Over the years, there has been a lot of debate among both patients and doctors as to which method is superior, routine rotational surgery and anaesthesia or laser surgery. A radical turning point came in 2011 when the US Association of Vascular Surgery, together with the American Vein Forum, developed evidence-based international practical guidelines for the treatment of varicose veins. The most important finding is that the best way to perform venous surgery is not a surgical but a non-invasive method, laser ablation, which was based on a high level of evidence (IB). Since then, the debate on this issue has waned, and in most developed countries, non-invasive methods have been recognized as the gold standard that some countries have included in the public and insurer-paid health care basket.
In 2019, the 20th anniversary of the use of laser in venous surgery was celebrated. At present, everything is known about the possibilities and technical base of the laser. Over the past decade, many new minimally invasive methods have emerged that seek to compete with laser technology, but laser surgery is still considered the gold standard worldwide.
In the last five years, isolated laser procedures have become increasingly popular. They can be considered as the next breakthrough in reducing trauma, thus making the patient's daily life easier. It is a procedure, not an operation, so there is no need for an operating room in the treatment process. Separate needles are performed with a needle, and a single vein procedure takes only 15-20 minutes. After applying a small bandage, the patient gets dressed and immediately goes about his daily routine. No cuts are made, so there is no need for preparation, diet or analysis before the procedure. As there is no risk of bleeding, as the injury is minimal, there are no significant restrictions after the procedure - the patient can immediately resume their daily activities, walk, run, ride a bicycle. Stitch marks heal in a few days. The procedure is easy to tolerate, so it is very popular with patients and doctors around the world.
An isolated laser procedure is not suitable for all patients, there are many different anatomical variations that can only be assessed by a doctor after a thorough examination. If an immediate, cosmetically perfect result is important to the patient, then one laser procedure will not solve it immediately. If improving your health is important, but visual results are not a priority, then a laser procedure is likely to be the best choice.