preloader
img

Phlebology

We perform effective vascular surgery.
Lifetime guarantee on the result

When a vascular surgery is required

img

Vascular surgery is a medical specialty that focuses on the diagnosis and treatment of vascular diseases affecting arteries, veins, and lymphatic vessels. Surgical techniques are employed to restore normal blood circulation and the proper functioning of the vascular system.

Vascular surgery may be necessary in various cases, including:

  • Arterial vascular surgery — addressing arterial aneurysms, significant atherosclerotic manifestations, stent placement to enhance blood flow, etc.;
  • Venous vascular surgery — treating varicose veins, venous thrombosis, vein removal or sclerosing, etc.;
  • Extremity vascular surgery — managing artery or vein blockages, amputation, vessel reconstruction following injuries, etc.;
  • Cerebral vascular surgery — managing brain aneurysms, correcting congenital anomalies, etc.;
  • Cardiovascular surgery — addressing heart issues like coronary artery disease, aneurysm repair, heart valve reconstruction, etc.;
  • Surgery involving vascular-rich organs (kidneys, lungs, penile cavernous bodies, etc.) — treating congenital anomalies, suturing arterial aneurysms, etc.;
  • Oncosurgery — vascular surgery may be required to remove tumors affecting or infiltrating blood vessels or affecting tumor blood supply.

The necessity for vascular surgery is assessed individually for each patient based on their diagnosis and vascular health. A vascular surgeon will devise the best treatment plan according to medical indicators and the patient’s specific needs.

In the Valikhnovski Surgery Institute clinic, we offer solutions for various issues, such as: Get acquainted
img img img img

Varicose veins

Phlebitis (vein inflammation)

Thrombophlebitis (vein thrombosis and inflammation)

Post-thrombophlebitic syndrome

Vascular trophic disorders

Trophic ulcers

Superficial vein insufficiency

Deep vein insufficiency

Pathological vein narrowing

Vein occlusion

Lymphostasis

Telangiectasias (vascular "stars")

Pathological artery narrowing

Obliterating atherosclerosis (particularly in lower extremities)

Diabetic foot syndrome (especially when blood vessels are significantly affected - diabetic angiopathy)

Vascular injuries

Couperose

Hemangiomas

Vascular anomalies (vein and arterial anomalies)

map

If necessary, our medical professionals provide consultations both within Ukraine and globally, either in-person at our Kyiv clinic or through online appointments scheduled in advance. Our services encompass diagnostics, treatment, and preventive measures.

img img
  • 25

    Years of experience

  • 511262

    Patients

  • 850

    A modern clinic in the center

  • 13216

    Successful operations

  • 52

    Unique surgical techniques

  • 28

    Branch of surgery

  • 43

    Units of the latest equipment

  • 30 %

    Charitable surgical assistance

img

Consultation and examination of a surgeon concerning facial problems

You should contact a vascular surgeon (phlebologist) as soon as possible if you are experiencing the following symptoms:

  • Discomfort, itching, or burning pain on the surface of the legs (especially lower legs and feet).
  • A feeling of heaviness in the legs.
  • Rapid fatigue in the legs after physical activity.
  • Spastic pain in the legs following physical activity.
  • Tingling sensation in the legs.
  • Numbness in the legs.
  • Sensory disturbances in the limbs (especially the legs).
  • Swelling of the legs.
  • Unpredictable muscle contractions (convulsions) in the leg muscles, especially at night.
  • Appearance of visible vascular “stars” on the skin.
  • Swollen protruding veins (most commonly on the surface of the legs, but they can appear in other areas).
  • Development and growth of a more pronounced spider vein pattern.
  • Change in the color of the skin on the legs (redness, blueness, graying).
  • Difficulty in healing injuries and wounds (especially on the legs).
  • Presence of ulcers on the skin of the legs.
  • Persistent cold feet.
  • Reduction or absence of a pulse in the legs.
    Frequent subcutaneous hemorrhages.
  • Identification of varicose nodes by a doctor during an examination or through ultrasound diagnostics, or a diagnosis of varicose veins based on medical evaluation.

If you notice any of these symptoms, it’s important to seek medical attention promptly.

img img
img

The consultation with a surgeon includes:

img img

Medical Interview: The doctor will inquire about your symptoms, medical history, and lifestyle.

