievements of world phlebology - radial light guides.
For the last few years, we have been using in our practice only radial light guides (Biolitec, Germany) for endovenous laser obliteration (EVLO) for varicose veins. Hundreds of such procedures have already been performed, immediate and long-term results have been assessed, which are reflected in our scientific works and reports at international congresses.
What are the advantages of radial light guides: with their help you can close veins of any diameter, the effectiveness of the procedure is about 100%, laser surgery becomes virtually painless, more than 94% of our patients do not take any painkillers, you can start office work the very next day, significantly The time required to wear compression hosiery is reduced, up to complete abandonment; there are no side effects of using end light guides such as hematomas, painful seals, thrombophlebitis, burns, pain. In addition, the disadvantages of the end light guide include the risk of puncturing a vein with its sharp tip, which is not covered by anything, and the impossibility, therefore, of installing the light guide into a convoluted vein, which quite often happens with varicose veins. The end light guide shines only forward and all the laser energy is concentrated in a certain small part of the venous wall, which leads to its burning and uneven processing, in addition, the uncovered tip of the light guide gets very hot and always touches the vein wall, also causing its through burning, charring and damage to surrounding tissues .
Thus, we can say with full responsibility that for endovenous laser obliteration it is necessary to use radial light guides. However, unfortunately, in the vast majority of clinics in Kazan and the Republic of Tatarstan, conventional end light guides are used for EVLO, which is associated with the relatively high cost of radial light guides and the clinics lagging behind the modern pace of development of medicine.
We were the first to use this type of light guides in the Republic of Tatarstan and made the EVLO method with a radial light guide available to patients.
Remember: by postponing a visit to the doctor, you risk aggravating the problem and getting dangerous complications!
Below is the story of one of our subscribers who received the most likes. Photos and pictures in the text are taken from free resources.
Girls, hello everyone! I put my people to bed and sat down to write you the promised post. Today I just visited the gynecologist (for the first time after giving birth) and she praised me: everything is beautiful, the uterus is normal, she looked at the legs - the veins are in order! During the last trimester, there was even a threat of a breakdown, remember what I wrote? How many tears were shed...(((If I had known then how dangerous varicose veins are for pregnant women, I would have started treating them even before conception! After all, in advanced cases, doctors do not allow getting pregnant - there may be a rupture, a blood clot, blockage, bleeding, or worse ...
But now we’re not talking about these horrors, but about how to prevent them from happening. I'll start from the beginning of my story. My mother has been suffering from varicose veins for 30 years. Until recently, her legs hurt terribly, there was severe swelling, and she couldn’t sleep at all without painkillers. I barely made it to retirement; working for the last year was unbearably difficult. But even in retirement – what’s good? She couldn’t help me with the child, she couldn’t do anything at the dacha, it was terrible, in short.
My grandmother on my mother’s side had the same thing, but she is no longer alive, she died early, at 67 years old. Thrombus rupture, instant death. Mom was very worried, she recovered, but her legs became very bad.
Well, I “sailed” too. My husband and I did not plan pregnancy. We thought that we would close the loan on the apartment and then everything would be possible. But things turned out differently. We worked a lot to close the loan, I was on my feet all day (as a salesperson in a lingerie salon, who knows), my legs were tired. I saw the treasured “two stripes” and was taken aback, then my husband reassured me - we’ll pull it off. I worked as much as I could, put stress on my legs, my stomach grew and veins appeared literally from the third month! At first the doctor persuaded me to just wear special underwear, but then she strictly prescribed pills, but there was no particular sense.
I’ve already seen it – it’s ugly. Well, I felt that my legs were swelling a lot. Once we were visiting, we left by taxi, but I couldn’t put on my shoes! Well, I won’t put my feet in my shoes, for the life of me... My husband carried me to the car in his arms, threw my shoes on the rug and said: either treat me, or how do you get there. And I treated! I took pills, smeared some kind of gel, wore these tight tights, but everything was already in one place...
