В «Центре Флебологии» созданы все условия для того, чтобы хирургическое лечение варикоза было эффективным, а пациент чувствовал себя комфортно. В каких случаях назначается операция, что необходимо сделать пациенту в процессе подготовки, какой режим соблюдать – мы отвечаем на эти и другие вопросы.
Показания
Врачи «Центра Флебологии» в большинстве случаев применяют безоперационное лечение, но бывают случаи, когда именно операция является оптимальным способом удаления варикозных вен:
- поздняя стадия развития варикоза
- наличие сильно выраженных, извитых вен и узлов не только на бедре или голени, но на обоих сегментах ноги
- рецидив заболевания
- нарушение питания тканей и риск развития трофических язв
- тромбофлебит (в стадии ремиссии) и др.
В любом случае решение о необходимости операции принимает врач после подробной диагностики и обязательного УЗИ вен.
Условия для оперативного лечения в «Центре Флебологии»
Операции по удалению варикозных вен в «Центре Флебологии» проводятся в собственной операционной, где для пациентов созданы все условия. В операционной поддерживаются стандарты стерильности; клиника проходит регулярные проверки, подтверждающие соответствие существующим нормам.
В «Центре» есть стационар (4 палаты, всего 7 мест), в котором все продумано для комфорта пациентов. В частности, они обеспечиваются всей необходимой для пребывания в стационаре одеждой и предметами гигиены, питаются по индивидуальному предварительному заказу. Обычно в стационаре пациенты находятся в течение суток после операции.
Подготовка к оперативному лечению
Во время первого визита к врачу пациенты «Центра Флебологии» проходят подробную диагностику, которая обязательно включает УЗИ вен. На основании полученных данных лечащий врач принимает решение о проведении операции, и пациента сразу осматривает анестезиолог, чтобы определить вид анестезии. Как правило, применяется спинальная анестезия, но может быть сделан и общий наркоз.
Следующий этап подготовки – сдача необходимых анализов и ЭКГ. Это можно сделать в любой лаборатории по выбору пациента (анализы действительны в течение 30 дней) или непосредственно в «Центре» по привлекательной стоимости. Если вы сдаете анализы в нашей клинике(pdf), то результаты поступают лечащему врачу уже на следующий день.
Одним из важнейших моментов для пациентов является ношение компрессионного трикотажа, который обеспечивает правильное распределение давления и нормализует состояние вен. После операции пациенту понадобится две пары трикотажа – госпитальный и дневной. По прошествии определенного времени после операции госпитальный трикотаж снимается, и пациент продолжает ношение дневного.
Все рекомендации по выбору трикотажа (класс компрессии, вид изделия) пациент получает после первого визита к врачу. Если дневной трикотаж приобретается в «Центре Флебологии», то госпитальный трикотаж Struva предоставляется бесплатно.
После операции
После операции пациент в течение суток находится под наблюдением врача в стационаре. После выписки можно выходить на работу и вести привычный образ жизни, учитывая те ограничения, о которых сообщает врач.
В течение полугода после операции пациент находится на бесплатном амбулаторном наблюдении. В случае необходимости он может получить консультацию и сделать необходимые процедуры.
Современные методы анестезии, при операциях на венах
Внутривенное обезболивание. Внутривенное введение препаратов, обеспечивающее полное отсутствие болевых ощущений. Для этого используются только современные препараты, не имеющие побочных эффектов.
Местная анестезия. Выполняется хирургом. Введение современных анестезирующих препаратов непосредственно в области операционного вмешательства. Позволяет достичь необходимого уровня обезболивания и легко его контролировать.
Проводниковая анестезия. Локальное введение препарата к иннервирующим зону операции нервным волокнам. Для достижения адекватной анестезии достаточно введение всего 3-5 мл анестетика. Существенное преимущество — полное отсутствие системных и побочных эффектов.
Эпидуральная анестезия. В поясничную область вводится всего 3–4 мл анестетика. Это обеспечивает полное отсутствие болевых ощущений. Является методом выбора во флебологии и малоинвазивной хирургии, так как после него пациент уже через 2-3 часа может самостоятельно ходить. Работоспособность полностью восстанавливается через 24 часа.
