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style=\";text-align:right;direction:rtl\"> ناقش إجراء العلاج بالليزر.</li></ul><p style=\";text-align:right;direction:rtl\"> اليوم الثالث - علاج الدوالي بالليزر</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الوصول إلى العيادة لتلقي العلاج.</li><li style=\";text-align:right;direction:rtl\"> يتم إعطاء التخدير الموضعي.</li><li style=\";text-align:right;direction:rtl\"> تبدأ عملية العلاج بالليزر.</li><li style=\";text-align:right;direction:rtl\"> تستغرق العملية حتى ساعتين.</li><li style=\";text-align:right;direction:rtl\"> الراحة في غرفة الإنعاش بعد العملية.</li></ul><p style=\";text-align:right;direction:rtl\"> اليوم 4 - بعد العملية</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> البقاء في العيادة للمراقبة.</li><li style=\";text-align:right;direction:rtl\"> استشارة متابعة مع الجراح.</li><li style=\";text-align:right;direction:rtl\"> تلقي تعليمات الرعاية بعد العملية.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 1-2 - إعادة التأهيل</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الراحة والتعافي في الإقامة.</li><li style=\";text-align:right;direction:rtl\"> الحد من الأنشطة البدنية.</li><li style=\";text-align:right;direction:rtl\"> ارتدِ الجوارب الضاغطة إذا نصح بذلك.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع الثالث</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة التدريجية للأنشطة الخفيفة.</li><li style=\";text-align:right;direction:rtl\"> استمر في ارتداء الجوارب الضاغطة إذا نصح بذلك.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع الرابع</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة إلى العمل إذا سمحت الظروف بذلك.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع السادس</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة إلى الأنشطة البدنية المنتظمة.</li><li style=\";text-align:right;direction:rtl\"> يجب أن تكون النتائج النهائية مرئية.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>يرجى ملاحظة أن حالة كل مريض فريدة من نوعها ، وقد يختلف الجدول الزمني والنتائج.</i></p>"},"overview":{"text":"<h3>علاج الدوالي بالليزر</h3> <p>يستخدم هذا الإجراء تقنية الليزر لإغلاق الدوالي وتقليصها وتحسين الدورة الدموية والمظهر.</p> <div>[أيقونة الإيجابيات<b>]:</b><span> طفيفة التوغل بنسبة نجاح 94%. تعافي أسرع من نزع الوريد أو المعالجة بالتصليب. لا حاجة للتخدير العام.</span></div> <div>[أيقونة-السلبيات<b>]:</b><span> قد تتطلب جلسات متعددة للحصول على أفضل النتائج. غير مناسب للأوردة الكبيرة جداً مقارنةً بعلاج EVLA.</span></div> <div>[رمز-تأثير<b>] الفعالية:</b><span> معدل نجاح بنسبة 94% في سد الأوردة المستهدفة.</span></div> <div>[icon-clock<b>] المدة:</b><span> 1-2 ساعة</span></div> <div>[icon-run<b>] التعافي:</b><span> 1-2 يوم</span></div> <div>[أيقونة-الإبهام<b>] 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Minor events (bruising, pain, induration, transient paresthesia, superficial phlebitis) are excluded. Permanent nerve injury and full-thickness burns are rare and are not included in this range."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"contraindications":{"value":["Active deep vein thrombosis or acute superficial thrombophlebitis","Pregnancy","Severe peripheral arterial disease","Significant immobility that prevents walking after the procedure","Active local or systemic infection","Veins too tortuous or unsuitable for catheter access (relative)","Very large or aneurysmal saphenous trunk (relative)","Known allergy to local anesthetic","Uncontrolled hypercoagulable state (relative, requires specialist assessment)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"days_in_clinic":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure on one leg with no overnight stay."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"exercise_resume_weeks":{"value":{"min":1,"max":2,"unit":"weeks","qualifier":"Walking is encouraged immediately. Strenuous exercise and heavy lifting are usually resumed after about 1-2 weeks, depending on the surgeon's advice."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"final_result_months":{"value":{"min":1,"max":6,"unit":"months","qualifier":"Treated vein closes within days to weeks. Bruising and tenderness settle in weeks, and the cosmetic improvement continues over a few months. Any residual surface veins may need extra treatment."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"fly_home_after_days":{"value":{"min":1,"max":14,"unit":"days","qualifier":"Derived from the clinical course, not from a flight-specific study. Walking is encouraged right away and the patient is usually seen about 1 week after the procedure. A short flight is generally acceptable within a few days if the patient walks regularly. A long-haul flight is usually delayed about 1–2 weeks because of the risk of venous thrombosis. The surgeon's advice decides the exact timing."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"follow_up_visits":{"value":[{"purpose":"assessment","requirement":"routine","after":{"min":1,"max":14,"unit":"days","qualifier":"Early check, often with duplex ultrasound, to confirm vein closure and exclude clot extension."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":180,"unit":"days","qualifier":"Later review to assess outcome and any residual veins."