Varicose vein operations, Varicose vein treatment

Varicosity is dilatation of the superficial veins of the lower extremity. Genetic factors (i.e. weakness of the vessel wall) also play a role in the development of the condition. The basic cause that leads to the development of the illness is defective valves in the veins that connect the superficial and deep venous systems. Normally these valves allow blood flow only towards the deep veins, but if for some reason they do not close perfectly the pressure in the deep venous system is transmitted to the thinner-walled superficial veins gradually dilating them. In the dilated veins the blood flow slows even stops (especially when standing in one place). This congestion is responsible for the symptoms associated with varicose veins: pain, pressure, fatigue. The dilated veins are prone to the development of thrombosis and inflammation, later, and poor circulation may even result in the development of ulcers on the extremity.

In early stages of varicosity use of compression stockings of various degrees may be considered. In case of advanced varicosities only surgery offers complete cure, this has to follow an evaluation by the vascular surgeon. A prerequisite for surgery is an intact deep venous system that can be confirmed by appropriate studies. Timely surgery has very good outcome. The average time for recovery is about 3-4 weeks, this means that the patient can resume normal work by this time. The only 2-3 mm incisions give nice esthetic result leaving only minute scars.

"One day surgery" means, that patients can leave the outpatient center on their own feet, accompanied by a helper, within 24 hours of surgery (usually after few hours of observation), and continue the healing process in the familiar confines of their own home. "One day surgery" requires strict professional, social, and various other preconditions that are discussed at the stage of the consultation when the need for surgery becomes clear. (I.e.: good general health, absence of serious systemic disease, patient must take responsibility for arrangement of transportation, home care, must have phone to contact the clinic or the surgeon if necessary, etc).

The procedure is preceded by evaluation of the surgeon. We evaluate the health of the deep venous system (if damaged, surgery affecting the superficial venous system can not be performed) and the condition of the largest valves between the two venous systems. These will determine the surgical procedure of choice. If the valve in the main branch is intact only the dilated veins need to be removed. If however the valve is damaged the main venous branch along its entire length hast to be removed as well. After this we inform the patient whether from a surgical standpoint he or she is candidate for one day surgery. It is at this point that the patient is acquainted with the concept of one day surgery. It is also here, that the patient is informed about laboratory and other accessory studies (Imaging, ECG, medical) that might be required for surgery, types of surgical anesthesia, possible complications, home care-related issues, stages of recuperation, possoble problems during recovery i.e. all the information that is relevant for the patient to make a decision on which treatment method, or surgery to choose.

At the booked operative time patients must bring their lab tests, slippers, night-suit. Before placed into sick-room a "STATEMENT" is to be signed in order to entitle our clinic for the performance of the procedure. Besides patients have to undertake home wound care.

Considering that operation is performed in general anesthesia, food and drink intake is allowed until 24:00 pm on the prior day to procedure -for patient have to arrive with empty stomach for the surgery!

Please take the regularly taken drugs in time and dose. Take morning drugs with little liquid at home before departure and in case you may have drugs to be taken in day-time, please bring them with to the clinic!

On the day of the surgery, the patient signs the consent form, then the necessary lab tests are done and the surgery fee is paid. Immediately before the operation, the patient is premedicated with an injection containing analgesic and sedative. The operation can be performed under local, spinal or general anesthesia. The majority of our surgeries are performed with local anesthesia, which means infiltration of the surgical field with 1% Lidocain.During the procedure, if the main venous branch has to be removed it is opened from 3 cm incisions made at the groin and the ankle, a plastic cannula is inserted into the vein and it is stripped out. The dilated accessory branches are removed one by one through 2-3 mm incisions. Finally the extremity is wrapped with elastic dressing.

No doctor can guarantee a complication-free surgery. Complications can arise even following the most carefully performed procedures. The possible early complications: post-operative bleeding, inflammation are easily treatable.Postoperative bleeding is easily to recognized, as well as inflammation by pain, redness and warmth. Therefore f you experience even the slightest indication of complications (i.e. bleeding or fever), you can contact your surgeon day or night, who will take the necessary steps to remedy any of the complications. As the healing progresses various changes may occur that are not always abnormal. Such are swelling and bruise on the affected extremity these disappear in a few weeks. A possible late complication is recurrence of varicose veins. This of course does not mean the reappearance of the removed veins but dilation of veins at other sites. The role of correct surgical technique is to make late complications a remote possibility.

The surgery is commonly followed by 6-8 hours of observation, during which time the vital functions (blood pressure, urine output) stabilize, the sedative effects of the premedications wear off, and patients are able to leave the center on their own feet, with the help of an escort. During the first week the patient should refrain from physical strain, however constant bed rest is not necessary. Sutures are removed at the one week follow-up. Full recovery takes 4 weeks, by this time the hematomas formed during surgery are resorbed. During this time only light physical activity is recommended. The second control examination takes place after four weeks, at this time we find healed status.

Surgery under local anesthesia: 0 HUF (paid by National Health Insurance Fund)
Charge for general anesthesia: 40.000 HUF (paid by patient, optional) > Euro
Charge for overnight stay: 0 HUF
Fees of control examinations: 0 HUF (paid by National Health Insurance Fund)

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal but these mean no further costs for our patients.

Surgery under local anesthesia: 120.000 - 160.000 HUF > Euro
Charge for general anesthesia: 80.000 HUF > Euro
Charge for overnight stay: 30.000 HUF > Euro
Fees of control examinations: 5.000 HUF > Euro

50% of the fee is due at the time the operation is scheduled, as a prepayment.
These are estimated charges and may also be affected by the severity of the condition.

We provide air-conditioned, TV-, phone- and WIFI equipped one-or two-bedded rooms, personal nurse and meal.

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766>

SURGERY FOR VARICOSE VEINS