В хирургическом отделении Центра Флебологии проводится лечение грыж передней брюшной стенки (удаление паховых, бедренных и пупочных грыж) в соответствии с мировыми стандартами. Операции выполняются доктором медицинских наук, заведующим хирургическим отделением клиники Чернооковым А.И. подробнее.
— Если удаляется вена, как же тогда идет кровь?
— Во-первых, удаляются варикозно-измененные, а главное, неработающие вены. То есть, можно сказать, что пациент уже живет без этих вен. Во-вторых, большая часть венозной крови (около 90%) оттекает по глубоких венам, которые располагаются в мышцах. Когда удаляются варикозные вены, то ликвидируется застой и сброс крови по ним, снижается давление в подкожных венах, которые еще функционируют правильно. При этом отток крови от ноги наоборот улучшается.
— Как сейчас проводятся операции?
— В последнее время чаще применяются малоинвазивные операции. Это щадящие методики, которые осуществляются с применением небольших хирургических разрезов и проколов, а также имеют меньший процент развития осложнений. Кроме того, малоинвазивные операции можно проводить в стационаре одного дня, при этом пациент проводит в клинике всего одни сутки. В клинике «Центр Флебологии» представлены практически все виды малоинвазивных операций, при этом хирург определяет, какая лучше всего подходит данному пациенту. Подробнее>>>
I. Консультация и диагностика
Цена (руб).
| 1 | Консультация хирурга (флеболога) | 950 |
| 2 | Ультразвуковое (дуплексное) сканирование вен нижних конечностей. | 2 500 |
| 3 | Ультразвуковое (дуплексное) сканирование вен нижних конечностей и консультация хирурга (флеболога) | 3 300 |
Первичная консультация флеболога и первичная консультация по ХВН осуществляется только при наличии ультразвукового исследования, проведенного в день проведения консультации (МР 99/209 МЗРФ от 30.03.2000г).
II. Флебология. Лечение варикоза
Склеротерапия — безоперационный метод лечения варикоза, который эффективен при начальных стадиях заболевания, на сосудах не очень большого диаметра. В настоящее время существует несколько вариантов склеротерапии: пенная склеротерапия (), , микросклеротерапия.
Курс лечения состоит из нескольких процедур (в среднем 3–5 сеансов), которые проводятся амбулаторно. В руках наших опытных специалистов это процедура безопасна, эффективна и практически безболезненна. После каждого сеанса на ногу пациента надевается специальный чулок для склеротерапии Struva 23/35. Компрессия является обязательным компонентом склеротерапии, и от ее эффективности зависит конечный результат. В клинике «Центр Флебологии» действует специальная программа для лечебных пациентов «Компрессионный трикотаж».
После окончания курса лечения — бесплатное полугодовое наблюдение с ультразвуковым контролем.
Цена (руб.)
| 1 | Однократный сеанс склеротерапии в пределах всей нижней конечности (пенная склеротерапия, микросклеротерапия). | 8 500 |
| 2 | Пенная склеротерапия варикозно-расширенных вен в пределах голени или бедра. | 16 500 |
| 3 | Пенная склеротерапия варикозно-расширенных вен в пределах всей нижней конечности. | 25 100 |
| 4 | Микросклеротерапия телеангиэктазий и ретикулярных вен в пределах голени или бедра. | 28 200 |
| 5 | Микросклеротерапия телеангиоктазий и ретикулярных вен в пределах всей нижней конечности. | 31 500 |
| 6 | Микросклеротерапия множественных телеангиэктазий и ретикулярных вен в пределах всей нижней конечности повышенной сложности. | 32 900 |
| 7 | ЭХО-склеротерапия магистральных вен в пределах одного бассейна (большая или малая подкожная вена). | 27 400 |
| 8 | ЭХО-склеротерапия магистральных вен в пределах двух бассейнов (большая и малая подкожные вены). | 32 500 |
| 9 | Пенная склеротерапия варикозно-расширенных вен в пределах голени или бедра после: ЭХО-склеротерапии, РЧА, ЭВЛК, операции. | 11 400* |
| 10 | Пенная склеротерапия и микросклеротерапия ретикулярных вен и телеангиэктазий в пределах всей нижней конечности после: ЭХО – склеротерапии, РЧА, ЭВЛК, операции. | 15 900* |
| 11 | Пенная склеротерапия и микросклеротерапия ретикулярных вен и телеангиэктазий повышенной сложности в пределах всей нижней конечности после: ЭХО – склеротерапии, РЧА, ЭВЛК, операции. | 20 100* |
| 12 | Эндовазальная коррекция единичных перфорантных вен, включая анестезиологическое пособие (местная анестезия) | 10 800* |
* Пункты прайса, отмеченные звездочкой, не участвуют в дисконтной программе и на них не распространяются специальные предложения и скидки.
