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Phlebology

Phlebology means the study of the venous diseases. These are diseases that affect the veins of the vascular system. Varicose veins is one of the most commonly known venous diseases on the legs. They are gnarled blood vessels that are often visible through the skin as very small blood veins or larger, dilated vessels that are visible as cords.

A timely varicose vein treatment removes or prevents complaints such as painful, tired legs and fluid accumulation caused by varicose veins. The treatment also ensures that healthy veins are not affected. More than 25% of the population suffers from varicose veins. We offer the most suitable treatment method to reduce your complaints.

 

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Options varicose veins treatments

In order to determine which treatment is most suitable for you, the first consultation includes a duplex ultrasound. This will give a good image of the blood vessels in your legs and we measure the backward flow of the blood by ultrasound and colour Doppler imaging (ultrasound of the blood vessels). Based on this examination, our specialists will advise you on a suitable treatment. Thanks to the latest techniques, an extensive surgery on the varicose veins is no longer necessary because we disable the varicose veins from the inside. Our treatments are performed as outpatient procedures, allowing you to resume your daily activities the next day.

Outpatient treatments

SCLEROCOMPRESSION THERAPY

During the sclerocompression therapy, a fluid is injected into a few locations of the varicose vein. This fluid will cause irritation to the varicose walls. When the vessel is then compressed with a cotton wool wad and tight compression sock or stocking, the vein is flattened.

  • Suitable for small to medium-sized varicose veins
  • No sedation
  • Compression stocking must be worn for 2 to 7 days

 

ULTRASOUND-GUIDED FOAM SCLEROTHERAPY

This treatment is performed when the varicose veins are of a medium size. First, the fluid is turned into a foam after which it is injected into the vein, allowing it to work better on the varicose wall. When the vessel is then compressed with a cotton wool wad and tight compression sock or stocking, the vein is flattened.

  • Suitable for large varicose veins
  • No sedation
  • Compression stocking must be worn for 2 to 7 days

More about ultrasound-guided foam sclerotherapy

Surgical treatments

Laser treatment

During the laser treatment of the varicose veins, the vein is closed off in the upper leg or calf. With the use of ultrasound, the varicose vein is then punctured at knee or calf level, after which a laser thread is inserted into the vein. This thread sears and closes the vein using laser light.

  • Suitable for large varicose veins
  • Local anaesthesia
  • Duration treatment: 30 minutes
  • One or both legs per treatment

More about the laser treatment

RF treatments

During the RF treatment of the varicose veins, the vein is closed off in the upper leg or calf. With the use of ultrasound, the varicose vein is then punctured at knee or calf level, after which an RF thread is inserted into the vein. This thread sears and closes the vein using a high-frequency current.

  • Suitable for large varicose veins
  • Local anaesthesia
  • Duration treatment: 30 minutes
  • One or both legs per treatment

More about RF treatments

CLARIVEIN

With the ClariVein method, we insert a catheter into the varicose vein. The tip of the catheter rotates, damaging the inner layer of the wall of the varicose vein. At the same time, we inject a fluid into the vein. The vein will then get irritated and contracts, thereby closing the vein.

  • Suitable for medium-sized varicose veins
  • No sedation
  • Duration treatment: 20 minutes
  • One leg per treatment

More about the ClariVein method

CROSSECTOMY OR LIGATION

With the crossectomy or ligation method, the vein and possible side branches are closed off via an incision into the skin. With ultrasound, it is determined where the vein must be tied off. This can be in the groin or in the back of the knee (crossectomy), or at another location on the leg (ligation). When this is done, a few centimetres of the varicose vein is removed so the blood will no longer be able to flow back into the vein. This treatment is applied when a laser, RF, or ClariVein treatment is unsuitable.

Suitable for large varicose veins

  • Local anaesthesia
  • One leg per treatment

More about crossectomy 

MÜLLER FLEBECTOMY

When a varicose vein treatment on the main vein still results in visible varicose veins, the Müller phlebectomy method can be used. Small incisions are made into the skin after which the veins are pulled out and removed using a small hooked needle. This procedure is done under local anaesthesia.

  • Suitable for small to medium-sized varicose veins
  • No stitches or scars
  • Elastic stocking must be worn for 1 week

More about Müller flebectomy

Symptoms of varicose veins

The complaints and symptoms that are caused by varicose veins depend on the phase of the varicose veins.

Symptoms with beginning varicose veins

  • Tired, heavy, and warm legs
  • An itching and tensed feeling
  • Cramps
  • Taut or stabbing pain in your calves

Symptoms with varicose veins in an advanced stage

  • Fluid accumulation around the ankles or the lower leg
  • Skin rash or eczema
  • Hardening or discolouring of the skin
  • Infection of the veins
  • Leg ulcers

What is the cause of varicose veins?

The cause of the development of varicose veins is not yet entirely clear. One of the definite causes is a congenital weakness of the varicose wall by defects in the proteins that form the varicose wall. This allows the veins to dilate when they come under increased pressure. Due to defective valves in the veins, the blood can no longer properly flow towards the heart, resulting in congestion of the blood and a further dilation of the veins. This is how varicose veins develop. There are a number of factors that affect the development of varicose veins:

  • Genetic predisposition for the development of varicose veins
  • Having a profession in which you stand a lot
  • Pregnancy
  • Thrombosis

Risks and complications

As with any procedure, the varicose vein treatments may involve risks and complications. You can experience the following reactions after the treatment, even though they are very rare:

  • Allergic reaction to the fluid of the sclerotherapy treatment
  • Infection or bleeding
  • Small bruises around the vein
  • Pain after the treatment
  • Development of new varicose veins around the previously treated veins
  • Numbness around the treated varicose vein

Reducing your complaints

You cannot prevent the development of varicose veins, but there are excellent treatment methods. To reduce the complaints yourself, you can:

  • Get sufficient exercise
  • Training your calf muscles
  • Avoid standing or sitting for long periods
  • Wear support stockings

Costs without referral:

Consultation phlebologist + duplex examination (with referral)via health insurance*
Uninsured intake + duplex€ 300,-
Varicose vein treatment by injections
Sclerocompression therapy per leg/treatment€ 175,-
Compression stockings, a piece€ 20,-
Shower sleeve, a piece€ 20,-

*please take the mandatory excess amount of your insurance

Surgical procedures non-insured care
Phlebectomy according to the Müller method one-sided€ 1.250,-
VNUS/EVLT one-sided€ 1.350,-
Phlebectomy according to the Müller method double-sided in one session€ 1.750,-
VNUS/EVLT double-sided in one session€ 1.850,-
VenaSeal method one-sided€ 2.500,-
VenaSeal method double-sided in one session€ 2.900,-
ClariVein method one-sided€ 1.650,-
ClariVein method double-sided in one session€ 2.350,-

Experiences

‘Making and changing the appointment went very smoothly. The first consultation was efficient and pleasant, and we quickly decided on the treatment method: a laser treatment on my varicose veins. Pleasant contact and efficient.’

‘Pleasant clinic, they listen carefully to your wishes and give an honest opinion on the varicose vein treatment. Very happy with the result. I would definitely recommend doctor Van Vlijmen.’

‘My complaints about the pain I had were taken very seriously. I always thought I was exaggerating and that my varicose veins could not be the cause of my pain. Doctor Van Vlijmen explained to me that this could certainly be the case. I was treated within two weeks.’

Doctors

Make an appointment at Medical Centre Jan van Goyen

For more information about varicose veins or to make an appointment, please contact us via telephone number 020 305 5811. You can reach us during office hours between 08:30 – 16:30 hours. 

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