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"indications":{"value":["Symptomatic varicose veins with great or small saphenous vein reflux","Leg heaviness, aching, swelling or night cramps from venous insufficiency","Skin changes or venous eczema from chronic venous insufficiency","Healed or active venous leg ulcer associated with reflux","Cosmetic concern with confirmed truncal vein reflux"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"main_risks":{"value":["Bruising and tenderness along the treated vein","Skin burns or pigmentation changes","Superficial thrombophlebitis","Temporary or, rarely, permanent nerve irritation causing numbness or tingling","Deep vein thrombosis or thrombus extension (uncommon)","Incomplete closure or recurrence needing retreatment","Infection (rare)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"pain":{"value":"Mild to moderate discomfort during tumescent local anesthetic injections, then little pain during laser. Afterwards there is usually mild pulling or tightness and tenderness along the vein for days to 1-2 weeks, controlled with simple analgesia.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"preparation":{"value":["Duplex ultrasound mapping of the leg veins before treatment","Review of medical history, clot risk and current medicines by the clinician","Shave the leg area if needed and wear loose clothing","Arrange to walk after the procedure and bring compression stockings if advised","Avoid applying creams to the leg on the day"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"recovery_timeline":{"value":[{"phase":"First 24-48 hours","description":"Compression bandage or stocking applied and regular walking started right away. Mild tightness and bruising are common.","restrictions":["Avoid prolonged standing or sitting","No heavy lifting or strenuous exercise"]},{"phase":"Days 3-14","description":"Compression stockings are worn for about 1-2 weeks as advised. Bruising and cord-like tenderness gradually improve.","restrictions":["Avoid hot baths, saunas and intense exercise as advised","Avoid heavy lifting"]},{"phase":"Weeks 2-6","description":"Return to normal activity. Most bruising and tenderness resolve and the vein shrinks.","restrictions":[]},{"phase":"Months 1-6","description":"Cosmetic appearance continues to improve as the closed vein is absorbed. Review as needed for residual veins.","restrictions":[]}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"rehabilitation_days":{"value":{"min":1,"max":7,"unit":"days","qualifier":"Derived from the clinical course. Most patients resume ordinary daily activities the same or next day, with mild tightness and bruising along the vein for several days. About two thirds of patients in a 1470 nm cohort were absent from work for 1 week or less."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"result_longevity":{"value":"Treated trunk veins usually stay closed long term, but new varicose veins can develop elsewhere because venous disease is progressive. Recurrence depends on the patient and the technique.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"revision_rate_pct":{"reason":"Source-dependent metric; requires reviewed source.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"scars":{"value":"No surgical incision. There is only a tiny needle puncture at the access site that usually heals with little or no visible mark. Temporary bruising or pigmentation can occur.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"sessions_or_stages":{"value":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one laser session for the main trunk vein of one leg. A second session may be needed for the other leg or for residual tributaries."},"stages":[{"code":"laser_ablation","label":"Endovenous laser ablation of the incompetent trunk vein","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Counts treatment appointments only. Follow-up ultrasound checks are listed separately."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"success":{"value":{"metric":"Anatomical success of EVLA (great saphenous vein occlusion or abolition of reflux on duplex ultrasound)","value":92,"unit":"percent","horizon":"Pooled RCTs with follow-up over 3 months; rate stays high (about 89–93%) beyond 1 year","evidence_status":"proven","population":"Adults with great saphenous vein incompetence treated with EVLA (meta-analysis of 28 RCTs, 2829 veins)"},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"techniques":{"value":[{"name":"Endovenous laser ablation (EVLA) with bare or radial fiber","suits_whom":"Patients with great or small saphenous reflux and a straight, accessible vein of suitable diameter.","recovery":"Walk at once and return to usual activity within days. Compression is worn for about 1-2 weeks."},{"name":"Laser or sclerotherapy for tributaries and surface veins (adjunct)","suits_whom":"Patients with residual branch varicosities after trunk ablation, or small veins and spider veins.","recovery":"Minimal downtime, with temporary bruising or pigmentation."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"treatment_conditions":{"value":["outpatient"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"treatment_duration_hours":{"value":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per session for endovenous laser ablation of the main trunk vein of one leg."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:21:47.615357+00:00"},"initial_assessment_documents":null,"travel_trips":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/procedure=lazernoe-udalenie-varikoznogo-rasshireniya-ven/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"تركيا","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}