Enlarged leg veins, swelling, pain, and fatigue of the legs are the symptoms of venous varicose veins. Untreated illness can be a serious health problem and should not be taken for granted. Currently, there is more than one advanced way to treat vascular pathology, one of which is laser phlebectomy, or laser venous surgery. During the surgery, a vein is heated and closed using a special fiber. 

The procedure is performed by Paulius Mocevičius, MD, vascular surgeon.

What is the difference between radial and tulip fiber? 

Laser phlebectomy is performed with two types of lasers: radial (circular) or tulip. What is the difference between them? The rays of radial and tulip fiber fall at different angles. The radial fiber emits rays in a ring and the tulip fiber in a straight line. This difference is because bruising is more common after laser surgery with tulip fiber.

Another difference is more methodical. The radial fiber can close the vein from the beginning of its injury. The tulip fiber must be less than 2 cm away from the deep vein for the laser beam to close it. Thus, after surgery, tulip fiber remains more likely to return to varicose veins. However, the surgery can be successful in both cases. 

Benefits of the surgery

  • Laser venous surgery is suitable for people of all ages and can be performed both in the early stages of the disease and in its advanced stages.
  • Laser phlebectomy is an effective, safe, and hygienic procedure because only the damaged part of the vein is removed using disposable fiber optics.
  • The recovery period is short, painless, and the patient can quickly return to their usual life routine. Laser phlebectomy is less traumatic than surgical venous surgery.

Who is not eligible for this procedure?

The procedure is performed on individuals diagnosed with venous varicose veins. 95% of patients have laser venous surgery, but the best and most appropriate treatment is chosen by the doctor.

Who is not eligible for this procedure?

It will be up to the doctor to decide whether the procedure is right for you.

The Course of the surgery

1. Consultation with a vascular surgeon is required before the procedure, as well as ultrasound, blood test, or other procedures prescribed by the doctor. 

2. Local anesthesia is used before the surgery.

3. The doctor inserts a laser fiber into the damaged vein. The device is inserted up to the knee or groin, depending on which subcutaneous vein is affected. The surgery is more accurate because it is performed under the control of ultrasound.

4. Bruising may occur after surgery. Compression therapy may be recommended.