В клинике «Центр Флебологии» для удаления сосудистых звездочек, телеангиэктазий и мелких капилляров на ногах используются инновационная трансдермальная лазерная технология. CUTERA – XEO.
Система CUTERA – XEO (США) отличается высокой плотностью частоты импульсов, что дает возможность достигать оптимальной скорости проведения процедуры и моментального эффекта — сосудистая сетка, капилляры исчезают буквально на глазах.
Эффективность трандермальной лазерной технологии повышается за счет использования специализированного охлаждающего оборудования — Zimmer (Германия).
Цена (руб.)
| 1 | Трансдермальная лазерная технология. CUTERA — XEO. Лечение телеангиэктазий, ретикулярных вен и притоков на одной нижней конечности | 45 000 |
| 2 | Трансдермальная лазерная технология. CUTERA — XEO. Лечение телеангиэктазий, ретикулярных вен и притоков на одной нижней конечности после: ЭХО- склеротерапии, РЧА, ЭВЛК, операции | 24 750* |
| 3 | Трансдермальная лазерная технология. CUTERA — XEO. Однократный сеанс лечения телеангиэктазий на одной нижней конечности после курса склеротерапии | 9 500* |
| 4 | Трансдермальная лазерная технология. CUTERA — XEO. Лечение телеангиэктазий, ретикулярных вен и притоков на одной нижней конечности, включая стопу | 52 000 |
| 5 | Трансдермальная лазерная технология. CUTERA — XEO. Лечение телеангиэктазий, ретикулярных вен и притоков на одной нижней конечности, включая стопу, после: ЭХО- склеротерапии, РЧА, ЭВЛК, операции | 28 600* |
* Пункты прайса, отмеченные звездочкой, не участвуют в дисконтной программе и на них не распространяются специальные предложения и скидки.
Внутрисосудистая лазерная коагуляция (ЭВЛК) является полноценной альтернативой традиционным операциям.
Сегодня во многих клиниках удаление варикозных вен с помощью лазера стало популярной методикой. Но у этого метода существуют определенные показания и противопоказания к применению, например, чрезмерно большой диаметр вены снижает эффективность лазерного воздействия лазера (через несколько лет заваренная лазерным лучом вена может «расклеиться», что означает возврат заболевания). Только опытный врач может правильно определить вид лечения, в том числе метод лазер. Процедура ЭВЛК проходит под местной анестезией в течение 30–40 минут, после чего пациент может самостоятельно идти домой и на следующий день возвращаться к обычной жизни.
В стоимость лечения входят: ультразвуковой УЗИ контроль, анестезия, послеоперационные перевязки, снятие швов. После окончания курса лечения — бесплатное полугодовое наблюдение с ультразвуковым контролем.
Цена (руб.)