In short, I barely made it to giving birth. During the last trimester I was kept in care twice, in danger of failure. Due to varicose veins, my son did not receive enough nutrition and oxygen through the placenta, the blood supply was disrupted... She lay there for a long time, gave birth, and the baby was weak.
I reproached myself so much until I got rid of him! Well, how could you not think about varicose veins before?! I finally opened the Internet and read: every second (!) girl suffers from varicose veins during pregnancy and after childbirth. In my case, it’s complicated heredity and I also took birth control pills for 2 years, and they also have an effect. Plus work on your feet. I gained weight during pregnancy, of course. The blood volume increased, the veins could not stand it... I will show you a “scary picture” so that you hurry up with treatment (see picture)
And the longer the period, the greater the pressure on the uterus, the more the vessels are pinched, and the blood flow is disrupted. The result is varicose veins in all their glory, but how to treat them? Surgery is IMPOSSIBLE, the pills are like poultices for the dead... Actually, we don’t know how to treat varicose veins. In Europe, it is simply warned in advance, prevention is of various kinds: natural creams, the same knitwear, sports, nutrition, healthy lifestyle.
What about us? We plow like horses, then we stretch this belly... But we need to love ourselves and think in advance about how to prevent something terrible from happening. Maintain health and beauty for yourself, a healthy mother for your baby, and your wife’s beautiful legs for your husband)))). I HAD this...(see photo)
Now I don’t panic so much - I see the effect of the treatment and understand that in a month or a month and a half I won’t even remember about varicose veins. But before and after giving birth there was terrible panic. But I already wrote that I went online. First I found out about the disease, then I started searching - how to treat it? And whatever they promise, I’ll tell you... This or that – Thai-Chinese, some shamans with tambourines, miracle pills... What pills for pregnant women? I can’t either, because I feed Ilyusha. Well, in general, I was only looking for natural things, and immediately ignored the rest.
I wandered into the mother’s forum, where doctors also give advice. Tamara Mikhailovna, phlebologist, has been on this forum for a long time and I looked - she gave the most sensible answers. I wrote to her, she replied: just change your lifestyle and use natural-based drugs! I was already on a diet for nursing mothers, I also did yoga at home and tried to drink more water. I asked her: what to smear with? She said that you can take the “Zdorov” cream-wax, it will work and it will have an effect.
I wrote down the name, but decided to ask the girls on the forum. I found three people at once who used cream-wax. Marina started using the cream even before pregnancy, because she has heredity (who would have warned me and recommended this cream then?!). Olya started applying the oil around the middle of her pregnancy and a month or two after giving birth, the veins were fine. Svetlana’s veins had completely come out, she had nodes under the knee of her left leg (2 large ones). I applied it for about six months. She said that after two months there were no nodes, but the small capillaries in the legs took longer to disappear. And now there’s nothing, it’s completely clean.
I summed it up and ran to order the cream. I mean, I ran to the site))) This site, by the way. I ordered 2 jars at once, the second one for my mother. And I was right, because my mother asked for the same cream when I told her about the girls’ results. The jars arrived in a week and a half, I don’t remember exactly, the manager will tell you more precisely which order is accepted. I didn’t pay a penny in advance - after all, I don’t buy things on the Internet very often. But everything arrived in order: cream, instructions, everything was packaged.
I started smearing my legs on the same day, or rather in the evening. And she kept a diary, as the phlebologist suggested . Here I give some interesting excerpts:
“...Ilyusha turned over on his tummy today, hurray! I’m very active, I get tired, but it’s become a little easier: my legs don’t swell so much, I apply my own cream-wax, which is from Zdorov. Today marks the third week of use. I'll see what happens next..."
“...was able to sit in the lotus position! Already pregnant and after giving birth, I couldn’t, my legs didn’t obey me, like decks. And cramps, as soon as I start to stretch (and in the dream I constantly had cramps, Magna B6 didn’t help, nothing helped) - cramp, it hurt soooo much! Now the “lotus” has turned out and there have been no cramps for a long time. Does the cream actually help with seizures? »
“... have already planned a vacation, yay! Now I can even endure the flight - without swelling for the second month! The knot under the knee turns pale, I smear it harder, directly massage it with cream. I hope that I’ll be wearing heels for my husband’s anniversary!”
