Endovasal laser coagulation (EVLK) of the veins of the lower extremities in Moscow
Endovasal laser coagulation (EVLK) of veins in Moscow
Endovasal laser coagulation (EVLK) of veins is a modern method of getting rid of trunk vein dilatation using the thermal effect of laser energy. At the same time, the vein is preserved, just as with a standard, habitual operation, it is burned out from the inside. This contributes to thrombotic vein occlusion, its compression and gradual resorption. The technique is carried out under the control of a special scan - color duplex, which allows not to cut the skin, but to carry out the procedure through tiny punctures.
- History of the method "Endovasal laser coagulation EVLK" (Wikipedia)
- Endovasal laser coagulation (EVLK) on the veins of the lower extremities - what is it?
- Endovenous laser coagulation of veins - indications and contraindications
- Endovasal laser coagulation of varicose veins - procedure technique
- Endovasal laser coagulation (EVLK) - postoperative period
- Endovasal laser coagulation of veins - the price of a laser procedure
- Benefits of Classical Endovasal Laser Coagulation
- Endovasal laser coagulation of varicose veins - complications
- Endovasal Laser Coagulation (EVLK) reviews
- Video feedback from patients about endovasal laser coagulation of EVLK
- Endovasal laser coagulation of veins - treatment results. Photos before and after the EVLK procedure.
- Video: "How is Endovasal laser coagulation (EVLK) of the veins of the lower extremities in our clinic MIFC"
- Frequently asked questions from patients on the Internet about endovasal laser coagulation (EVLK)
EVLK - endovasal laser coagulation in our center
The first joyful reports about the possibility of using a laser in the treatment of phlebology patients appeared in 1981. Dr. Anderson RR and colleagues used a dye laser with a wavelength of about 577 nm to damage the microvessels of the skin. In the development of the foundations of the technology, the process of absorption of laser energy by tissues, having a certain wavelength, was laid, and this resulted in their selective destruction.
Only in the 90s of the last century, when new semiconductor structures were seen, it became possible to produce compact lasers. These devices had a long service life at a fairly low cost. In 1998-1999, the first information about the beginning of clinical manipulations based on the intravascular use of a diode laser for endovasal laser coagulation began to appear. As a result, only in 2002 this method was patented by V. Meloni and his colleagues.
Since the advent of the method - endovasal laser coagulation of varicose veins, a video of which was filmed for a deeper study of the process, a tendency to increase the power of energy that is supplied to the vessel began to be observed. The earliest work was carried out at a power of no more than 15 W, and after research work carried out by a number of scientists, there were reports of high power indicators not exceeding 40 W.
Endovasal laser procedure is performed by surgeons phlebologists Semenov A.Yu. and Kalachev I.I.
Endovasal laser coagulation EVLK in Moscow is of great interest both to surgeons and their patients. The number of publications and studies on this topic is increasing every year. Endovasal laser coagulation of varicose veins, the price of which may differ depending on the equipment, is becoming more popular every year, thanks to the education of patients, it is in increasing demand.
Despite all the existing experience, the technology of endovasal laser coagulation is still very far from being perfect. Therefore, research continues in two directions: standardization of technology and specification of indications, clarification of the optimal wavelength of the laser beam.
The principle of the endovasal laser coagulation procedure is based on the thermal effect of laser radiation on the inner part of the vein surface. But, as it was found out with the help of a huge number of different types of research, the laser does not fully affect the surface of the vessel walls. Most of the energy is absorbed by the blood contained in the vessel. In the blood, already under the influence of a pulse of light, vapor bubbles are formed, which are in contact with the vein wall, as a result of which a thermal effect occurs. Further, coagulation of proteins occurs in deeper layers due to damage to the endothelium.
It is the destruction of the endothelium that is of primary importance as a result of treatment. Part of the viable endothelial cells is retained, which in the future are an important source of wall regeneration. The destruction process must be complete, and this is possible only as a result of the creation in the lumen of the vessel of the optimal density of the laser radiation energy, which results in its "charring". However, you should carefully select the laser power, otherwise, with a stronger effect of the device, the vessel wall may be perforated.
What happens to a vein during laser radiation during EVLK
The latest models of lasers for endovasal laser coagulation have a wavelength of 1940 nm, at which the laser radiation is absorbed to a greater extent by the water of the venous wall and the blood itself. Directly direct action on the vein wall reduces the strength of radiation, the appearance of charring and heating of the working surface. This contributes to a lesser likelihood of perforation of the vessel wall and the appearance of pain in the postoperative period. This wavelength is ideal for larger venous trunks that are over 10 mm in diameter.
