
Indications for the procedure:
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4-6 hours prior to the procedure refrain from drinking and eating,
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due to anaesthesia, no driving directly after the procedure,
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wear loose clothes so as not to tear off the dressing.
Postoperative indications
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30-40 minutes’ walk recommended directly after the procedure,
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if the journey home lasts more than an hour, the patient should stop every hour and walk for 15 minutes,
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mild pain may occur after cessation of anaesthesia with tumescence method (about 1 hour after the procedure),
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the patient should take a painkiller, preferably the one he/she is used to,
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compression stockings should be worn day and night for the first 3-5 days. After the first 3 days, the stockings need not be worn at night but are still recommended during the day,
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the patient is recommended to walk, ride a bicycle and do other exercises indicated by the doctor,
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the swelling along the operated on the leg is usually a side effect and it should disappear after a few weeks,
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swelling and stiffness on the inside of thigh are normal side effects of the procedure,
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for 14 days at the most, there will occur slightly stronger pain and pulling sensation,
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the patient should avoid hard physical activity for the first two weeks after the procedure.
Contact Your doctor immediately when:
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fever occurs with no clear causes, or severe pain not reacting to painkillers,
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any other worrying symptom the doctor has not mentioned.
Advantages of EVLT:
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procedure on an outpatient basis (going home on the same day),
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a procedure of short duration (about 60 minutes),
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no visible incisions and postoperative scars,
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a quick return to everyday activities (usually after 24 hours),
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less pain (analgesic treatment is usually shorter than after classic surgery),
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high effectiveness of the procedure,
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low risk of complications.
This method consists in using laser energy to close inefficient veins of low extremities. It happens because there is a high temperature at the end of optical fibre which – as a result of burning the vein wall – leads to constriction and then to fibrosis. That excludes the inefficient vein from circulation.
To perform the procedure properly a thorough estimation of venous system with Doppler Ultrasound is needed. It allows to insert laser fibre so as to
precisely close the inefficient vein.
Technically speaking, with ultrasound guidance an optical fibre is inserted through a special needle into the groyne. The insertion of the optical fibre into the groin must be very precise and it can be done only with ultrasound guidance. After the insertion of fibre local anaesthesia is applied. Its task is not only to remove pain but also move neighbouring tissues away from the vein and secure them from burning. Then the surgeon slowly withdraws the fibre simultaneously activating the laser and closing the vessel. The closed vessel undergoes fibrosis and in the place of former vessel, there remains only connective tissue band. After closing the vessel there remains only wearing compression stockings and dressings.
The success rate for eliminationg varicose veins with EVLT treatment is as high as 98%.
New way to get healthy legs
EVLT EndoVenous Laser Therapy

Contraindications:
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pregnancy,
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blood coagulation disorders,
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cancer,
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diabetes mellitus,
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inflammation.
Possible complications:
Every medical procedure involves possible complications like:
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pain occurring along the treated vein,
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the occurrence of suggillations and paresthesia (sensory disturbances),
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deep vein thrombosis,
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femoral nerve burn.