Laser Varicose Vein Surgery Zagreb – no incision, fast recovery
Minimally invasive laser surgery for varicose veins - without a classic incision, with faster recovery
What are varicose veins and why do they develop?
Varicose veins (varices): when the valves in the veins weaken, blood "pools" in the veins.
The most common symptoms include:
A feeling of heaviness, fatigue and tension in the legs
Pain, tingling, itching or burning
Swelling around the ankles
Night cramps
Visible, bulging and tortuous veins
Changes in skin colour and structure in advanced cases
It is important to emphasise that, once valve insufficiency develops, creams, gels and tablets cannot "repair" the damaged valve. Conservative measures such as compression stockings and lifestyle changes can ease the symptoms, but do not remove the cause of the problem.
When does laser vein surgery make the most sense?
Laser vein removal (EVLT/EVLA) is most often applied in cases of insufficiency of larger superficial veins (main veins) and their tributaries, when a color doppler examination confirms that this particular vein is the cause of the complaints and changes.
The procedure is intended for patients who want to resolve the cause of venous insufficiency, reduce symptoms and prevent the progression of the disease, with a minimally invasive approach.
Advantages of the EVLT/EVLA method
A minimally invasive procedure without a classic incision
Quick standing and walking after the procedure
Lower risk of complications compared to classic surgery
Excellent aesthetic result without visible scars
Long-term effective closure of the problematic vein
When is laser vein surgery not the optimal choice?
Laser vein surgery is indicated in cases of insufficiency of larger superficial veins. In the case of smaller superficial veins, capillaries or isolated tributaries without insufficiency of the main vein, EVLT/EVLA is not the optimal method.
In such cases, other therapeutic options are applied, such as sclerotherapy or other specifically chosen methods.
This is precisely why a color doppler examination is decisive in order to choose the correct therapy and avoid an unnecessary intervention. Without precise diagnostics it is not possible to properly recommend a therapy.
Color doppler of the veins: the basis of the right decision
Ultrasound examination of the veins (color doppler) is an indispensable step before any treatment of varicose veins. The examination is painless and enables:
Assessment of venous valve function
Precise mapping of the veins causing the problem
Planning of the procedure - choice of vein, direction, puncture site
A decision on the need to combine EVLT with other methods, such as microphlebectomy
The expertise and experience of Poliklinika Maletić in laser vein surgery
Finally – expertise and experience on which you can build confidence
Pioneering experience in Croatia
The first laser vein surgery in Croatia was performed precisely at Poliklinika Maletić.
Pioneering experience in Croatia
An educational centre for laser vein procedures
Color doppler and individual planning
All methods of vein removal
The possibility of combining methods
Two locations - Zagreb and Daruvar
What does laser vein surgery (EVLT/EVLA) look like?
The course of the procedure
Preparation
Arrival at the polyclinic, assessment of health condition and changing clothes.
Color doppler examination
Ultrasound examination and precise marking of the veins with a marker on the skin.
Local anaesthesia
Application of tumescent local anaesthesia under ultrasound control for complete painlessness.
Insertion of the laser
Insertion of the catheter and laser fibre into the vein through a small entry point on the skin.
Closing the vein
By activating the laser, the vein is thermally closed and becomes impassable.
Additional microphlebectomy
If needed, removal of smaller subcutaneous veins is performed for an optimal aesthetic result.
Completion and compression
Dressing and applying an elastic compression stocking for proper recovery.
Duration of the procedure
The procedure most often takes about 60 minutes, depending on the findings and the number of veins being treated.
Anaesthesia
The procedure is performed under tumescent local anaesthesia, which is precisely applied around the vein under ultrasound control. The procedure as a rule is not painful, and if needed a relaxant medication can also be given.
A quick return to everyday life with clear instructions
Recovery after the procedure
Walking is recommended immediately after the procedure
You go home the same day
Wearing a compression stocking as recommended, most often around 4 weeks
For the first 1–2 weeks avoid running, jumping and lifting heavier loads
Return to sedentary work is possible within a few days
Bruises and haematomas may appear - they usually resolve spontaneously
Will the veins come back after laser surgery?
With laser surgery we achieve permanent results.
However, due to genetic predisposition and the nature of the disease, over time new varicose veins may develop in other places. That is why regular check-ups and timely action are important.
What to expect after EVLT/EVLA?
Additional results of our patients
What our patients say about laser vein surgery
Shared from our Google Profile.
Frequently asked questions about laser vein surgery (EVLT/EVLA)
Answers to the questions patients most often ask before deciding on laser vein surgery at Poliklinika Maletić.
- Preoperative mapping of varicose veins with color doppler
- Operation
- Anaesthesia
- An elastic compression stocking to wear after the procedure
- Ampoules of low-molecular-weight heparin if needed
- A follow-up examination
