Surgery (Varicose Veins)

Specialists

Dr. Balázs Sipka

Surgeon

What can you contact us about?

Visible enlarged veins on the legs, aesthetic concerns
Heavy or tired legs sensation
Leg swelling (socks or stockings leave marks by the evening)
Night-time calf cramps
Dull, tight or aching pain in the legs
Itching
Non-healing leg ulcer
Recurring superficial vein inflammation, thrombosis, or embolism
Bleeding

Private Varicose Vein Surgery Consultation

Varicose vein disease is one of the most common vascular conditions. Initially, it may only cause aesthetic concerns, but without proper treatment it can eventually lead to serious health complications. Veins are naturally present throughout the human body. The veins in the legs are responsible for carrying blood back toward the heart and play an essential role in circulation. In varicose vein disease, however, these veins do not function properly.

Under normal circumstances, valves inside the leg veins help direct blood toward the heart. In the case of varicose veins, these valves become damaged, causing blood to flow backward or pool inside the vein.

Over time, this pooling gradually worsens circulation in the legs and, if left untreated, may lead to inflammation, bleeding, non-healing leg ulcers, superficial or deep vein thrombosis, and even embolism.

Our varicose vein surgery clinic was established through the professional collaboration between VeinStream Varicose Vein Clinic and Parliament Medical Center, where patients are welcomed in a modern, high-quality medical environment.

Nearly all forms of varicose vein disease can be treated successfully. The chosen treatment method depends on the type and size of the affected veins. Tiny spider veins require a different approach than larger varicose veins several centimeters wide. In every case, an individualized treatment plan is created. It is also common for multiple types of vein disorders to occur simultaneously — in such cases, the treatment plan includes therapy for both smaller and larger veins.

What kind of varicose veins do you see on your legs?

The appearance of varicose vein disease can vary greatly, from tiny purple spider veins to larger bulging varicose veins. Their treatment also requires different approaches: milder cases are often managed conservatively, while larger varicose veins may require surgery.

Treatment of small varicose veins (e.g. spider veins)

These superficial, thin dilated veins mainly represent an aesthetic issue, but over time they may also cause symptoms. Their treatment usually does not require surgery and is typically performed on an outpatient basis using injection therapy or laser procedures.

Treatment of larger varicose veins

There are fundamentally two main approaches to the treatment of varicose veins:

Conservative treatment
Surgical intervention

Conservative treatment

Conservative treatment is intended to relieve symptoms and help prevent complications; however, it does not eliminate varicose veins on its own.

Main methods include:

Wearing compression stockings – daily use may help slow the progression of the condition
Medication – so-called venotonic drugs may help reduce symptoms
Local treatment
Lifestyle recommendations – such as regular exercise and weight management

Important!

Conservative treatment requires continuous attention and often becomes a lifelong commitment. However, lasting and definitive treatment of varicose vein disease can only be achieved through surgical procedures.
If you notice that your varicose veins are worsening or progressing despite conservative treatment, this may indicate that the current treatment is insufficient.

Surgical treatments

The goal of every surgical procedure is to eliminate the malfunctioning vein segment responsible for blood pooling and symptoms. Traditional “stripping surgery” removes the vein entirely, while modern catheter-based techniques close the vein from the inside.

Traditional stripping surgery involves larger incisions and physical removal of the vein. This procedure is performed under general or spinal anesthesia and requires hospitalization. According to the latest international recommendations, these procedures are now reserved only for selected cases due to their disadvantages.

Modern catheter-based procedures treat varicose veins by closing the affected veins instead of removing them. These procedures are performed under local anesthesia on an outpatient basis. Vein closure may be achieved using heat (laser or radiofrequency) or medical adhesive techniques.

The following chart helps compare the different treatment methods.

Legend:

+++ = high / significant
0 = none / minimal

	Glue Closure Surgery	RF / Laser	Traditional Surgery
Pain	+	++	+++++
Numbness	0	+	++++
Compression bandaging	0	+	+++++
Length of physical recovery	0	+	+++++
Total sick leave days required	0–1	+	+++++
Total recovery time	0–1 days	7–10 days	6 weeks

What happens during varicose vein surgical care? What are the steps?

The first consultation:

During the consultation, we discuss your complaints, symptoms, the onset of the detected problems, and other relevant details. In every case, a detailed ultrasound examination is performed, as modern varicose vein diagnostics cannot be carried out without it. We examine the major visible and non-visible veins and assess the deep veins at multiple points to check for any recent or previous deep vein thrombosis. Additional examinations may also be performed if necessary to determine the underlying cause of the problem.

Important!

For the examination of the veins, shoes, trousers, and compression stockings (if worn) must be removed, and the patient will need to stand in front of the treating physician during the examination.
The examinations are generally performed in a standing position, and the legs are examined with ultrasound from the groin area down to the ankles.
If you have an active wound on your leg, the dressing will be removed during the examination and replaced with a new one. If you use a special type of dressing, please bring it with you.

The procedure:

If, during the examination, a decision is made to perform surgery or another intervention, all related details and necessary steps will be discussed thoroughly with the examining physician, whether it involves a minor injection treatment or a laser vein closure procedure.

During the consultation, we provide all documentation related to the procedure and answer all questions that may arise.

Treatment of small veins, such as spider veins, is performed on an outpatient basis at Parliament Medical Center.

Surgical treatment of larger varicose veins (such as glue closure procedures or laser varicose vein surgery) is performed in the operating theater of our partner institution.

We look forward to welcoming you to our varicose vein surgery clinic!

Varicose vein disease is not merely an aesthetic issue — early recognition and timely treatment are essential in preventing more serious complications.

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Our staff will gladly answer any questions you may have. Contact us, and we will assist you with the next steps.

Parking and Accessibility

Our clinic is easily accessible by car. Parking is available in the surrounding streets, as well as in the nearby 24-hour paid underground parking garage at Szabadság Square.