Endovasal laser coagulation (EVLK veins), like any medical procedure, has both indications and contraindications.
Indications for the EVLK procedure:
- The pre-osteoarthritis vein can be of absolutely any diameter. Since modern laser generators and radial light guides are able to close veins regardless of their diameter. All techniques for carrying out such manipulations are standardized and have excellent results.
- Sufficiently smooth main trunk of the vein. In the case of bends, it can be difficult to pass the endovasal conductor, in such cases several fibers are installed.
A difficult case - EVLK after a thrombophlebitis: several optical fibers were delivered
Contraindications to the EVLK procedure:
- Established thrombophilia, since the method of endovasal laser coagulation implies the formation of a thrombus near the lumen of the femoral or popliteal vein and further blood coagulation, which is a threat of a thrombotic process in the veins and thromboembolism of the pulmonary arteries.
- Chronic ischemia of the lower extremities, since an important stage of laser coagulation is the obligatory use of compression bandages for some time after surgery, which can aggravate ischemia.
- The inability to activate the patient after surgery. It is known that the best way to prevent postoperative complications is to activate the patient. Endovasal laser coagulation requires the patient to get up from the operating table on their own and move for a certain time.
- The presence of inflammation in the area of intervention, which can serve as a source of infection.
Operation - endovasal laser coagulation (EVLK), video which you can see on this page of our website, is as follows: the patient's skin is marked using ultrasound control.
Kalachev I.I. carries out marking before the EVLK operation
Then the lower limit of reflux is determined directly, which is located at the point of joining a large inflow. The second mark is placed 3-4 cm distal from the first, where the puncture will be performed. Further, the points of confluence of tributaries are marked and varicose dilated tributaries are marked, regardless of the method of removal.
Vein puncture is performed only under ultrasound control.
The technique of carrying out endovasal laser coagulation includes five steps:
- Puncture of the subcutaneous main vein and direct conducting of the light guide.
- Determination of the working area of the fiber.
- Start of anesthesia.
- Application of the laser.
- Band application.
After the compression hosiery is worn, the patient should walk for at least 40 minutes.
After the EVLK operation, compression knitwear is put on
24-hour compression lasts 2 days. Further only in the daytime for about a month. The first scheduled examination with ultrasound angioscanning occurs on the next day.
Rarely enough, more often in patients with a low pain threshold, in the first 24 hours after the procedure - endovasal laser coagulation (EVLK) complications are rare. There may be slight tenderness in the limb. Discomfort is more often associated with an improperly worn compression stocking, which squeezes the limb, and not with postoperative trauma.
Endovasal laser coagulation (EVLK), photos of the postoperative period of which show that there may also be bruises along the length of the coagulated vein, is the safest procedure for varicose veins. Bruising can be caused by getting into small capillaries during tumescent anesthesia. Sometimes there is a feeling of tension in the thigh, a feeling of tension in the vein. This usually goes away within 1,5 months. Perhaps a short-term increase in body temperature to subfebrile numbers.
About a fifth of patients, on 4-6 day after endovasal laser coagulation, a pulling sensation along the vein may appear - this is normal !.
Over the past 3 years, endovasal laser coagulation (EVLK), the cost of which is still quite high, has undergone a number of changes. For example, the most advanced laser devices such as water lasers have emerged.
Modern laser technologies in the phlebology center "MIFTS"
Another important change is the formation of deep ideas of phlebologists about the presence of important indications for this technique. Endovasal laser coagulation of varicose veins, the reviews speak for themselves, have recently become widely known and have earned the trust of doctors and patients. Over the course of several years, vast experience has been accumulated in the use of endovasal laser coagulation to eliminate venous pathology, and the corresponding new conclusions have been published in all world medical journals on phlebology.
The price of the procedure for endovasal laser coagulation of veins in our clinic is strictly fixed, and therefore, turning to us, patients can count on high-quality service, treatment and affordable cost. And remember that a timely visit to a doctor will allow you to completely cure the disease and avoid its recurrence.
Endovasal laser obliteration (coagulation) of veins on one lower limb (Biolitec, Germany)
Initial varicose veins
Severe varicose veins
Complicated varicose veins
(with thrombosis or trophic ulcer, etc.)