“... and I was the most beautiful, that’s what Seryozha said and everyone agreed))). The legs are almost clean, the veins are almost invisible. I’ll still apply it, but I won’t order a third jar: I think that I’ll use this second one and that’s enough. Unless - in reserve. What if they discontinue it? »
“...and mom is much better! I have already ordered the cream from her three times. The consultant said that they plan to expand production - the demand for cream wax is constantly growing. People have “tried it” and are rowing, maybe like me - in reserve))).”
When they celebrated my son’s birthday, I completely forgot that my legs once hurt. And we danced, and there were competitions, and then we also had a photo shoot, almost an adult one! )))Beautiful photos, legs are fine, I didn’t have any complexes.
Now I’m thinking: why do so few girls know about cream wax? After all, many people dream of having beautiful legs, everyone wants to be healthy and bear a healthy baby... This cream is just some kind of miracle! And everything is natural. There is beeswax, bee venom (but it doesn’t bake, that’s for sure))), cedar resin (cedar resin), olive oil, propolis and other natural ingredients that are harmless for both pregnant and nursing mothers.
The elderly can do it too, my mother did not complain about anything and her doctor allowed her to use the cream. It is not greasy, absorbs well, does not feel oily on the skin, and does not stain clothes. And the price is much lower than doctor’s appointments + pills + useless gels and so on. I’d rather buy diapers for the child or buy fruit for myself! In short, I’m so sorry that I wasted time and money until I found the remedy that helps. But I didn’t think that I would have to think about it myself, what are doctors for? And they “cut!” or “smear!”, they don’t advise anything else. Fortunately, the veins have fully recovered and my family has a healthy mother, wife and daughter.
Don't sleep in the saddle, beauties! As you swing, the knots will come out. And they will advise you to use a scalpel in your leg or even both legs. Don't rush to cut, don't even think about it. Start safe. and painless. You will save your money and your health with the operation. Well, don’t swallow all the pills in a row, the kids get rid of the “chemistry” inside us, and it’s transmitted through milk.
I'll end here. Who has also tried the “Zdorov” cream wax - brag. Write questions, if something is not clear, I will answer in the evenings. Just now I went to the pool, so I’m always on the run. On healthy legs! Just a poem...)))
FROM PARTNER BANK
Every fourth person on the planet suffers from varicose veins. Most of them are women. According to statistics, 30 million residents of the Russian Federation have various forms of varicose veins of the lower extremities, 780 thousand of them live in the Republic of Tatarstan, 290 thousand are residents of Kazan.
“Varicose veins are a big threat to the health and even life of a person of any age. When this disease reaches an advanced state, its complications begin.”
But if you seek help from a vascular surgeon (phlebologist) in time, you can get rid of the disease without undergoing a serious operation. One of such effective and safe methods is radiofrequency ablation, which is successfully used in the hospital of the AVA-KAZAN clinic. The minimally invasive operation is performed using the latest modern REG 2 device.
The method was developed and first applied in 1998 in Europe. RFA subsequently spread to America, Asia and other countries of the world.
Currently, an operation called radiofrequency ablation (also called radiofrequency obliteration, RFO, RFA) in medicine is considered the most modern method of getting rid of varicose veins.
The principle of operation of this method is based on heating a varicose vein with radio frequency waves through a catheter located in the lumen of the varicose vein, which leads to complete gluing of the vein due to heating and coagulation of the collagen of the venous wall. The entire procedure is carried out under ultrasound control.
The RFA procedure is performed under local anesthesia, does not require hospitalization, and therefore allows the patient not to change his habits and continue to lead his usual lifestyle.
The term "ablation" means the process of evaporation of a substance.
Treatment of varicose veins in the legs using RFO is an alternative to classical operations on the affected veins and completely eliminates pain and the risk of severe complications.
The practice of world phlebology shows that RFO of the veins in the legs is very effective for varicose veins at its initial stage. However, of course, RFO is successfully used at other stages of the disease.
