Varicose veins are enlarged, swollen, and twisting veins, often appearing blue or dark purple. Varicose veins are a common condition caused by weak or damaged vein walls and valves. More than 23 percent of all adults are thought to be affected by varicose veins.
Varicose veins are caused by increased blood pressure in the veins. Varicose veins happen in the veins near the surface of the skin (superficial).
ENDO VENOUS LASER TREATMENT (EVLT) is a new method of treating VARICOSE VEINS without surgery. Instead of tying
and removing the abnormal veins, they are heated by a laser. The heat kills the walls of the veins and the body
then naturally absorbs the dead tissue and the abnormal veins are destroyed.
EVLT is a DAY CARE PROCEDURE. Surgery lasts only 30-40 minutes for single leg. You may go home the very same day.
EVLT procedure is performed under LOCAL ANESTHESIA. Very small incision is required to introduce laser fiber
inside your veins. NO SUTURE is required afterwards. No cuts, No stripping, and NO SUTURES lead to a PAINLESS and
BLOODLESS surgery experience. Laser radial fiber is inserted into vein through a catheter having just about 2 mm
diameter making the procedure completely MINIMALLY INVASIVE. Extremely small incision and advanced laser technique
leads to a SCARLESS Varicose Veins Surgery.
An ultrasound scan is performed and the varicose veins to be treated are marked with a pen. You lie on a couch and your leg is cleaned and covered with drapes. Depending on which veins are to be treated, you may be on your back or your front. All these steps are guided by ultrasound scanning. Endovenous means inside the vein, so the next thing the doctor has to do is to get inside your vein. A small amount of local anesthetic is injected into the skin over the vein and a needle inserted into it. A wire is passed through the needle and up the vein. The needle is removed and a catheter (thin plastic tubing) is passed over the wire, up the vein and the wire removed.
A laser fiber is passed up the catheter so its tip lies at the highest point to be heated (usually your groin
crease). A large quantity of local anesthetic solution is then injected around the varicose vein through multiple tiny needle pricks. All staff and the patient put on laser safety specs as a precaution. The laser is then fired up and pulled down the vein over about 5 minutes. You will hear a warning buzzer ringing and may smell or taste burning but won’t feel any pain. If you’re having both legs treated the process is repeated on the other leg. The laser and catheter are removed and the needle puncture covered with a small dressing.
The treatment takes about 20-30 minutes per leg. You may also have some foam sclerotherapy or some avulsions
undertaken and a compression stocking is then put on.
| FEATURES | LASER VARICOSE VEINS SURGERY | OPEN SURGERY |
|---|---|---|
| Cuts and Wounds | No | Yes |
| Bleeding due to Cuts and Stitches | Very Less | More Bleeding |
| Diet Restrictions | No | Yes |
| Success Rate | High | Low |
| Risk of Infection | Very Less | High |
| Rest after Surgery | Can Resume Work | 1-2 Months Rest |
| Recovery | Fast | Time Taking |
| Pain | Painless | Painfull |
| Recurrence | No | Yes |
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Soon after your treatment you will be allowed home. It is advisable not to drive but to take public transport, walk or have a friend drive you. You will have to wear the stockings for up to two weeks and you will be given instructions about how to bathe. You should be able to go back to work straight away and get on with most normal activities.
You cannot swim or get your legs wet during the period in which you have been advised to wear the stockings. Most patients experience a tightening sensation along the length of the treated vein and some get pain in that area around 5 days later but this is usually mild. Normal anti-inflammatory drugs like Ibuprofen are normally sufficient to relieve it.
The risk of varicose veins increases with age. Aging causes wear and tear on the valves in your veins that help regulate blood flow. Eventually, that wear causes the valves to allow some blood to flow back into your veins where it collects instead of flowing up to your heart.
Women are more likely to develop the condition. Hormonal changes during pregnancy, pre-menstruation or menopause may be a factor because female hormones tend to relax vein walls. Hormone treatments, such as birth control pills, may increase your risk of varicose veins.
During pregnancy, the volume of blood in your body increases. This change supports the growing fetus, but also can produce an unfortunate side effect — enlarged veins in your legs. Hormonal changes during pregnancy may also play a role.
If other family members had varicose veins, there’s a greater chance you will too.
Being overweight puts added pressure on your veins.
Standing or sitting for long periods of time. Your blood doesn’t flow as well if you’re in the same position for long periods.
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