| 1 | Эндовазальная лазерная коагуляция вен. ЭВЛК в пределах одного бассейна (большой или малой подкожной вены) на одной нижней конечности | 45 800 |
| 2 | Эндовазальная лазерная коагуляция вен повышенной сложности. ЭВЛК в пределах одного бассейна (большой или малой подкожной вены) на одной нижней конечности при трофических расстройствах, после ранее перенесенных тромбофлебитов, сопутствующих заболеваниях, ожирении | 55 800 |
| 3 | Эндовазальная лазерная коагуляция вен. ЭВЛК при поражении двух бассейнов (большой и малой подкожных вен) на одной нижней конечности | 59 700 |
| 4 | Радиочастотная абляция вен. РЧА в пределах одного бассейна (большой или малой подкожной вены) на одной нижней конечности | 54 000 |
| 5 | Радиочастотная абляция вен повышенной сложности. РЧА в пределах одного бассейна (большой или малой подкожной вены) на одной нижней конечности при трофических расстройствах, после ранее перенесенных тромбофлебитов, сопутствующих заболеваниях, ожирении | 64 000 |
| 6 | Радиочастотная абляция вен. РЧА при поражении двух бассейнов (большой и малой подкожных вен) на одной нижней конечности | 68 800 |
Главной задачей клиники «Центр Флебологии» является обеспечение максимальной безопасности для пациента при проведении хирургического лечения. Все операции выполняются хирургами со стажем работы не менее 5 лет и только в присутствии опытного врача анестезиолога.
В стоимость оперативного лечения входят: пребывание в стационаре, анестезия, послеоперационные перевязки, снятие швов. После окончания курса лечения — бесплатное полугодовое наблюдение с ультразвуковым контролем.
Цена (руб.)
| 1 | Оперативное лечение вен (кроссэктомия, короткий стрипинг) 1-й категории сложности. Оперативное лечение одной нижней конечности в пределах одного бассейна (большой или малой подкожной вены) | 52 000 |
| 2 | Оперативное лечение вен (флебэктомия, минифлебэктомия, КРИО-флебэктомия) 2-й категории сложности. Оперативное лечение одной нижней конечности в пределах одного бассейна (большой или малой подкожной вены), перевязка перфорантных вен | 62 000 |
| 3 | Оперативное лечение вен (флебэктомия, минифлебэктомия, КРИО-флебэктомия, кроссэктомия, длинный стриппинг) 3-й категории сложности. Оперативное лечение одной нижней конечности в пределах двух бассейнов (большой и малой подкожных вен) или в пределах одного бассейна (большой или малой подкожной вены) в сочетании с микрофлебэктомией большого количества притоков, наличии множественных перфорантных вен, а также осложненных формах варикозной болезни (трофических расстройствах, после ранее перенесенных тромбофлебитов) | 71 000 |
Малоинвазивные операции хорошо переносятся пациентами и отличаются высокой косметичностью и малой травматичностью, проводятся в стационаре одного дня.
В клинике созданы все условия для пребывания пациентов во время и после операции. Комфортные двухместные палаты, трехразовое питание, внимательный и квалифицированный медицинский персонал.
III. Лимфология и ХВН
В клинике «Центр Флебологии» уже много лет успешно работает отделение терапии ХВН и лимфологии. В отделении проводится лечение лимфедемы верхних и нижних конечностей, трофических язв, в соответствии с европейскими стандартами лечения, в частности, применяются методики специализированной клиники по лимфологии доктора Шингале (Германия).
При лечении лимфедемы применяется комплексный подход, включающий в себя ручной (мануальный) массаж, аппаратную пневмокомпрессию, бандажирование конечности, а также подбор специального компрессионного трикотажа.
Цена (руб.)
| 1 | Консультация хирурга (лимфолога) по ХВН. | 1 300 |
| 2 | Повторная консультация хирурга (лимфолога). | 950 |
| 3 | Повторная консультация и ультразвуковое (дуплексное) сканирование вен нижних конечностей (тромбозы, тромбофлебиты) | 2 500 |
| 4 | Ультразвуковое (дуплексное) сканирование вен нижних конечностей. | 2 500 |
| 5 | Ультразвуковое (дуплексное) сканирование вен нижних конечностей и консультация хирурга (лимфолога). | 3 300 |
| 6 | Ультразвуковое (дуплексное) сканирование вен верхних конечностей. | 2 500 |
| 7 | Ультразвуковое (дуплексное) сканирование вен верхних конечностей и консультация хирурга (лимфолога). | 3 300 |
Цена (руб.)
