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Varicose veins are permanent expansions of superficial veins, which are often lumpy, bulging or twisted in appearance. They are often caused by the imbalance of blood pressure in the superficial vein and the endurance of the vein’s walls. The most common cause of varicose veins is the insufficiency of venous valves and inherent or acquired weakness of the vein walls.

Indications and preparing for surgical procedure

Before the EVLT procedure a duplex Doppler ultrasound of the lower limbs must be performed to qualify the patient. The indications for endovenous laser ablation include varicose veins in the legs, valvular incompetence in a superficial vein in the leg (great saphenous vein or small saphenous vein). The choice is also made based on the patient’s age, disease stage, and presence of coexisting diseases.

Before the procedure, blood tests must be performed: complete blood count, APTT and CRP levels, and the patient is required to wear compression stockings (class 1). The procedure is performed under local anesthesia, so the patient can eat and drink even just before the procedure.

The procedure

Mini-phlebectomy is a surgical treatment method for local removal of varicose veins. The procedure is done under local anesthesia. The skin is disinfected and an anesthetic is administered through a skin puncture. Small incisions are made to remove varicose veins with special surgical tools. The incisions are usually small enough that they usually do not require stitches. After the procedure, sterile dressings are placed on the wounds and the patient needs to wear a compression stocking or elastic bandage on the limb. The patient may usually return to normal physical activity right after the procedure.

Recommendations after treatment

  • wearing a class 1 compression stocking for 24 hours after the procedure and then during the day for two weeks
  • it is not advised to drive a car directly after the treatment

Already the next day the patients are able to return do moderate physical activity (walks, climbing the stairs, work which does not require intense effort). Return to exercise is possible after 2-4 weeks.

Other treatment options for varicose veins and spider veins

Endovenous laser treatment EVLT

Laser removal of varicose veins is a minimally invasive method of treating superficial vein insufficiency (i.e., varicose veins). The procedure involves closing ineffective venous trunks with thermal energy generated by a laser. The optical fiber of the laser device is inserted into the vein through a skin puncture. The procedure is conducted under local anesthesia and the patient can return home immediately after the procedure.


EVLT – one lower limb

4900 PLN

EVLT – both limbs

6500 PLN



Sclerotherapy is a method of vein closure with the use of a chemical sclerosant, which is a substance that once administered into the vessel causes swelling of the vascular wall and decrease in the flow, resulting in vessel fibrosis. The procedure is almost painless and anesthesia is usually not needed at all.



500 PLN / amp.

Follow up appointment

free of charge

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Percutaneous laser therapy

Vasculaze is used for coagulation and closure of mild vascular lesions. Vascular lesions suitable for the Vasculaze procedure include venulectasia, telangiectasia, and hemangiomas, for example on the thighs and calves. During the procedure, a specially designed instrument head sends light impulses causing the blood vessels to disappear.



1000 PLN / sesion



1000 PLN / sesion