Physical Examination: A comprehensive assessment of altered areas, local lymph nodes, and the condition of each organ system will be conducted through careful examination, palpation, and other investigative methods.

Laboratory Tests: This involves both general clinical tests and specific ones, including the study of tumor markers, substances that help assess the likelihood of tumor development.

Diagnostic Imaging: To assess the overall body condition and specific areas with changes, various imaging techniques such as X-ray (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and more, may be employed.

img img

Find out the cost of services or get a consultation by filling out the form

img

    Main methods of treatment.

    The Valikhnovski Surgery Institute in Kyiv is renowned for performing a variety of surgical procedures by its skilled surgeons. These include: Get acquainted
    img img img img

    Laser radiofrequency ablation ("Ambulatory Selective Varices Ablation under Local anesthesia," ASVAL)

    Endovenous laser coagulation

    Intravenous laser coagulation

    Transcutaneous (transdermal) laser coagulation

    Laser transcutaneous (transdermal) scleroobliteration

    Scleroobliteration with a power diode laser

    Complex microfoam sclerotherapy

    Phlebectomy (venectomy)

    Thrombphlebectomy

    Miniphlebectomy

    Endarterectomy

    Crossectomy

    Angioplasty

    Arterioplasty

    Phleboplasty

    Bioadhesive obliteration of veins with VenaSeal or VenaBlock

    Preparation for vascular operations follows general principles similar to other surgical interventions: Get acquainted
    img img

    If you're taking any medications, inform your doctor and consult with them. It might be necessary to adjust or change the dosage.

    Maintain a gentle diet and proper hydration a few days before the surgery. If constipated, use laxatives and enemas, and avoid alcohol. This ensures a more predictable reaction to anesthesia and other medications.

    Refrain from eating for 6–12 hours before the surgery. Also, avoid drinking, chewing gum, and smoking for 2–4 hours before to prevent stomach contents from entering the respiratory system during anesthesia.

    On the surgery day, take a shower and use an enema to cleanse the intestines, preventing involuntary bowel movements due to sphincter relaxation during anesthesia.

    Just before the operation:

    - remove oral and facial removable items (piercing jewelry, prostheses) to prevent accidental entry into the respiratory system or interference with the procedure.
    - take off other items (contact lenses, hearing aids, jewelry) to prevent accidental injuries and damage.
    - remove cosmetic products (makeup, nail polish, artificial nails) to aid in visual assessment and automated medical equipment registration.
    - empty your bladder and possibly the intestines to prevent involuntary releases during anesthesia. - change into clinic-provided special clothing.

    Additional preparation might occur based on individual characteristics and specific surgical needs.

    How facial surgery operations take place

    img

    The main stages:

    img
    img img
    • 1
      The patient is either transported to the operating room on a gurney

      or escorted on foot. In the airlock room, the patient is provided with a medical cap and shoe covers to prevent the entry of microorganisms into the operating room's environment.

    • 2
      Surgical procedures are carried out by

      a designated surgical team with a specific composition, tailored to the requirements of each operation.

    • 3
      The patient is positioned on the operating table,

      the configuration of which varies based on the nature of the procedure. The patient is securely fastened to the table using specialized straps.

    • 4
      The anesthetist's nurse

      performs a venous puncture in the hand, inserts a catheter to administer necessary medications, attaches electrodes to the body for continuous monitoring of the heart's electrical activity, places a blood pressure cuff on the shoulder, and attaches a sensor to measure blood oxygen levels. These measures are essential for the ongoing monitoring of the patient's condition during both anesthesia and the surgery itself.

    • 5
      The subsequent progression

      of the operation is contingent upon the specific objectives, the anatomical site being operated on, and aligns with the intricacies of the chosen surgical strategy and technique.

    OUR EQUIPMENT

    photo
    photo
    photo
    photo
    img

    Postoperative period and rehabilitation

    Following the surgery, the patient regains consciousness in the postoperative observation ward. If needed, oxygen can be administered through a delicate tube to ensure adequate oxygen supply to the body. A nurse will diligently monitor the patient’s condition and, if required, administer medications in accordance with the doctor’s instructions.

