Phlebology. Phlebologist
Vein health problems are known as the disease of civilisation - over time, changes in working conditions and daily routines, sedentary lifestyles, sedentary work and other factors have contributed to leg vein diseases. The prevention, treatment and research of venous diseases is the medical discipline of phlebology, where a phlebologist is a doctor who diagnoses vascular diseases and develops a treatment plan for venous and lymphatic insufficiency and trophic ulcers. A phlebologist also prevents vascular abnormalities that may cause unpleasant moments for the patient due to their visual appearance.
In the diagnostic phase, the phlebologist performs examinations using duplex sonography, which is the gold standard for vein examinations.
The Dermatology Clinic's team of specialists includes qualified, experienced phlebologists and vascular surgeons, as well as professional medical and surgical nurses. The advantage of the clinic is the possibility to involve a multidisciplinary team of "Veselības centrs 4" doctors if necessary: dermatologists, diagnostic radiologists, ultrasonographers, cardiologists, endocrinologists, gynaecologists, neurologists, etc.
When should I see a phlebologist?
You should not postpone a visit to the phlebologist if you notice the following symptoms:
- swelling in the ankles and lower legs;
- capillary pattern;
- formation of varicose veins, venous nodules and thick veins;
- tiredness, heaviness, tingling and pain in the legs (e.g. in the evenings);
- changes in skin pigmentation, cramps in the lower legs (at night), burning sensation, itching, eczema and non-healing ulcers;
- long-standing non-healing ulcers between the foot and knee.
It is recommended that everyone has their veins checked by a phlebologist once a year, especially if:
- vein problems run in families;
- you work sitting or standing;
- staying in the heat all the time;
- overweight.
Specialists
Prices
Prices of surgical department services
Consultations
First consultation of an angiosurgeon or surgeon-phlebologist
50.00 €
Repeated consultation of an angiosurgeon or surgeon-phlebologist, within one episode of illness
40.00 €
Consultation with duplex sonography of an angiosurgeon, phlebologist, surgeon specializing in phlebology
59.00 €
Duplex ultrasonography control in the first postoperative month or for DVT 4 x a year (in case of deep vein thrombosis)
31.00 €
The surgeon's first consultation
50.00 €
Re-consultation of the surgeon
40.00 €
Surgeon's or phlebologist's report. consultant at manip. (e.g. bandages, stitches, blockades, etc.) - no limit.
29.00 €
Anesthesiologist consultation
55.00 €
Consultation with duplex sonography by a highly qualified vascular surgeon, phlebologist (head of department, methodical manager, MD, assistant professor, etc.)
73.00 €
Nursing consultation on post and pre-operative care
40.00 €
Consultation of a medical nurse during manipulations
27.00 €
Manipulations
Seam removal
15.00 €
Dressing (including the cost of dressing materials) up to 5 cm
16.00 €
Sclerotherapy in foam liquid technique (first ampoule)
79.00 €
Nail removal or nail root narrowing
50.00 €
Incision of abscesses
24.00 €
Dressing (including the cost of dressing materials) for a wound over 5 cm
19.00 €
Dressing after vein operations
29.00 €
For each subsequent ampoule in the sclerotherapy foam technique
49.00 €
Foam sclerotherapy during surgery under sonographic control
115.00-170.00 €
Dressing after surgery (without dressing material)
15.00-30.00 €
Operations
Endovenous laser surgery (EVLT) with 1470 nm laser for VSM, VSP or VSM and VSP for one leg
550.00 €
Segmental phlebectomy according to the Varady method (The price is determined according to the objective criteria listed in Appendix No. 1)
180.00-350.00 €
Surcharge for endovasal accessory branch closure
100.00 €
Supplement in case of complicated varicose veins (varicophlebitis, trophic ulcers, post-thrombotic syndrome, bleeding, recurrence)
100.00-230.00 €
Abdominal wall hernia surgery
650.00 €
Surcharge for abdominal wall plasty. retinal hernia surgery
60.00-110.00 €
Excision of coccygeal epithelial passages
360.00 €
Endovenous laser surgery (EVLT) with 1470 nm laser for VSM, VSP or VSM and VSP for both legs
699.00 €
VSM, VSP or VSM and VSP surgery with biological glue for one leg
2220.00 €
VSM, VSP or VSM and VSP surgery with biological glue for both legs
2590.00 €
Surcharge for the use of an electrosurgical device during operations
170.00 €
Preoperative preparation of the patient
34.00 €
Endovenous side branch ablation
180.00-350.00 €
Anesthesia
Tumescens anesthesia (for endovenous laser surgery, for varady, etc.) i/v analgesics for one leg
65.00 €
Tumescens anesthesia (for endovenous laser surgery, etc.) i/v analgesics for both legs
110.00 €
Spinal anesthesia up to 2 hours
225.00 €
General anesthesia up to 2 hours
235.00 €
For each subsequent hour of anesthesia
60.00 €
Short-term i/v anesthesia (up to 20 min)
99.00 €
Anesthesia with laughing gas for children up to 6 years of age (up to 15 min) in the presence of an anesthesiologist
57.00 €
Anesthesia with laughing gas for adults (up to 15 min)
55.00-80.00 €
Par katru nākamo anestēzijas stundu pie plastiskās ķirurģijas operācijām
140.00 €
Short-term i/v anesthesia (over 20 min)
150.00 €
Local anesthesia
30.00 €
Stationary use
Bed day in a single ward with a sanitary unit (with meals)
150.00 €
Temporary use of a day hospital
55.00 €
Bed day after operations in a single standard ward (no meals)
140.00 €
Short-term day hospital use after proctological operations
59.00 €
Bed day in a double ward with a sanitary unit (with meals)
85.00 €
Short-term day hospital use after vein operations
90.00 €
Temporary use of a day hospital in a double ward
40.00 €
Short-term day hospital use after bioglue surgery
90.00 €
Short-term day inpatient use for microsurgical operations on the hand
19.00 €
Short-term i/v sedation up to 20 min
59.00 €
Temporary use of a day hospital after plastic surgery
110.00 €
Prices for services of the ultrasonography department
Screening of veins in both legs
15.00 €