Vascular surgeon

Who is a vascular surgeon and what does he treat?

A vascular surgeon is a doctor who specialises in diagnosing and treating diseases of the arteries and veins. The main goal is to restore normal blood flow and prevent complications.

A phlebologist is a narrow specialist who deals exclusively with venous diseases: varicose veins, phlebitis, thrombosis, and venous insufficiency. If the disease requires surgical intervention, the patient is referred to a vascular surgeon.

At ZDRAVO clinic, a phlebologist's consultation is combined with the work of a vascular surgeon, which allows for a quick diagnosis and effective treatment.

Vascular surgeon services at the Zdravo clinic

The vascular system plays a key role in ensuring the normal functioning of the entire body, as it is responsible for transporting oxygen and nutrients to every cell. Circulatory disorders can lead to serious complications, ranging from pain and swelling in the legs to dangerous thrombosis and ischaemia. A vascular surgeon is a specialist who diagnoses, prevents and treats diseases of the veins and arteries, helping to restore normal blood flow and prevent complications. At the Zdravo Medical Centre, we use modern examination and treatment methods to provide each patient with an individualised and effective approach to vascular health.

When to visit a phlebologist or vascular surgeon

Vascular diseases often develop unnoticed. In the early stages, they are not always accompanied by pain, but can have serious consequences if not treated on time.

Indications for a consultation with a vascular surgeon

• heaviness and pain in the legs at the end of the day
• swelling of the legs or ankles;
• calf muscle cramps, especially at night;
• appearance of cyanotic venous network;
• veins protruding above the skin;
• discolouration of the skin of the feet, peeling;
• non-healing trophic ulcers.

Also, a preventive consultation with a phlebologist is recommended after the age of 30, especially in case of a hereditary predisposition to varicose veins.

The main causes of venous disorders

The causes of vascular diseases are diverse - from lifestyle to chronic pathologies. Understanding the risk factors can help prevent disease progression.

The most common causes are

• genetic predisposition to varicose veins;
• prolonged standing or sitting;
• hormonal changes, in particular during pregnancy;
• overweight or obesity;
• smoking, chronic intoxication;
• injuries of the lower extremities;
• diabetes mellitus or hypertension;
• wearing tight or high shoes.

The risk group includes women, pregnant women, office workers, athletes, and the elderly.

What diseases does a phlebologist and vascular surgeon treat?

The list of diseases that specialists work with:

• varicose veins;
• chronic venous insufficiency (CVI);
• thrombophlebitis and phlebitis;
• thrombosis of deep and superficial veins;
• trophic ulcers;
• venous dysplasia;
• post-thrombotic syndrome;
• lymphostasis.

How does a consultation with a vascular surgeon at ZDRAVO go?

The first stage is a thorough medical history. The doctor ascertains the patient's symptoms, medical history, lifestyle, and possible concomitant pathologies.

Then a clinical examination is performed:

• examination of the lower extremities in a standing and lying position;
• assessment of the condition of veins, skin, presence of varicose nodes;
• palpation of arterial pulsation;
• conducting functional tests for vein patency;
• measuring pressure in different areas.

If necessary, the patient is prescribed additional diagnostics to help determine the exact cause of the disorder.

Treatment process: how it works

Treatment of vascular diseases at the clinic begins with an initial consultation with a vascular surgeon. The doctor listens carefully to the patient's complaints, studies their medical history, conducts an examination and prescribes the necessary tests — ultrasound examination of blood vessels (Doppler), analyses or instrumental diagnostics. After establishing an accurate diagnosis, the specialist discusses an individual treatment plan with the patient: this may include drug therapy, physiotherapy, minimally invasive techniques, or surgery.

All procedures are performed using modern equipment and in accordance with international standards of vascular surgery. After treatment, the patient remains under the supervision of a doctor and receives recommendations for recovery and prevention of recurrent vascular problems. This step-by-step approach allows for lasting results, reduces the risk of complications, and restores comfort to everyday life.

Diagnostic methods

ZDRAVO clinic uses modern diagnostic equipment. This allows us to detect pathology at an early stage and avoid surgical intervention.

The main diagnostic methods:

• Vascular ultrasound (duplex scanning) - assessment of vein patency, detection of blood clots;
• Dopplerography - measurement of blood flow velocity;
• Blood tests - coagulogram, general and biochemical analysis;
• Assessment of venous pressure - determination of the degree of venous insufficiency.

Based on the results, the doctor develops an individual treatment plan.

Methods of treatment of vascular diseases

The clinic uses both conservative and surgical methods of treatment. The goal is to reduce symptoms, restore blood flow and prevent complications.

The main methods of treatment:

• Compression therapy - use of special knitwear;
• Medication - venotonics, anti-inflammatory drugs;
• Sclerotherapy - injection of a substance that glues the affected vein;
• Laser coagulation - closing the vessel with a laser;
• Surgical intervention - phlebectomy, removal or ligation of veins.

With timely treatment, it is often possible to do without surgery.