SPECIALISED VASCULAR OUTPATIENT CLINIC
Yes, painlessly, and without hospitalisation. Respectfully and sensitively. We are a leader in varicose vein surgery in Slovakia and are accredited to use all methods of varicose vein treatment. We specialise in the diagnosis and treatment of vein disease – spider veins, swelling of the lower limbs (lymphoedema), leg ulcers (ulcus cruris) and venous thrombosis. Together with our experts, we can help you fight venous diseases that are more than just an aesthetic problem. Don't underestimate symptoms, such as swelling, feeling of heavy legs, spider veins, varicose veins or pigmentation.
YOU ARE NOT ALONE IN THIS
We’ll make sure you get rid of the discomfort using the most advanced and gentle methods. We truly master them all.
PROKTOVENA
We would like to inform you that our surgical centre does not have contracts with health insurance companies for surgeries and procedures. For this reason, these surgeries are not covered by health insurance. • There is no need for a referral or to have an exchange ticket from your GP. • The initial examination with color Doppler, where the next steps are determined, is not covered by health insurance and is charged according to the current price list. • At Proktovena, we treat diseases of the rectum and varicose veins without hospitalisation and general anaesthesia, therefore we do not need a pre-operative examination within the field of internal medicine and the patient can eat before the procedure. After the procedure, the patient leaves on his/her own without pain and drives a car home without any problems.
WE CAN HELP YOU
Chronic venous disease (CVD) causes varicose veins in the legs with pain and swelling. Varices are divided into different types according to their size. Diagnosis and treatment are determined at the initial examination, including the prevention of venous disease through gymnastics, venotonics, surgical interventions and regular annual follow-ups.
Spider veins, also known as telangiectasia, venectasia or thread veins, represent the C1 stage of chronic venous disease. A comprehensive approach is needed for treatment, including wearing compression stockings and taking venotonics. Regular vascular follow-ups are essential to monitor progression and prevent recurrences.
Varicose veins – also known as varices – are enlargements of the veins in the legs with different sizes and stages. These unaesthetic manifestations are part of chronic venous disease, which requires complex treatment, including wearing compression stockings and taking venotonics. Regular vascular follow-ups are essential to monitor and prevent possible complications and recurrences.
The main venous trunk consists of the great saphenous vein (GSV), small saphenous vein (SSV), and perforating veins. Reflux and insufficiency of these veins lead to vein enlargement, intravenous inflammation and symptoms of chronic venous disease, including varicose veins, pain and swelling. Conservative treatment involves wearing compression stockings and taking venotonics. For more severe cases above 5 mm, surgical intervention should be considered, while modern outpatient intravenous techniques allow for an effective and minimally invasive solution.
Lymphoedema is a swelling of the lower limbs caused by the accumulation of lymph and fluid in the tissues. There are two main types: primary (genetic) and secondary (caused by external factors). Symptoms include swelling, stiffness and pain. Treatment includes decongestion, compression garments, physical therapy and possibly surgery. Causes of leg swelling can be vascular (associated with veins, arteries due to poor insufficient blood supply), neurological, muscular, associated with heart, kidney and liver disease. In acute lymphoedema, we use two-layer compression therapy and later compression stockings, which can also be custom-made. Venous gymnastics exercises are also important.
Venous thrombosis is a condition in which blood clots (thrombi) form in the body's venous system. They can occur in deep veins (deep vein thrombosis, DVT) or superficial veins (superficial vein thrombosis, SVT). Treatment for venous thrombosis (DVT and SVT) includes anticoagulant therapy (blood thinners) to stop the growth of the thrombus, compression therapy to relieve symptoms, and treatment of the underlying cause.
Ulcus cruris is a chronic wound, often caused by venous disease or diabetes, requiring a complex treatment. For venous ulcus cruris, surgical treatment of reflux in the major veins and compression therapy are important. Vascular surgeons, neurologists and diabetologists work together in diabetic foot disease. Treatment depends on the cause and may include wound cleaning, wet dressings, infection control and surgical intervention, if necessary. Compression therapy must not be applied in patients with arterial disease so as not to worsen ischaemia.
