All our treatments are minimally invasive and guided by accurate medical imaging, including colour duplex ultrasound.
The main difference in technique between our minimally invasive treatments and surgery is that in the latter the main superficial vein (great saphenous) is stripped out and removed altogether whereas in our methods the vein is totally destroyed ‘in-situ’ (where it lies). The outcome is the same but the destruction of a vein can be achieved very much more easily than its removal.
Varicose vein laser surgery is thermal ablation technique with involves applying a highly concentrated beam of light (laser) to the inner lining of vein with extreme precaution and not affecting the surrounding tissue. The laser energy heats the inner lining of the swollen varicose veins in leg, causing it to shrink and collapse. The body automatically and safely reroutes the blood through other healthy veins.
Like all other successful laser treatments, EVLT Varicose vein treatment is also very successful as well as safe. EVLT (laser) varicose vein treatment has a very high more than 96 % initial success rate with excellent long term results and with minimal post operative side effectas and complication.
Although some doctors treat large veins by injections (foam sclerotherapy) the results are not as effective or as durable as either EVLA and we do not recommend this for the majority of patients. We do use foam sclerotherapy for any residual varicosities remaining at follow-up after either the EVLA treatment. Some patients with recurrence of varicose veins after surgery may just need some foam sclerotherapy.
Both techniques, EVLA rely on accurate preop mapping of anatomy and blood flow by colour duplex ultrasound and use of ultrasound to guide the instruments during the procedure.
A full explanation of the treatment options including potential complications and success rates will have been given at your initial consultation. You will have been asked to sign to give your consent to the proposed treatment, you will be introduced to the anaesthetic doctor and nurse who will be at your side throughout the procedure,
You will be taken in to procedure room (OT). A Anaesthetic doctor give you local or spinal anaesthetic for numb of skin of legs. After appling antiseptic solution to leg skin. A small sheath (thin walled plastic tube) is inserted into the vein to be destroyed usually just below the knee. Using an ultrasound image to guide the instruments the doctor then places a laser fibre or the RF catheter through the sheath and up to the vein in the groin. Local anaesthetic solution is then carefully injected around the vein along its whole length. The power is then turned on and the fibre or catheter slowly withdrawn. Once the length of the vein has been treated the sheath is withdrawn and then fibre is introduce in perforator under guidance of ultra sound and perforator ablation also done. After that a compression stocking will be applied and you will be shift to your bed and within a few minutes you recover from Anaesthesia effect you will advise to take a fifteen minute walk.
You will have to keep your stocking on for 3 week in total. You may take a bath after 1 days and then every day. Let us know if you want to order more than one stocking per leg. Many patients find a second pair of stockings helpful.
Very few complications have been described. Potential problems include deep vein thrombosis, deep vein trauma, skin burns, nerve injuries and laser eye injuries. In practice these are all very rare or have never yet been reported.