| 1 | Однократный сеанс компрессионной терапии на одной конечности | 1 400 |
| 2 | Однократный сеанс компрессионной терапии на двух конечностях | 1 850 |
| 3 | Курс компрессионной терапии на одной конечности, 10 процедур | 12 600 |
| 4 | Курс компрессионной терапии на двух конечностях, 10 процедур | 17 800 |
| 5 | Однократный сеанс противоотечной терапии на одной нижней конечности перед инвазивным лечением варикозной болезни | 2 400 |
| 6 | Однократный сеанс противоотечной терапии на двух нижних конечностях перед инвазивным лечением варикозной болезни | 2 950 |
| 7 | Курс противоотечной терапии на одной нижней конечности перед инвазивным лечением варикозной болезни, 10 процедур | 22 800 |
| 8 | Курс противоотечной терапии на двух нижних конечностях перед инвазивным лечением варикозной болезни, 10 процедур | 28 500 |
| 9 | Однократный сеанс противоотечной терапии на одной нижней конечности больным с выраженной хронической недостаточностью (варикозная болезнь, ПТФБ) | 2 900 |
| 10 | Однократный сеанс противоотечной терапии на двух нижних конечностях больным с выраженной хронической недостаточностью (варикозная болезнь, ПТФБ) | 3 600 |
| 11 | Курс противоотечной терапии на одной нижней конечности больным с выраженной хронической недостаточностью (варикозная болезнь, ПТФБ), 10 процедур | 27 500 |
| 12 | МЛ 3.18. Курс противотечной терапии на двух нижних конечностях больным с выраженной хронической недостаточностью (варикозная болезнь, ПТФБ), 10 процедур | 34 700 |
Цена (руб.)
| 1 | Однократный сеанс лечения лимфедемы I-ой ст., вес пациента меньше 100 кг | 2 800 |
| 2 | Курс лечения лимфедемы I-ой ст., вес пациента меньше 100 кг, 10 процедур | 26 200 |
| 3 | Однократный сеанс лечения лимфедемы I-ой ст., вес пациента больше 100 кг | 3 000 |
| 4 | Курс лечения лимфедемы I-ой ст., вес пациента больше 100 кг, 10 процедур | 28 500 |
| 5 | Однократный сеанс лечения лимфедемы II-ой ст., вес пациента меньше 100 кг, на одной конечности | 3 200 |
| 6 | Однократный сеанс лечения лимфедемы II-ой ст., вес пациента меньше 100 кг, на двух конечностях | 4 400 |
| 7 | Однократный сеанс лечения лимфедемы II-ой ст., вес пациента больше 100 кг, на одной конечности | 4 000 |
| 8 | Однократный сеанс лечения лимфедемы II-ой ст., вес пациента больше 100 кг, на двух конечностях | 4 950 |
| 9 | Курс лечения лимфедемы II-ой ст., вес пациента меньше 100 кг, на одной конечности, 10 процедур | 32 000 |
| 10 | Курс лечения лимфедемы II-ой ст., вес пациента меньше 100 кг, на двух конечностях, 10 сеансов | 41 500 |
| 11 | Курс лечения лимфедемы II-ой ст., вес пациента больше 100 кг, на одной конечности, 10 сеансов | 36 200 |
| 12 | Курс лечения лимфедемы II-ой ст., вес пациента больше 100 кг, на двух конечностях, 10 сеансов | 47 900 |
| 13 | Однократный сеанс лечения лимфедемы III-ей ст., вес пациента меньше 100 кг, на одной конечности | 4 500 |
| 14 | Однократный сеанс лечения лимфедемы III-ей ст., вес пациента меньше 100 кг, на двух конечностях | 5 500 |
| 15 | Однократный сеанс лечения лимфедемы III-ей ст., вес пациента больше 100 кг, на одной конечности | 5 000 |
| 16 | Однократный сеанс лечения лимфедемы III-ей ст., вес пациента больше 100 кг, на двух конечностях | 6 200 |
| 17 | Курс лечения лимфедемы III-ей ст., вес пациента меньше 100 кг, на одной конечности, 10 процедур | 42 800 |
| 18 | Курс лечения лимфедемы III-ей ст., вес пациента меньше 100 кг, на двух конечностях, 10 процедур | 52 000 |
| 19 | Курс лечения лимфедемы III-ей ст., вес пациента больше 100 кг, на одной конечности, 10 процедур | 49 200 |
| 20 | Курс лечения лимфедемы III-ей ст., вес пациента больше 100 кг, на двух конечностях, 10 процедур | 58 800 |
| 21 | Кинезио тейпирование в комплексном лечении лимфедемы, 2 процедуры | 4 000 |
Курс лечения включает в себя 8-10 сеансов. Процедуры проводятся ежедневно или через день.