Patients are referred to vascular, angiology outpatient clinics for examination for leg pain. In the vascular, angiology outpatient clinic, after Doppler-ultrasound and general examination of the patient, we discover whether the pain is of arterial or venous origin. Arteries are blood vessels that carry blood from the heart to the legs. Veins carry blood back from the legs through the deep and superficial system via the abdominal veins to the heart. When leg pain from vascular causes is ruled out, patients are referred to neurologists, orthopaedists and internists for further examination.
Varicose veins, dilated blue or purple veins, occur on the arms, legs and face. According to their size, we classify them as perforating, reticular, and spider veins. The facial blood vessels – known as the spider veins – are small dilated blood vessels mainly on the nose, cheeks and forehead. Causes include genetics, age, sun exposure and hormonal changes. Treatment may include laser therapy, electrocoagulation, sclerotherapy or surgery.
Initial consultation. Read more.
Doppler and mapping diagnostics.
Treatment plan.
Outpatient procedure.
Follow-up visits.
A modern, minimally invasive method for treating spider and reticular varicose veins that combines laser therapy with sclerotherapy. This procedure is popular because it is effective, quick, and less painful than traditional methods.
Ultrasound guided foam sclerotherapy is one of the methods to remove and reduce varicose veins. The procedure is performed under optical control with Veinlite, Veinviewer or under ultrasound control. Aethoxysclerol foam or solution is injected with a tiny needle into the enlarged vein – varix, causing its subsequent closure. The final effect is visible in about 3 weeks.
With the microphlebectomy and microstripping technique, the affected veins are removed through small slit-like incisions in the skin under tumescent local anaesthesia. The affected veins are removed and the incision is not sutured, but a strip is applied. A compression stocking is not required. The overall result of Varady's technique is visible after about 5 weeks and is very good without scars.
It is one of the endovenous (inside the vein) techniques to eliminate reflux of superficial venous trunks in the great or small saphenous vein (GSV, SSV) and insufficiency of the perforating veins. Radiofrequency ablation (RFA) from the F care systems company is used as a heat source for closure. No hospitalisation or general anaesthesia is required, therefore the procedure is patient-friendly. After the procedure, a compression stocking is worn for about 5 - 7 days.
It is one of the endovenous techniques to remove reflux. A laser from the Biolitec company is used as a heat source for closure. The procedure does not require hospitalisation or general anaesthesia. After the procedure, the patient wears a compression stocking for 5–7 days.
This procedure is indicated for twisted varicose veins and after repeated unsuccessful sclerotisations, as well as for recurrent varicose veins after intravenous procedures. The vein is marked and treated from the micro incisions under tumescent anaesthesia and ultrasound guidance. The wound is then treated with a strip and a compression stocking is put on.
Vein exercises to improve venous return from the legs by activating the muscle pump.
Elevate your legs – use any available support such as a chair, pillow, or armchair.
Wear high-quality, precisely measured compression stockings if you have chronic venous disease (CVD), especially during prolonged standing, sports, or air travel.
Walk at least 10,000 steps daily.
Minimize time spent in hot environments such as baths, saunas, or hot tubs.
Use venotonics in summer. Veins tend to dilate more in heat. Venotonics reduce intravascular inflammation, which is the cause of damage to the inner walls of veins.
Massage your legs from the toes and ankles upwards.
Reduce varicose veins through procedures recommended during the initial examination.
Attend annual check-ups to monitor new veins, healing after procedures, and to perform mapping, photographs, and control ultrasounds.
Zátišie 5, 831 03 Bratislava
recepcia@proktovena.sk +421 911 700 374
Medichir s. r. o.
Monday
8:00 — 15:30
Tuesday
8:00 — 15:30
Wednesday
8:00 — 17:00
Thursday
8:00 — 15:30
Friday
8:00 — 12:00
Zátišie 5, 831 03 Bratislava
Parking is also possible directly in front of the outpatient clinic and on the surrounding roads. From 12:00 to 24:00, parking is charged at a rate of 1 €/h (PASS parking - 3033 Zátišie). Payment for parking can be made through the PAAS, EasyPark applications or by sending an SMS. Parking on sidewalks is prohibited. Free parking is available for up to 3 hours at the Vivo shopping center.
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