Preparing for the procedure does not require much effort or time:
How to behave correctly after treatment of varicose veins with RFO:
come back
Since 2009, the MEDEL Clinic was one of the first in Russia to begin using the revolutionary method of treating varicose veins of the legs, EVLT.
The MEDEL Clinic has accumulated extensive experience in the successful use of the unique EVLC-MEDEL method (Endovenous Laser Coagulation).
By 2018, more successfully performed. Having experienced the incredible results of treatment from their own experience, patients confidently recommend treatment for Varicose veins at MEDEL to relatives and friends.
WHO should be wary of varicose veins? According to statistics, women are more susceptible to varicose veins than men (3 times). But lately the trend has been changing: due to sedentary work and heavy physical labor, men are increasingly faced with this problem.
You should start sounding the alarm when “stars” appear on your legs. Timely ultrasound of the veins and consultation with a specialist (phlebologist) will prevent the disease from progressing. You will save yourself from the appearance of blue knots and heaviness in your legs.
According to experts, there are few patients presenting at the very initial stage of the disease. Most come when it is no longer possible to ignore the disease. Treatment of symptoms in this case is pointless.
Those who have encountered this disease know about surgical intervention in the treatment of varicose veins in the legs. In this case, the vein is removed through an incision in the leg, with possible consequences. The postoperative recovery period takes two weeks. All this time the patient is under close supervision of specialists. A scar at the site of the removed vein is also a reminder of the disease.
The specialists of the MEDEL Clinic are well versed in the problems of phlebology - patients in Kazan are treated using modern equipment. The EndoVenous Laser Coagulation (EVLC-MEDEL) technique, improved by the Clinic’s specialists, is used. A thin laser light guide is passed through a small puncture along the entire length of the affected vein. When the light guide is removed, the walls of the vessel are irradiated, and they stick together, and the vein almost disappears. The load of the vein is completely distributed over small vessels, which prevents the appearance of nodes.
The entire procedure is carried out in a sterile operating room under the guidance of two surgeons with extensive experience (PhDs in medicine). They are assisted by two experienced specialists. The EVLT process is monitored using ultrasound and a Human Condition Monitor. The operations are carried out at the highest level, so the results will not take long to arrive.
After a thorough examination by an experienced phlebologist, a detailed examination of ultrasound veins and the necessary tests, the doctor will select the treatment for varicose veins that is suitable for you. Rest assured, the MEDEL Clinic has all the most effective treatment methods for varicose veins of the legs today, existing all over the world.
Examination of varicose veins at the MEDEL Clinic.
If endovenous laser coagulation is prescribed, the day of the operation will be discussed with you. The procedure takes about 1 hour, so you won’t have to take long time off from work. Immediately after the operation, you will be able to walk easily and confidently. The recovery period is minimal, since the operation takes place without stitches or incisions.
On your part, it is necessary to ensure compression of the veins. Compression stockings are used for this. This is a thin, elastic product that provides the necessary pressure on the veins of the legs. Immediately after the procedure you can and even should walk! In subsequent days, the duration of your walk should be at least an hour. Don't forget to see your doctor in a week.
EVLT leaves no stitches or scars .
Your legs will look the same as before.
MEDEL offers you the most effective treatment for varicose veins in Kazan at the moment. We are confident in the reliability of our treatment method and the highly qualified specialists, so we provide patients with a one-year guarantee! If relapses occur in the same varicose area, the clinic will eliminate them free of charge.
Recently, quite often during consultations, patients with varicose veins ask the question: “Which method of surgical treatment is better, laser or radiofrequency?” Answering this question 2 years ago, I experienced some discomfort, because at that time I performed only laser operations (endovenous laser obliteration - EVLO) and had no experience in performing radiofrequency obliterations (RFO), and therefore did not have the right to speak about the advantages and disadvantages one method or another. Having started performing RFO 2 years ago, I, of course, began to compare methods with each other, and the fact that currently 95% of the operations I perform are EVLO speaks for itself - I CHOOSE LASER.
