Phlebology is one of the most popular branches of medical tourism in Latvia. The country’s leading phlebologists treat not only Latvian, but also foreign patients.
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Oftentimes, patients may notice the initial signs of venous illnesses, therefore it is important to conduct precise diagnostics using cutting edge technologies. Symptoms of venous illnesses include:
Latvia’s specialists will help every patient to attain the desired result, choosing the most effective therapeutic method.
Sclerotherapy involves the closure or eradication of a damaged or varicose vein with the help of a special medicine – sclerosant. Large varicose branches can also be closed using foam sclerotherapy (replacing surgical intervention). This treatment can be performed regardless of the patient’s age and general state of health. It is significantly less expensive than other vein treatment methods.
Procedure: the medicine is injected into the damaged vein using a thin needle. The foam has a powerful impact on veins, because it completely fills in the damaged section of the blood vessel, making maximum contact with the blood vessel’s walls. The procedure is performed under ultrasound control. Anaesthesia is not necessary, and after the procedure, the patient can go home immediately. Duration – 30 minutes.
Recovery: rehabilitation period 2−4 weeks during which the patient must wear special compression socks. If the network of small capillaries has been removed, socks are required.
Result: the damaged vein gradually closes and after a time is no longer visible. In rare cases, the illness may reoccur.
VEIN LASER OPERATION
Minimally invasive method – one of the most popular vein treatment methods in the world. The operation can be performed regardless of the patient’s age and general state of health.
Procedure: the operation is performed using modern vein laser coagulation apparatus. With laser ray impulses, thermally impacting the vein wall, the damaged vein is closed. Laser rays only affect the damaged part of the vein, and the surrounding tissue are practically unharmed. The operation is performed under local anaesthesia. During – 25−35 minutes per leg.
Recovery: rapid recovery observed; the patient can resume ordinary daily life the day after the operation.
Result: desired cosmetic effect attained, the operation does not leave scars.
VEIN OPERATION WITH STEAM
A vein operation with steam closes a damaged vein with even less trauma. This is especially suitable for repeated vein operations and anatomically complicated vein treatments. The method can not only be applied to the vein, but also to the largest lateral branches.
Procedure: heated steam in the form of controlled micro-impulses is injected into the vein through a catheter. The number of micro-impulses depends on the diameter of the vein, 2-3 impulses are usually used per centimetre. During the operation, the walls of the vein contract and close.
Recovery: fast recovery, after just a few days, the patient can resume a fully active social life.
Result: provides a very good cosmetic result.
VEIN RADIO FREQUENCY OPERATION
The operation can be performed regardless of the patient’s age and general state of health. The radio frequency method can eliminate not only large tracheal veins, perforated veins and venous capillaries, but also lateral branches. The main advantage of this method of treatment is low tissue trauma.
Procedure: small pricks are made in the skin using only local anaesthesia. The diseased vein is heated up in a controlled manner by a special catheter and is closed through micro-impulses using thermal energy.
Recovery: the patient is only required to spend 1−2 hours in day care and can resume a fully active social life after just a few days.
Result: very good cosmetic result; over the course of a year, the damaged vein practically turns into connective tissue. Repeated disease is only observed in very rare cases.
VEIN CLOSURE WITH BIOLOGICAL GLUE
Latvia is the fifth country in the world, where bioglue is used in vein operations. In most cases, this method is used to treat varicose veins during the initial stage. Compared with the previous endovenous methods, this is very gentle on the patient, with no pain or hematomas. The operation is completely painless and no anaesthesia is required.
Procedure: in the form an injection, through a disposable catheter, a safe and harmless special biological glue is injected into the vein. The vein is not removed; after a time, it turns into connective tissue.
Recovery: recovery is very fast. After the operation, the patient does not require compression socks.
Result: very good cosmetic result, no repetition of illness observed.
TROPHIC ULCER TREATMENT
Venous ulcers in legs are often painful, exuding, restricting the patient’s movement and sometimes even resulting in social isolation. In ulcer cases, an accurate diagnosis is vital, including through consultation with a vascular surgeon. The size of any ulcer should be measured and photographed at the beginning of the ulcer so that changes can be monitored during the healing process. Special computer software is used to calculate the size of the ulcer and determine how much necrotic tissue, fibrin and granulation it has. The primary treatment method is compression therapy.
The ulcer can be cleaned with the help of modern ultrasound technology. The method is gentle and less traumatic. Low-frequency ultrasonic waves enter the wound by means of physiological saline, at the same time cleansing and healing it. This method can separate necrotic tissue and cleanse the “pockets” of wounds. The effect is immediate and obvious.
More serious ulcer cases are treated with the Shave operation. During surgery, the skin of the patient's upper thigh is removed from the patient's thigh by a special apparatus, which is then placed on the affected area and secured. The operation is not complicated and lasts for 20 to 30 minutes. Usually, after this operation, the ulcer heals very well within 2−3 weeks.
