EVLA: Preoperative instructions

12.10.2023

The EVLA method - laser ablation is a minimally invasive method that gently removes the cause of varicose veins in the lower limbs. The operation is performed in the range of a large or small sphenoid. The procedure may also include the removal of individual varicose veins using the phlebectomy method. The procedure is performed on an outpatient basis under local anaesthesia, without the need for general anaesthesia and without the need for incapacity for work.

First, the injection site will be numbed using local anaesthesia. Under ultrasound control, a cannula will be inserted into the vein to be treated and a thin catheter will be inserted. The tip of the catheter emits a laser beam, which leads to a reactionary contraction of the vessel and its closure. In order to numb the area around the vein to be treated and to protect the surrounding tissues from thermal damage, numbing must be performed by injecting a solution into the area around the vein through several punctures in the thigh.

Preoperative instructions

is necessary, no pre-operative examination is required. Wear loose pants or a longer skirt for the procedure. If you have more body hair, it is advisable to shave the groin and varicose areas. Before the procedure, drink plenty of fluids, at least 1 litre.

During the operation, the injection site will be numbed using local anaesthesia. Under ultrasound control, a cannula will be inserted into the vein to be treated and a thin catheter will be inserted. The tip of the catheter rotates very quickly, leading to a reactionary contraction of the vessel and damage to its inner lining. At the same time, a sclerosing solution is injected into the catheter tip, which, in combination with the rotation, ensures uniform contact of the solution with the inner wall of the vessel and its closure throughout the treatment. During the procedure, you may feel a pull or vibration along the treated vessel or mild pain.

On the day of surgery, leave the bandages on the limbs, in the evening remove only the elastic bandages and leave the stockings overnight. In the morning, you can pull down the stockings and remove the larger pads. Leave the plasters on the skin and do not soak, wash around with a washcloth. Put the stockings back on. After 3 days you can remove the patches. From the day of the procedure for 7 days, compression stockings must be worn 24 hours a day. After that, it is recommended to wear the stockings only in the daytime for a week. From day 7 onwards, you can apply the recommended anti-edema and anti-bruising cream or gel to the bruising twice a day. Avoid heavy exertion and sporting activity for 2 weeks after the operation, in the following period it is possible to gradually start sports. Regular walking is important for recovery. Follow the recommendations of the attending physician. You should come for a follow-up after 5-10 days to have the stitches removed. No diet is necessary after the procedure.

Removal of varicose veins by the EVLA laser method is not covered by public health insurance and is performed at the patient's request for direct financial reimbursement.

Please come to the surgery on the agreed date and time. In case of analgosedation, it is not possible to drive motor vehicles after the procedure, please choose an escorted ride to the procedure.