Vascular surgery
Assessment and treatment planning for vascular and venous conditions at a clinic in the OpenMedical network, including surgical follow-up.
Gentle, outpatient treatment of varicose veins under local anaesthesia
For varicose vein treatment, vascular surgeons in our care network prefer minimally invasive methods that combine lasting clinical results with a clean aesthetic outcome. Sclerotherapy, laser ablation, and miniphlebectomy cover most cases, and for more complex situations the surgeon combines several methods together.
Procedures are performed on an outpatient basis under local anaesthesia, with no hospitalisation required. You go home the same day, often return to normal activities right away, and sick leave is usually not needed.
The most common reasons people seek a vascular review are heavy legs, swelling, pain after long standing, itching skin, and spider veins. An early consultation with an ultrasound assessment makes it possible to clear the visible signs quickly and prevent complications from developing.
Initial vascular surgery consultation
At the first visit the surgeon clarifies the finding and puts together a treatment plan tailored to your situation.
- Detailed history and symptom assessment
- Ultrasound examination of the venous system
- Clear explanation of the finding and proposed treatment
- Selection of suitable compression stockings
Endovenous laser ablation (EVLA)
Modern varicose vein treatment using a latest-generation diode laser, performed under local anaesthesia on an outpatient basis.
- Procedure takes 30 to 60 minutes depending on complexity
- Performed under local anaesthesia to minimise discomfort
- Outpatient procedure, you go home the same day
- Low likelihood of complications
- Final aesthetic result visible 2 to 6 months after surgery
Other minimally invasive methods
Depending on the type of finding, the surgeon uses other gentle techniques, which can be combined for more complex cases.
- ClariVein method: outpatient procedure under local anaesthesia, takes around 20 minutes, with an immediate return to everyday activities
- Miniphlebectomy: minimally invasive surgical removal of varicose veins under local anaesthesia, gentle on tissues with a short recovery
- Sclerotherapy: a special solution and foam injected into the affected vein, suitable for varicose veins, spider veins, and small vascular lesions
- For more complex cases, combining methods leads to better treatment outcomes
Care and recommendations after the procedure
A few simple rules after the procedure help the result hold up over time.
- Wearing the prescribed compression stockings as instructed
- Gradually increasing physical activity and walking more
- Avoiding lifting weights over 10 kg and strenuous activity shortly after the procedure
- Avoiding baths, sauna, and jacuzzi for the period set by the doctor, and avoiding overheating in the sun
- A check-up with a phlebologist at least once a year
Doctors for this specialization
Vascular surgery
MUDr. Anton Karalko
Vascular surgeon with German clinical training and board certification in vascular surgery. His practice focuses on vascular and venous surgery, including assessment and treatment planning for vascular disease.
General surgery, Vascular surgery
MUDr. Jan Zeithaml
General surgeon with hospital surgical training and second-level certification in surgery. His practice includes vascular outpatient care and minimally invasive treatment of varicose veins using the ClariVein method.
Vascular surgery questions
Short answers about varicose veins, ultrasound, treatment options, and booking a specialist review.
When should varicose veins be checked by a doctor?+
Varicose veins should be checked by a doctor when they cause pain, swelling, heaviness, skin changes, itching, bleeding, or visible worsening. Seek urgent medical help for sudden leg swelling, severe pain, shortness of breath, or chest pain.
What is a venous ultrasound?+
A venous ultrasound is an imaging test that uses sound waves to show blood flow in the leg veins. It helps the vascular surgeon check whether the veins are working properly and whether reflux, blockage, or another vascular issue may be present.
What is the best treatment for varicose veins?+
The best treatment depends on the vein pattern, ultrasound findings, symptoms, skin condition, health history, and personal priorities. A vascular surgeon may discuss options such as compression, sclerotherapy, laser treatment, miniphlebectomy, or a combined plan.
What is the difference between laser treatment and sclerotherapy?+
Laser treatment usually closes a larger affected vein from inside using heat, while sclerotherapy uses an injected solution or foam to close smaller or selected veins. The vascular surgeon chooses the method based on ultrasound findings and the type of vein being treated.
Can OpenMedical arrange a vascular surgery consultation in Prague?+
Yes. OpenMedical can coordinate a vascular surgery consultation at a partner clinic in Prague, help collect relevant records before the visit, and keep the next step clear after the specialist review.