Proctology – treatment of ailments in the area of the colon and rectum. The necessary diagnostics are performed by a doctor - proctologist, while the doctor - phlebologist joins the treatment process to perform operations and medical manipulations. Various rectal diseases are observed - polyps, chronic constipation, neoplasia, but the most common is haemorrhoids. Haemorrhoids are vascular node extensions at the bottom of the rectum, which may cause discomfort, pain and minor bleeding. Depending on the degree of the ailment, the following methods are used to treat haemorrhoidal nodes:
|Angiosurgeon’s/surgeon-phlebologist’s consultation||from EUR 37|
|Phlebologist’s consultation with duplex ultrasound||from EUR 40|
|Computed tomography phlebography||from EUR 218|
|Foam sclerotherapy (1 ampule)||from EUR 70|
|Sclerotherapy under duplex ultrasound control (1 procedure)||from EUR 115|
|Vein laser operation (1 leg)||from EUR 500|
|Vein laser operation (2 legs)||from EUR 690|
|Vein operation with steam (1 leg)||from EUR 610|
|Vein operation with steam (2 legs)||from EUR 800|
|Vein radio frequency operation (1 leg)||from EUR 640|
|Vein radio frequency operation (2 legs)||from EUR 830|
|Vein closure with biological glue (1 leg)||from EUR 2200|
|Vein closure with biological glue (2 legs)||from EUR 2500|
|Aesthetic arm vein miniphlebectomy (both arms)||from EUR 900|
|Trophic ulcer treatment (up to 10 cm2)||from EUR 390|
|Trophic ulcer Shave operation (bigger than 20 cm2)||from EUR 700|
|Phlebectomy||from EUR 751|
|Initial proctologist’s consultation||from EUR 34|
|Transanal polypectomy||from EUR 300|
|Ligation of latex rings for internal haemorrhoid nodes||from EUR 74|
|Longo operation||from EUR 430|
|Internal haemorrhoid node operation with THD method||from EUR 360|
|Haemorrhoid laser operation||from EUR 650|
|A day in bed in a single room with bathroom facilities (with meals)||from EUR 121|
|Temporary inpatient day care||from EUR 35|
* Individual treatment steps will vary from patient to patient, and the detailed treatment cost will be determined by each patient’s requirements and state of health.
Duplex US is used to measure the flow of blood to the veins, to visually assess veins, as well as to diagnose thrombosis and other venous pathologies. Ultrasound can clarify whether:
A Duplex US examination lasts for only 10−20 minutes and provides precise information about the condition of deep and superficial veins. The method is also used before operations to clarify the scope of the procedure and to identify the relevant veins.
COMPUTED TOMOGRAPHIC PHLEBOGRAPHY
Computer tomography (CT) phlebography is mainly used for in-depth diagnosis of deep vein thrombosis or for the examination of congenital vein diseases. The examination is carried out with state-of-the-art computer tomography making it possible to look at the deep vein system as a whole. Other diagnostic methods provide only a segmental view. During the examination, a contrast agent is slowly injected into the superficial leg vein. When the corresponding deep vein filling is reached, a quick scan of the limb is performed and a deep vein contrast is obtained.
LEG MEASUREMENT WITH BODYTRONIC® 600
Unique cutting edge 3D measurement technology that digitally measures the legs from the tips of the toes to the hips. The equipment generates a three-dimensional model that provides individual and accurate leg measurements so that compression socks can be selected quickly and as precisely as possible. During the measurement process, the patient stands on a rotating measurement platform. The system projects light beams onto the relevant part of the body and records them digitally. Light rays on the skin form a network used to create a precise three-dimensional pattern. Body circumference and length calculated in detail make it possible to select the most suitable compression sock size for the patient.
Individual treatment steps will vary from patient to patient, and the detailed action plan will be determined by each patient’s requirements and state of health. In choosing to undergo phlebology in collaboration with Latvia’s clinics, the patient can primarily anticipate that a close relationship will develop electronically followed by a visit to Latvia.
General treatment steps are as follows:
The duration of the visit to Latvia will depend on the planned operation or procedure.
"I am very satisfied with medical service in Riga and the very nice and prof. manager Katrina K. as well as their nice drivers. I can warmly recommend to visit the very good clinics in Riga as Baltic Veinn Clinic as well as Dermatology Clinic with their very nice and prof. doctors and treatments."
"My wife and I traveled from the United States to Latvia to have a thorough medical checkup. We wanted some procedures that are not easy to schedule and are rather expensive in the United States. At Capital Clinic Riga everything we wanted, from ultrasounds, nutritionists and MRIs were just an email away. The English speaking staff were extremely friendly, knowledgeable and helpful. In the U.S., we live in a town with 100,000 people so, it's not exactly a village. Nevertheless, the equipment at the Capital Clinic Riga was more modern than anything to which we would have access without visiting a major metropolitan area. At roughly 10% the price of American services, the difference can easily pay for the trip to Riga. It's not all about money though. The doctors and staff were all professional, kind and seemed to care about our treatment, not just our payment. I can honestly say I have not felt that type of focus from an American doctor for decades. Unfortunately, they seem to be concerned with throughput and generating as much top line revenue as possible. Furthermore, unlike American doctors, the answer to every problem is not simply to prescribe antibiotics to treat the symptoms, unless of course, that is what is absolutely necessary. I wanted a holistic approach to treating my problems so I appreciated an approach that did not necessitate antibiotics. I'm planning to make Capital Clinic Riga a regular part of my health care routine and will be back next year for the same round of exams to see how things may have changed."
"I just wanted to thank medical tourism manager Ljuba Tihomirova for helping myself and my wife when we were in Riga. We are both very happy with our operations made in Dermatology Clinic and Baltic Vein Clinic. My legs feel much lighter than before after surgery done by dr. Udris, using biological glue, I feel like I can now fully enjoy my life and my hobbies, play football, and my wife wished to have surgery since last year, so I am very happy that she got it now and feels great! Many thanks!" Ian from Manchester, United Kingdom