Курс лечения лимфедемы I-ой включает в себя лимфопресстерапию и бандажирование.
Курс лечения лимфедемы II-ой, III-ей степени включает в себя мануальный лимфодренажный массаж, лимфопресстерапию, бандажирование.
В клинике «Центр Флебологии» проводится комплексное поэтапное лечение трофических язв при варикозе. Для быстрого заживления язвы используется местная терапия, которая включает применение высокотехнологических гелевых покрытий и антибактериальных мазей. Для улучшения венозного и лимфатического оттока проводятся процедуры прессотерапии, бандажирование специальными бинтами. После заживления язвы, устраняется причина ее появления – проводится лечение варикозной болезни, при котором могут применяться малоинвазивная хирургия, так и безоперационные методики.
Стоимость услуг полностью соответствуют представленному прайс-листу. увеличение стоимости медицинских услуги в нашем центре не практикуется.
Уважаемые пациенты. в настоящее время, ввиду экономического кризиса, все клиники поднимают цену на проводимое лечение. цена всех эндоваскулярных методов основана на цене зарубежных расходных материалов. в нашей клинике, цена на лечение остается на уровне 2014 года. хотим обратить на это ваше внимание!
Хотим отметить так же, что в прайс-листе указана цена на весь комплекс услуг, то есть вам не нужно ни за чего доплачивать, как это происходит в других центрах флебологии. сегодня мы работаем исключительно для вас, для того, что бы все большее количество пациентов могли позволить себе устранить варикоз инновационными методами! наши корыстные цели мы оставили на сегодня позади. и надеемся, что это правильный шаг к здоровью и красоте наших пациентов!
| Вид услуги | Что входит в стоимость | Цена в рублях |
| Консультация флеболога с ультразвуковым исследованием вен (уздс) | 2900 | |
| Эндовенозная лазерная облитерация (эвло) по немецкой технологии biolitec +минифлебэктомия по варади | 69500 | |
| Радиочастотная облитерация вен (рчо) +минифлебэктомия по варади | 69500 | |
| Изолированная минифлебэктомия (проводится только минифлебэктомия по варади без работы с лазером) | 29000 | |
| Изолированное ЭВЛО перфорантов (проводится только лазерная облитерация перфорантных вен без минифлебэктомии) | 32000 | |
| ЭВЛО перфорантов + минифлебэктомия на одной конечности | 51000 | |
| Дополнительный радиальный немецкий световод biolitec (для одномоментного применения на одной конечности или противоположной конечности) | 13200 | |
| Радиочастотная термооблитерация телеангиоэктазий (сосудистых звездочек). бельгийская технология |
один сеанс рчо на одной нижней конечности 9000 рублей | |
| Склеротерапия пеной 1 сеанс на одной конечности без применения веновизора | 8000 | |
| Пенная склеротерапия (один сеанс лечения одной нижней конечности) под веновизором
При назначении вам склеротерапии пенной формой в качестве лечения с вами заключается договор на оказание медицинских платных услуг. флеболог приступит к проведению процедуры после тщательного изучения результатов ваших анализов. склеротерапия в нашем центре выполняется самым современным и безопасным способом — пенной формой с со2 газом. |
9000 | |
| Пенная склеротерапия (полный курс лечения одной нижней конечности) | 30000 | |
| Пенная склеротерапия (полный курс лечения одной нижней конечности) с помощью веновизора
|
35000 | |
| Местное лечение трофической язвы по уникальной немецкой технологии в виде одной комплексной перевязки трофической язвы с использованием перевязочных средств клиники. | 7000 | |
| Местное лечение трофической язвы по немецкой технологии в виде одной комплексной перевязки c расходными материалами, которые купил сам пациент |
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