1. RFO is a strictly standardized operation by the manufacturer, excluding a creative approach, which is not very acceptable in surgery. Yes, the average patient will have a good result, but quite often we are dealing with a variant of damage to the venous system that goes beyond the average, and in this case, to achieve a good result, a creative approach is required, based, of course, on the experience of the surgeon. With EVLO, the main a technical characteristic that ultimately influences the result of the operation is the linear energy density (LED), which is determined by the power of the supplied energy and the speed of fiber extraction. It is a competent combination of these components of the operation that allows the phlebologist to obtain excellent results with laser treatment, even in the case of “non-standard” variants of varicose veins.
2. When assessing the long-term results of operations for a period of 1 year in my patients, I did not detect recanalization of the lumen of the veins exposed to laser and RFO, as well as relapse (re-occurrence) of varicose veins in general. However, literature data indicate the advantage of EVLO. Comparative studies (2016), Mese B. (2015) showed recanalization in 6.8% and 5% of patients after RFO in the absence of it during EVLO. Moreover, in their work, Bzoglan O. and co-authors showed satisfaction with the EVLO procedure itself in 51.7% of patients and only 31.0% with RFO. Satisfaction with the procedure included feelings of discomfort, pain during surgery and the immediate postoperative period.
To conclude the topic, I would like to note that it is particularly encouraging that fewer and fewer patients are asking the question during consultation: “Which is better: laser surgery or classic surgery – phlebectomy. This fact cannot but cause optimism, since an understanding is being formed in society that MODERN surgery for varicose veins should not be associated with pain, fear of anesthesia, being in the hospital, as well as incisions and stitches.
Before the operation “ Endovenous laser obliteration in combination with miniphlebectomy, ” varicose veins are marked, which allows the patient to “lye down,” in which the superficial veins “collapse,” to accurately perform the necessary manipulations. The advantages of endovenous laser obliteration over classical surgery for varicose veins allow the operation to be performed on both limbs simultaneously.
The Vascular Surgery Center in Kazan is a unique phlebology clinic staffed by experienced phlebologists, including M.V. Larionov: leading vascular surgeon-phlebologist in Kazan. To treat varicose veins, the center uses the latest technologies and programs that help get rid of varicose veins, varicose veins, thrombophlebitis, and trophic ulcers.
Signs of varicose veins, if they appear, you should immediately seek advice from a phlebologist:
• subjective: a feeling of heaviness at the end of the working day, mainly in the calf muscles, transient swelling in the lower legs.
• objective: varicose transformation of the venous wall – the veins become “noticeable”.
There are 4 groups of veins depending on their size:
1. Telagiectasia or “spider veins”. Small intradermal vessels are concentrated in a certain area and outwardly look like a “bruise”; they can also be chaotically “scattered” throughout the leg. They are often called “spiders” because of the tortuosity of the vessels.
2. Reticular veins. Subcutaneous vessels of larger diameter (up to 1 mm).
3. "Blue wreaths." Subcutaneous vessels (2-3 mm), convoluted “blue wreaths”, the wall of which has undergone varicose transformation, are classified as pathological.
4. Varicose superficial veins (more than 3 mm) are visible above the surface of the skin in a standing position. The presence of such veins on the legs indicates that treatment is necessary, but varicose veins have gone beyond an aesthetic problem and require a more in-depth examination.
The Phlebology Center in Kazan offers to get rid of varicose veins forever with the help of our modern innovative programs.
• treatment using laser - endovasal laser coagulation (EVLO, EVLC);
• sclerotherapy of reticular veins and microsclerotherapy of spider veins.
After treatment, the patient is under the supervision of the center’s doctors for a year, which allows monitoring the result. The center’s unique technologies for the treatment of varicose veins, developed by leading phlebologists, have been introduced into everyday practice and have been used most effectively for many years to treat varicose veins, thrombophlebitis, trophic ulcers and spider veins.
The Phlebology Center in Kazan offers:
• consultations with an expert-level phlebologist-surgeon;
• examination and diagnostics using the most modern ultrasound equipment;
• treatment using innovative techniques in a comfortable clinical environment.