Andrii Cherepii

Director of Viva Clinic, surgeon of the highest category

Director of Viva Clinic and a surgeon of the highest category. He writes about surgical topics: varicose veins, hemorrhoids and preparing for procedures.

Articles by this author

  • A patient puts on a compression stocking after treatment

    Specialist care

    Laser treatment for varicose veins: preparation, procedure and recovery

    Laser treatment for varicose veins, or endovenous laser ablation (EVLA), closes the affected vein from the inside through a small puncture, with no incisions. It is done on an outpatient basis, and a vascular surgeon decides whether it suits you after an exam and a vein ultrasound. After EVLA you usually go home the same day, and the doctor tells you what activity level and compression stockings you need.

  • A doctor fills in a medical form on a clipboard at a desk

    Specialist care

    How to treat hemorrhoids at each stage

    Hemorrhoid treatment depends on the stage and on which hemorrhoids are causing trouble. In the early stages, changes in diet and daily habits plus medicines prescribed by a doctor are usually enough. If that does not help, or hemorrhoids come out and have to be pushed back, a proctologist suggests minimally invasive procedures or surgery. The method is chosen after an exam, because other bowel conditions can cause similar symptoms.

  • A doctor performs an ultrasound of the leg veins

    Specialist care

    Varicose veins: what they are, early signs and treatment

    Varicose veins are enlarged leg veins that develop when the valves inside them weaken and blood pools. The first signs are usually heavy, swollen legs in the evening, spider veins and night cramps, and later twisted veins become visible under the skin. Treatment starts with a vein ultrasound, and based on the results a vascular surgeon chooses compression, a minimally invasive procedure or surgery.

  • A doctor shows a man a model of the intestine during a consultation

    Specialist care

    What hemorrhoids are and how to spot the early signs

    Hemorrhoids develop when the blood vessel cushions in the lower rectum swell, bleed or slip out through the anus. Early on, they usually cause itching and discomfort around the anus and bright red blood on the toilet paper after a bowel movement. Always have rectal bleeding checked by a proctologist, because other bowel conditions cause the same symptom.

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