    Before the patient is discharged, the doctor will assess the surgical sites, establish a plan for subsequent rehabilitation, and provide further guidance and recommendations.

    img img

    Find out the cost of services or get a consultation by filling out the form

    img

      How to beat varicose veins? - Dr. Valikhnovsky play
      How to beat varicose veins? - Dr. Valikhnovsky 3:22
      Why is excess weight harmful to health? - Dr. Valikhnovsky play
      Why is excess weight harmful to health? - Dr. Valikhnovsky 3:13
      10 tests that will allow you to know everything about your body - Dr. Valikhnovsky play
      10 tests that will allow you to know everything about your body - Dr. Valikhnovsky 3:05
      How to increase immunity? - Dr. Valikhnovsky play
      How to increase immunity? - Dr. Valikhnovsky 2:25
      Why do people get old prematurely ? - Dr. Valikhnovsky play
      Why do people get old prematurely ? - Dr. Valikhnovsky 3:07
       Video

      BEFORE AND AFTER

      img
      img
      img
      img
       Photo
      img
      img
      img

      FEEDBACK OUR PATIENTS

      Oleksiy Sukhanov

      Journalist, radio presenter, TV presenter. Host of the talk show "Ukraine Speaks" on the "UKRAINE" TV channel.

      Andrii Danylevich

      Journalist, presenter of the programs "Applies to everyone", "Coolest of all" on the "INTER" TV channel.

      Gennady Fuzailov

      A pediatrician and anesthesiologist, he works at the Shriners Hospitals for Children Boston clinic, which belongs to Harvard University. Is a leader in the field of children's medicine.

      Larisa Dyatlyuk

      Participant of the project "I am ashamed of my body" TV channel "STB".

      QUESTIONS AND ANSWERS

      What are the primary symptoms of varicose veins?

      Dilation of varicose veins can lead to feelings of heaviness and pain in the legs after extended periods of standing or sitting. Swelling, particularly at day’s end, is a common occurrence. Cramps, especially during the night, might also indicate issues with the veins. Distinctive skin changes, such as pigmentation, ulcers, or visible vascular “stars,” can also manifest.

      Is there a guarantee for surgical treatment of veins and other vessels?

      A guarantee for surgical treatment of venous and other vascular disorders applies to implants, medical consumables, and equipment. The assurance of surgical treatment services aligns with contemporary medical advancements, the high expertise of clinic specialists, and the clinic’s technical capabilities. The ultimate clinical outcome is influenced by a myriad of factors beyond the doctor and clinic’s control, such as individual bodily traits, lifestyle, environmental factors, and stress-inducing elements.

      How should one prepare for vascular surgery?

      Preparation for vascular surgeries entails an initial examination and consultation with a surgeon, comprehensive evaluation involving photographic and video analyses of appearance and anthropometry, and consultations with relevant specialists if required. Immediate pre-operative preparation adheres to the general principles acknowledged in surgery.

      What potential complications can arise from vascular operations?

      Potential complications following vascular surgeries encompass standard surgical issues (bleeding, thrombosis, infectious and inflammatory conditions), as well as those specific to this field (postoperative tissue non-union and defects). Diligent pre-operation preparation, highly skilled and experienced medical personnel, advanced high-tech equipment, and harmonious teamwork among the clinic’s medical and support staff collectively minimize the risk of complications.

      What are the contraindications to vascular operations?

      Contraindications to vascular surgery encompass conditions in which the severity substantially heightens surgical treatment risks. Examples include infectious, mental, and gastrointestinal disorders, among others. Some operations are unsuitable for acute inflammatory conditions (e.g., vascular inflammation or sepsis—a systemic inflammatory response).

      Can varicose veins recur following surgical treatment?

      While recurrence of varicose veins is possible after surgical treatment, the likelihood depends on several factors. Surgical procedures can effectively eliminate existing varicose veins, yet they don’t ensure absolute protection against recurrence.

      Factors influencing the risk of recurrence include genetic predisposition, lifestyle, venous system health, and occupations involving extended sitting or standing. Adhering to post-surgery recommendations such as wearing compression garments, maintaining an active lifestyle, and employing preventive measures can mitigate the risk of recurrence.

      The doctor can offer tailored advice on preserving vein health post-surgery and the potential for varicose vein recurrence. Regular monitoring and vigilant maintenance of vein health aid in timely problem detection and prevention of further complications.

      img img

      Find out the cost of services or get a consultation by filling out the form

      img