Vascular Surgery: Everything You Need to Know

4/24/20255 min read

Vascular surgery is a branch of medicine, thanks to which a person can get rid of vascular pathology, problems with blood vessels and their consequences. The specialty is not new, but the impetus for its modern development was given by digital technologies, miniaturization of instruments. And also - the desire to help people in situations that were previously considered incurable, those that cannot be treated.

The KAF Clinic offers a consultation with an experienced phlebologist surgeon, a narrow specialist who will help get rid of various vein diseases.

Modern equipment and knowledge of our doctors allow us to diagnose vascular pathology, eliminate it with minimal cosmetic consequences, and ensure the prevention of complications

When you need help from a phlebologist

Simply put, the human circulatory system is represented by arteries, veins and capillaries. Arterial vessels deliver oxygen and nutrients to the tissues. The venous system, through the capillary system, removes carbon dioxide and metabolic products from the cells, neutralizes toxins in the liver, and delivers them to the lungs through the heart.

It so happened that problems with veins are more common, sometimes in quite young people.

Reasons for consulting a vein specialist, a phlebologist, are diverse:

a pronounced network of blue vessels under the skin;

vascular "stars" on the face, limbs, and torso;

heaviness in the legs, especially in the evening;

swelling of the feet and lower legs after a day on their feet;

the appearance of unaesthetic varicose nodes under the skin of the lower extremities;

painful cramps of the calf muscles at night;

compaction, indurative edema of the lower extremities;

coldness of the legs and arms;

non-healing wounds and ulcers, trophic disorders;

pain, swelling, and redness along the course of a blood vessel, this may be a sign of inflammation of the vein, phlebitis, or of the artery - arteritis.

Particular attention to vascular health should be paid to people who suffer from diabetes, systemic autoimmune diseases, or have relatives with diseased vessels in their family. There is a very high probability that such a risk group will need a phlebologist early. To prevent complications, they should consult a phlebologist at the slightest suspicion of a vascular problem.

What does a vascular surgeon phlebologist treat

Universum Clinic doctors use a therapeutic approach and methods of vascular surgery to treat quite serious diseases:

acute and chronic thrombophlebitis of the veins of the extremities;

dilation of the subcutaneous veins, spider veins;

postthrombophlebitic syndrome, PTFS;

trophic ulcers;

varicose veins;

benign vascular tumors, hemangiomas;

thrombosis of the deep and superficial venous system;

some variants of obliterating endarteritis.

Vascular pathology is dangerous: disorders in the functioning of blood vessels worsen tissue nutrition, lead to the accumulation of toxins in cells, and complicate the work of the immune system.

Inflammation of the vessels and blood stasis increase the risk of blood clots, which is a direct threat not only to health, but also to life.

Universum Clinic guarantees: each patient will be consulted by an experienced phlebologist, in Kyiv or in any other city where we have branches.

Diagnostics in vascular surgery

The first stage is always a medical interview and examination. The specialist interviews the patient (or his parents, if a child is at the appointment) regarding complaints, duration and course of the process. During the examination, the vascular surgeon pays attention to the condition of the skin: temperature, pulsation, signs of inflammation, ulcers and wounds. Then laboratory and instrumental diagnostics are mandatory:

clinical blood test;

coagulogram;

biochemical analysis with an emphasis on the lipid profile;

if necessary - tests for infections, specific antibodies;

Ultrasound in Doppler mode for an objective assessment of blood flow;

MRI is occasionally used.

Modern vascular surgery of the lower extremities cannot do without ultrasound examination with Doppler mode. The expert-class device provides a lot of important and valuable information:

the condition of the vessel walls;

the direction and speed of blood flow;

the presence of obstacles, atherosclerotic plaques;

the adequacy of the blood supply to the superficial and deep tissues;

branches, collaterals of the vascular bed, which must be removed or can be used to help the patient.

Treatment in vascular surgery

Despite the name of their profession, vascular surgeons also actively use conservative, drug-based methods of treating vascular pathology. Surgical intervention is considered when the therapeutic approach is either not promising or has proven ineffective.

To treat patients, depending on the situation, vascular surgeons use:

anti-inflammatory drugs;

-antibiotics;

-spasmodics;

-venotonics;

-anticoagulants;

-statins;

-prostaglandin-based drugs;

-reparative, metabolic drugs;

-external agents for treating ulcers;

-compression socks, stockings.

In the event that the course of therapy has not been successful or the result is insufficient, an individual plan for surgical intervention is drawn up. Our vascular surgery specialists, in Kyiv or in any other branch of Universum Clinic, adhere to the main principle: minimal intervention with the greatest result.

Tactics are determined by the pathology detected in a person. For example, for the surgical treatment of spider veins, sclerotherapy of abnormally dilated vessels in the center and on the periphery of the spider web can be used. We achieve good results, providing an excellent cosmetic effect.

The initial stages of varicose veins are successfully treated with a laser. In advanced stages of the disease, it is necessary to remove the destroyed venous trunk and collaterals that feed it.

We try to do with minimal incisions, as recommended by modern vascular surgery protocols, while preserving the aesthetics and cosmetics of the skin.

Trophic ulcers also require attention: if necessary, they are cleaned of dead tissue, creating conditions for the fastest possible restoration of healthy skin.

Advantages of vascular surgery at KAF Clinic

The clinic's doctors never stop their education, gaining new experience and knowledge during foreign internships. We provide specialists with access to modern diagnostic equipment, and if necessary, we involve doctors of other specialties: cardiologists, endocrinologists.

We offer our patients the most popular medical services for the treatment of vascular pathology:

detailed and detailed interview, examination by a vascular surgeon;

complete, in-depth diagnostics of the venous and arterial bed on an expert-class ultrasound device;

a balanced approach at the treatment planning stage;

individual plan of therapeutic course or surgical intervention;

careful monitoring of the patient's condition at all stages of treatment.

Plus, we make access to professional vascular surgery as easy as possible: you can make an appointment with the clinic's phlebologist by simply calling the phone number listed at the top of the page.

EVLK (endovascular laser coagulation) of veins. This technology is widely used in phlebology as the most effective and safe. Such an operation is performed at any stage of varicose veins, including, with significant diameters of veins.

EVLC of the veins of the lower extremities is a painless procedure that does not require the use of anesthesia. Local anesthesia is sufficient, which provides absolute comfort to the patient and excludes the impact on the central nervous system and the risks associated with anesthesia and spinal anesthesia.

Endovasal laser coagulation of varicose veins involves a simple injection and the introduction of a catheter with a laser into the vein. The laser has a thermal effect on the walls of the veins and closes their lumen. By getting rid of the problem vein, blood flow is fully restored due to the distribution of blood flow in the deep and superficial veins.