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1. Setting Up and Arranging
Depending on the vein to be treated, the patient is positioned comfortably, typically face up or down. To avoid infection, the surgery area is cleaned and prepared with an antiseptic solution.
Endovenous Laser Treatment
Endovenous Laser Treatment
procedure steps
2. Vein mapping and ultrasound guidance
The target vein is mapped and the cannulation procedure is guided in real time using a duplex ultrasonography, which guarantees accurate tool placement at each stage.
3. Administration of Local Anesthesia
In order to reduce pain and to compress the vein surrounding the laser fiber for better results, local anesthetic is administered along the vein, numbing the region from the groin to the ankle.
4. Sheath Insertion and Venous Access
Under ultrasound guidance, a needle is placed into the afflicted vein. To create a passage for the laser fiber, a guidewire and a sheath—a thin tube—are inserted into the vein.
5. Positioning of Laser Fibers
The laser fiber is inserted through the sheath and positioned carefully along the target vein's length, usually near the point where the main branches converge.
6. Anesthesia with tumescence
Multiple tiny needle punctures are used to administer more tumescent (diluted) anesthetic around the vein. This compresses the vein for the best ablation while protecting the surrounding tissues.
7. Vein Ablation and Laser Activation
The laser machine is turned on after ultrasound confirmation. The vein walls collapse and seal shut as the fiber is gradually pulled back down the vein, delivering heat energy.
8. Finalization and Dressing After the Procedure
The sheath and laser fiber are taken out. The puncture site is covered with a little dressing or compression bandage. Soon after the treatment, the patient is urged to walk, and regular activities are resumed, with the exception of brief periods of intense exertion.
disease treated
Varicose Veins
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suitable for
Individuals with Varicose Vein Symptoms
Patients with varicose veins who have symptoms like discomfort, edema, heaviness, exhaustion, or skin changes should consider EVLT.
Venous Reflux on Ultrasound Documentation
Candidates should have duplex ultrasound-confirmed reflux in the great saphenous vein (GSV) or small saphenous vein (SSV), with reflux duration usually more than 500 milliseconds, indicating valve failure
Criteria for Vein Size
In order to accommodate the laser fiber and accomplish successful closure, the treated vein should have a diameter of at least 2.5 mm.
Conservative Treatment's Failure
EVLT is a suitable option for patients who, after several months, have not progressed with non-invasive treatments like compression stockings.
benefits
Treatment with Minimal Invasion
Compared to conventional vein stripping surgery, EVLT causes less tissue damage, less discomfort, and less scarring because it only requires a little incision and doesn’t require general anesthesia.
Quick Recuperation and Practicality
EVLT is convenient for busy lifestyles because patients usually return to regular activities within 24 to 48 hours and frequently return to work fast.
High Rates of Success
Clinical research shows that over 90% of patients have successful, long-lasting varicose vein closure, which greatly reduces symptoms like pain, edema, and heaviness.
Decreased Pain and Anguish
Over-the-counter painkillers are frequently used to relieve the procedure’s moderate discomfort during and after treatment, which is well tolerated.
Better Cosmetic Results
EVLT makes bulging varicose veins disappear, giving legs a smoother, healthier appearance and boosting self-esteem.
Reduced Chance of Issues
Because EVLT is less invasive than standard surgery, it has a lesser risk of bleeding, infection, and other problems.
Procedure for Outpatients
EVLT is an outpatient procedure that doesn’t require hospitalization, therefore patients can go home the same day.
post-treatment recovery
Discharge on the Same Day
Patients can return home the same day following EVLT, which is typically an outpatient surgery that takes 60 to 90 minutes.
Sleep and Exercise
For the first twenty-four hours after the surgery, patients are encouraged to relax. To improve circulation, walking is advised shortly after treatment; however, for one to two weeks, intense activities like jogging or vigorous exercise should be avoided.
Stockings for Compression
To support the treated veins, lessen swelling, and encourage recovery, compression stockings or bandages are usually worn for one month or as prescribed by the doctor.
Typical Symptoms Following Procedures
In the treated area, minor discomfort, bruising, swelling, tightness, or skin discoloration are typical and normally go away in one to two weeks.
Medications
After EVLT, moderate pain or discomfort can usually be managed with over-the-counter medication. If necessary, doctors may write prescriptions for drugs.
Aftercare
Within one to two weeks following treatment, patients should schedule follow-up sessions for ultrasound examination to verify vein closure and track healing.
Resuming Regular Activities
Depending on their unique recovery, most patients can return to light daily activities, such as office work, after a few days. After one to two weeks, they can fully resume regular exercise and strenuous physical activity.
Precautions
