Abstract
Comprehensive patient education in endovenous laser ablation: exploring contraindications, outcomes and complications
Student’s Scientific Association of Department of General Surgery, Vascular Surgery, Angiology, and Phlebology, Medical University of Silesia, Katowice, Poland
Department of General Surgery, Vascular Surgery, Angiology and Phlebology, Medical University of Silesia, Katowice, Poland
Phlebological Review 2025; 33, 1: 10–16
Introduction
Endovenous laser ablation (EVLA) is increasingly replacing traditional methods of treating lower limb varicose veins. This method is gaining popularity due to its short procedure time, minimal bleeding, and rapid return to normal activity. However, like any medical intervention, it carries a risk of complications. Providing patients with reliable information about the procedure, its contraindications, potential complications, and post-treatment recommendations is of key importance.
Material and methods
The content of websites of 166 medical centers in Poland offering EVLA was analyzed. The data were categorized into five sections: general information, indications, contraindications, post-treatment recommendations, and possible complications. The study also considered the organization, scope, and timing of information delivery in the context of psychological influence mechanisms.
Results
Only 39.2% of centers mentioned contraindications, and just 39.2% listed potential complications, mostly mild in nature. Serious complications, such as thrombosis or nerve damage, were rarely mentioned (2–4%). Post-treatment recommendations were provided by 68.7% of centers, most often limited to compression therapy.
Conclusions
Medical centers primarily focus on the benefits of the procedure, while downplaying potential risks. This phrase format may reinforce a positive attitude towards the treatment and increase the likelihood of patients choosing to undergo it. A more balanced approach to patient education should be considered to support truly informed therapeutic decisions.
Keywords
varicose veins, EVLA, contraindications, complications, patient education