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. Modern reliable laser therapy refers to minimally invasive techniques, carried out without pain or injury.

What is laser coagulation of veins

The result from laser coagulation lasts for several years, subsequent relapses of varicose veins are prevented. Endovasal laser therapy is recognized as one of the most effective methods of dealing with varicose veins. Its goals are gluing vessels, giving aesthetic appeal.

Laser treatment involves gluing the vessel and completely scarring it, 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.

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

laser treatment of varicose veins

Advantages and disadvantages of the procedure

Endovasal laser coagulation of varicose veins has advantages and disadvantages. These include:

pros Minuses
Low trauma, no scars, hematomas, edema after the intervention. The operation is performed only in a specialized medical institution.
No bleeding, no soreness. Low efficiency with advanced forms.
No need for extensive incisions. The need for additional surgical intervention when the diameter of the vein is above the norm - incisions are made.
Minimal risk of infection. Wearing compression underwear for a week (according to reviews, it causes discomfort).
No special training, short-term rehabilitation. High price.
Local anesthesia is easily tolerated by patients.
Both legs can be treated at once, the load is minimal.
A quick procedure - it lasts only 35 minutes, and in an hour the patient can already go home.
No hospitalization required.

Indications for laser coagulation of veins of the lower extremities

  • varicose enlargement of the small and large saphenous veins;
  • the mouths of the vessels are less than 1 cm wide, have a smooth course with slightly expanded or healthy branches;
  • therapy is effective for varicose veins with a small volume of the affected area.

Preparation for laser vein removal

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

Laboratory and instrumental examination

To exclude contraindications, the patient is referred for tests and ultrasound. Laboratory tests include:

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

Preliminary markup

Laser treatment of varicose veins involves a preliminary marking by a doctor. It shows the direction and course of the vessels, it is necessary to understand the scope of work and the place of introduction of the LED.

EVLK technique

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

  1. Percutaneous - performed without contact with the skin, suitable for the initial stage of varicose veins. It removes the vascular mesh, small vessels with a diameter of no more than 3 mm.
  2. Endovasal - the introduction of an LED into the damaged vein, through which the laser beam is delivered to the damaged areas.
  3. Combined - 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, an endovasal (endovenous laser coagulation of veins) procedure is performed. Its stages:

  1. Local anesthesia at the puncture site.
  2. Puncture of the shin skin.
  3. Introduction of LED with laser connection.
  4. Vessel coagulation.
  5. Removing the LED.
  6. Disinfection of the puncture with an antiseptic, protection from infections by applying 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.

Rehabilitation period

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

  • weight control;
  • avoiding prolonged standing or sitting positions;
  • correct diet, drinking regime;
  • wearing 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 administered anesthesia) are considered safe and quickly passing. 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 tissues, hematomas, edema;
  • inflammatory process, suppuration;
  • thrombosis;
  • worsening of the course of varicose veins;
  • fever, redness of the treatment site;
  • heaviness, muscle pain when walking;
  • paresthesia.
examination of the legs before the treatment of varicose veins with a laser

Contraindications to the procedure

Absolute contraindications for the procedure:

  • predisposition to thrombophlebitis, thrombosis;
  • disorders of blood, lymph circulation, heart failure;
  • oncological diseases;
  • blood clotting pathology;
  • chronic varicose veins syndrome.

Relative contraindications:

  • inflammation of the skin;
  • exacerbation of chronic diseases (for example, stomach ulcers);
  • pregnancy, lactation;
  • overweight.


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