Disposable radial light guide Biolitec (Germany)
One venous pool
Total endovasal laser obliteration (coagulation) of veins on one lower limb (Biolitec, Germany)
(without Varadi miniflebectomy)
At any stage of varicose veins
Additional laser obliteration (coagulation) of the perforating vein (Biolitec, Germany)
At any stage of varicose veins
Isolated laser obliteration (coagulation) of the perforating vein (Biolitec, Germany)
At any stage of varicose veins
Additional radial light guide Biolitec
When treating several venous pools on one lower limb
Reception of an expert phlebologist with an ultrasound scan according to the results of treatment within one year
Prices for innovative procedures of the phlebology center remain stable for many years. The cost of the endovasal laser coagulation procedure in one venous pool at the Moscow Phlebology Center is 44000 rubles. The price of the service includes:
- Local anesthetic benefit.
- The cost of a disposable laser light guide.
- The cost of consumables.
- Endovenous laser coagulation procedure.
- Dressings and annual observation after the procedure with ultrasonic duplex control.
For the convenience of our patients, we work with banks that offer credit lines. Also in our center there is a flexible system of discounts and installments. Payment by Visa and Mastercard is possible. At the end of the course treatment, the patient is issued a package of documents for submission to the tax office for tax deduction.
- lack of skin incisions - good cosmetic effect (no seams, scars)
- minimum rehabilitation period. After the procedure, the patient can immediately begin to work.
- rare bruises and bruises after surgery (minimal tissue trauma).
- complete absence of pain. Conducting local tumescent anesthesia in any case guarantees the presence of movement processes immediately after the operation so that the patient can leave the clinic completely calmly within 60 minutes after the operation.
- minimum wearing of compression hosiery after the intervention.
Well-coordinated work of the staff of the phlebology center "MIFTS"
Today, endovenous laser coagulation, the cost of which can be found by calling the medical center, is the safest type of surgery for varicose veins in our country.
Today, Russia has accumulated vast experience in the application of endovascular laser operations on the veins of the lower extremities. Therefore, the risk of complications is minimized. They are so rare that isolated cases are discussed at conferences separately.
Endovenous laser coagulation, a photo of which can be viewed on the net, is quite painless, safe and simple manipulation. Therefore, the demand for it is constantly growing. Every day more and more patients prefer it to the classic, outdated methods.
Patient review of endovasal laser coagulation treatment in our center
Troubles Tatyana Nikolaevna, Obninsk. 04.10.2019
My grateful review about Dr. Phlebologist Fedorov Dmitry Anatolyevich.
I first met him in June 2010. I was 57 at the time. I developed varicose veins in my legs from the age of 30, and by this age I was already actively looking for the help of a phlebologist. A friend helped me, she advised me to go to the Moscow clinic for phlebology, on Vasilisa Kozhina street. The first examination was carried out by Dmitry Anatolyevich, he said that he could offer an outpatient operation and soon performed complex surgical procedures requiring precision.
This was followed by careful follow-up and correction for 6 months, with strict adherence to the recommendations. The treatment was not difficult to tolerate. The difficulties were different: the summer of 2010 was very hot, in the cities there was smoke from forest fires, interruptions in the movement of electric trains, but all this was blocked by gratitude to the doctor for my "light" legs.
I have a chronic disease. Time passed, I felt the need to go to the doctor again and was about to call the Moscow clinic when I found out that a phlebologist is working at the MIFC clinic on Kolomenskaya, and this is Dmitry Anatolyevich Fedorov. What joy! THIS IS MY DOCTOR!
So in April 2017, for the second time I met with Dmitry Anatolyevich, with his big skillful hands. This time he performed an operation on both legs using a laser. The operation is very easy to transfer. Once you leave the operating room, you can continue your normal life. And these are not advertising words. This is the doctor's possession of modern, high-tech methods of treatment. I would especially like to note that Dmitry Anatolyevich generously shares his professional knowledge, doctors were present at both of my operations, to whom he passed on his experience.
Dear Dmitry Anatolyevich, I sincerely thank you for the health of my legs, for your high professionalism. Troubles Tatyana Nikolaevna, Obninsk. 04.10.2019
Testimonial of the patient about the EVLK procedure carried out in our center "MIFTS"
Maria, 41 year, Moscow region, Krasnogorsk.
