La clinique Sienna est spécialisée dans les traitements des varices avec le Dr Arkadiusz Janion, chef adjoint du service de chirurgie générale, vasculaire et oncologique. Il effectue plus de 50 interventions de stripping des varices par an et réalise des diagnostics par échographie Doppler. L'intervention coûte généralement entre 2 900 $ et 4 200 $. Le Dr Janion a été formé à l'Université médicale de Lublin et participe activement à des symposiums internationaux de chirurgie vasculaire.
Sienna Clinic est un centre privé multi-spécialités situé à Varsovie, spécialisé en urologie, phlébologie et chirurgie plastique. Il accueille des patients adultes venus d'Europe et du Commonwealth. La clinique propose des traitements chirurgicaux aussi bien mini-invasifs qu'avancés.
Le Dr Antoni Krajewski est spécialisé en chirurgie vasculaire à l'hôpital spécialisé de Międzylesie, en mettant l'accent sur le confort et la sécurité des patients.
Le Dr Antoni Krajewski est spécialiste en chirurgie générale et en médecine esthétique à la Sienna Clinic. Il dirige des cours de greffe de cheveux FUE en collaboration avec le Luxmed Medical Education Center. Sa pratique se concentre sur la restauration capillaire et la chirurgie de réassignation sexuelle du torse. Le Dr Krajewski est reconnu pour son approche empathique envers la communauté LGBTQ+.
Sienna Clinic est un centre privé multi-spécialités situé à Varsovie, spécialisé en urologie, phlébologie et chirurgie plastique. Il accueille des patients adultes venus d'Europe et du Commonwealth. La clinique propose des traitements chirurgicaux aussi bien mini-invasifs qu'avancés.
Le Dr Jakub Kaczmarek diagnostique et traite les maladies artérielles et veineuses. Il réalise des bilans vasculaires approfondis. Il élabore des plans de traitement personnalisés, efficaces et sûrs. Il est spécialisé dans l'échographie Doppler des artères et des veines. Cet examen indolore et non invasif facilite un diagnostic précoce et permet le suivi des traitements.
\nIl traite les plaies chroniques causées par l'insuffisance veineuse, les troubles de la circulation sanguine ou les séquelles de thrombose. Il utilise des méthodes modernes de soin des plaies et des techniques visant à améliorer la circulation. Les pathologies qu'il prend en charge incluent l'athérosclérose des membres inférieurs, la sténose carotidienne, les maladies de l'aorte, les anévrismes, l'insuffisance veineuse, la thrombose et le syndrome post-thrombotique. Les consultations se déroulent dans le calme et le professionnalisme, avec des explications claires.
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Il est important de prendre soin du patient, le patient sera suivi par le patient, mais en même temps il arrivera qu'il y ait beaucoup de travail et de douleur.
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uncorrected anticoagulation (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; one night in some settings."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Walking encouraged immediately; strenuous exercise and heavy lifting resumed after about 2-4 weeks as comfort and wound healing allow."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Bruising and induration resolve over weeks; final cosmetic and symptomatic result by about 1-3 months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After wound check and compression review; short-haul flights may be earlier, with DVT-prevention measures on longer flights."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound review, suture or dressing removal and compression check."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Clinical review, often with duplex ultrasound, for residual veins and complications."}}],"indications":["Symptomatic great or small saphenous vein reflux with varicose veins","Saphenous reflux venous insufficiency with skin changes, edema or ulcers","Recurrent superficial thrombophlebitis or bleeding from varices"],"main_risks":["Bruising and hematoma","Saphenous or sural nerve injury causing numbness or paresthesia","Wound infection","Deep vein thrombosis and pulmonary embolism","Lymphatic leak or lymphocele in the groin","Recurrence including neovascularization","Bleeding","Anesthesia-related risks"],"pain":"Mild to moderate pain and tightness along the leg for several days, usually controlled with standard oral analgesics; bruising may be marked.","preparation":["Duplex ultrasound mapping of venous reflux and marking of veins","Pre-anesthesia assessment and routine tests as indicated","Fasting before general anesthesia per clinic instructions","Review of medications with the surgical team","Arrange compression stockings and transport home","Stop smoking where possible"],"recovery_timeline":[{"phase":"Day 0-3","description":"Compression bandaging, early walking, analgesia; bruising and tightness.","restrictions":["Avoid prolonged standing or sitting","No strenuous activity"]},{"phase":"Week 1-2","description":"Wound check, return to desk work, continued compression stockings.","restrictions":["Avoid heavy lifting","Avoid hot baths until wounds heal"]},{"phase":"Week 2-4","description":"Gradual return to full activity and exercise as bruising fades.","restrictions":["Build up strenuous exercise gradually"]},{"phase":"Month 1-3","description":"Resolution of bruising and induration; final result assessed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to daily activities; no formal physiotherapy normally required."},"result_longevity":"Removes the treated saphenous trunk permanently, but new varicose veins or recurrence can develop over years because of ongoing venous disease.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Repeat treatment for recurrent varicose veins within 5 years, including sclerotherapy or reoperation."},"scars":"Small groin incision and a few small incisions or stab avulsion marks along the leg; usually fade to fine scars over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; both legs can be treated in the same session."},"stages":[{"code":"stripping_surgery","label":"High ligation and stripping of the saphenous vein with phlebectomies","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Typical single-stage surgery, one or both legs."},"success":{"metric":"Freedom from symptomatic recurrent varicose veins","value":75,"unit":"percent of patients","horizon":"5 years","population":"Adults with symptomatic great saphenous reflux undergoing high ligation and stripping","evidence_status":"limited"},"techniques":[{"name":"High ligation with great saphenous vein stripping and stab phlebectomy","suits_whom":"Symptomatic great saphenous reflux with varicose tributaries.","recovery":"Return to desk work in about 1-2 weeks with compression."},{"name":"Short saphenous vein ligation and stripping","suits_whom":"Small saphenous reflux; requires careful duplex mapping to protect the sural nerve.","recovery":"Similar to great saphenous surgery."},{"name":"Invaginating stripping","suits_whom":"Selected patients; aims to reduce bruising and tissue trauma.","recovery":"Similar or slightly faster recovery."},{"name":"Cryostripping","suits_whom":"Selected patients; aims to reduce bruising and tissue trauma.","recovery":"Similar or slightly faster recovery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Per leg for ligation, stripping and phlebectomies; bilateral surgery takes longer."},"initial_assessment_documents":["Leg venous duplex ultrasound report","Standing photos of both legs, front and back","Previous vein treatment or surgery records","List of blood thinners","History of deep vein thrombosis (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-14 days for wound check and suture or dressing removal before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask why stripping is offered, and confirm simpler procedures are unsuitable for you","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"You may be offered surgery to remove varicose veins, called ligation and stripping, if simpler procedures are not suitable for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that a duplex ultrasound scan is done first to confirm the diagnosis and plan treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"If you're referred to a specialist they'll usually do a test called duplex ultrasound to confirm if you have varicose veins and plan your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the specialist explains the benefits and risks of the treatment offered","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"The specialist will explain which treatment may be best for you, and the benefits and risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Stripping offered with no explanation of why simpler procedures are unsuitable for you","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"You may be offered surgery to remove varicose veins, called ligation and stripping, if simpler procedures are not suitable for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"No specialist explanation of benefits and risks before the treatment is offered","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"The specialist will explain which treatment may be best for you, and the benefits and 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