Endovenous laser coagulation, the reviews for which I previously studied on the Internet, turned out to be absolutely painless. I spent 3 hours in the hospital, which included the preoperative period, the operation and 30 minutes after. I was satisfied with everything. True, I had to walk in special tights for a month, but it's good that I took them off by summer. There were only 20 small punctures in the lower part of the leg, now they are no longer visible. The leg does not hurt at all, otherwise the sore leg constantly ached before the operation. Thanks to phlebologist, wonderful doctor Vladimir Vyacheslavovich Raskin for his good attitude and professional work. Maria, 41 years old.
Patient feedback on endovenous laser coagulation surgery in our center
Stanislav, 47 years, Moscow.
My leg ached constantly, there was a buzzing sensation in it at the end of the day. I did not dare to perform the operation in the classical way, as it was scary after the reviews read on the network and possible complications. Before the operation, and I was offered - endovenous laser coagulation, in Moscow, in the medical center of phlebology of the MIFC, where I decided to do it, they did an ultrasound scan, donated blood and that's it. After the operation, I was forced to get up from the table and walk for about an hour. The next day I saw a doctor, I was warned that compression stockings should be worn for up to 3 weeks. I wasn’t worried about the scars, although I’m glad they weren’t visible anymore. Six months have passed since the endovasal laser coagulation procedure. Everything is super. Thanks to all the staff of the MIFC Phlebology Center, from doctors to nurses, and especially to the administrator Tatyana for their attention. Stanislav, 47 years old.
Video review of our patient about the performed EVLK operation in the clinic "MIFTS"
Video feedback of the patient about the EVLO endovenous laser obliteration performed in our center
Endovasal laser coagulation of veins - treatment results. Photos before and after the EVLK procedure
The result of the patient's treatment in our phlebology center by the method of endovenous laser coagulation (EVLK) according to the German technology Biolitec
Photos before and after endovenous laser coagulation (EVLK) on the right lower limb
The result of the patient's treatment in the phlebology center "MIFC" by the method of endovenous laser coagulation (EVLK) according to the German technology Biolitec
Photos before and after endovenous laser coagulation (EVLK) on the left lower limb
Video - How is Endovasal laser coagulation (EVLK) of the veins of the lower extremities in our clinic MIFC "
In this video you can see how the operation endovasal laser coagulation of varicose veins takes place in our clinic "MIFTS" and get acquainted with the team of the phlebology center.
Endovasal laser coagulation of veins of the lower extremities, what is the cost in Moscow? Peter from Saratov asks:
Dear Peter! Pricing for the endovasal laser coagulation procedure in Moscow can vary significantly. It must be borne in mind that the cost of innovative treatment cannot be lower than certain figures. In our Moscow city phlebological center, innovative treatment is performed according to modern European standards, the price of endovasal laser coagulation in one venous pool is 59500 rubles.
Endovasal laser coagulation of varicose veins, how to find out patient reviews? Irina from Moscow is interested in:
Dear Irina! There are more resources on the Internet that publish patient reviews about a particular technique. Unfortunately, you can not believe everything that they write there. To ensure the reliability of patient reviews on the website of our phlebology center, almost every review is supported by photographs. You can read the patient reviews of our clinic about the endovasal laser coagulation procedure on our website page: https://phlebolog.org/otzyvy.
Where to watch the video of endovasal laser coagulation of the veins of the lower extremities? Elena from Moscow is interested in:
Dear Elena! Video of endovasal laser coagulation of the veins of the lower extremities, as well as video materials on the activities of the City Phlebology Center, you can find on our website: https://phlebolog.org/videofoto.
Endovasal laser coagulation of varicose veins cost of treatment in Moscow? Varvara from Orenburg asks:
Dear Barbara! The cost of treatment using the innovative endovasal laser coagulation procedure at the Moscow City Phlebology Center is 59500 rubles. Our phlebology center uses modern equipment of the latest generation, procedures are performed by experienced specialists, experts in the field of endovascular interventions.
What time of the year is it better to do endovasal laser coagulation of varicose veins? Kirill from Moscow is interested in:
Dear Cyril! Endovasal laser coagulation of varicose veins can be performed at any time of the year. This modern procedure, according to European standards, involves wearing compression hosiery. Therefore, for maximum comfort in the postoperative period, it is ideal to perform the procedure in any period except summer.