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Karishma Vein Clinic is a renowned name in Pune for the treatment of varicose veins using the Endovenous laser (EVLT) technology. If you find any symptoms of a varicose vein you must meet with Dr Sanghvi, head surgeon at Karishma Vein Clinic for a consultation. To get the right diagnosis Dr Sanghvi may ask you to conduct few tests including the Color Doppler test. If the results are positive then you need just one single step to cure varicosity of the veins. Often, EVLT suits best in most of the cases.

EVLT is a mere 30-45 minute procedure and is performed under local anesthesia. During the EVLT procedure, the vein is accessed by percutaneously inserting introducers. Later, the laser filament is inserted through the introducer. Once the placement of laser filament is confirmed with the help of ultrasound, saline with lidocaine solution is infiltrated surrounding the vein. The laser is slowly withdrawn as it emits energy that closes veins shut. You may find very slight bruising after treatment, but it is not easily visible. When the procedure is complete the treated leg is bandaged with a compression stocking for at least a week. Endovenous laser treatment is the best way to treat varicose veins, as it also reduces potential post-operative infection.

Treatment procedure

  1. The veins which require treatment are identified using ultrasound. The ultrasound gel is applied on your leg and a wand like transducer is moved over the skin. The ultrasound transducer and sound waves are painless.
  2. The surgical area of leg is cleaned and injected a local anesthesia and a laser fiber is inserted. Typically this can be inside your leg and areas along the veins.
  3. When the area of leg is numb, a small incision is made at the vein and a very thin tube called catheter is inserted into the vein. Then a thin laser fiber is inserted into the catheter and laser pulses are delivered while slowly pulling the laser and the catheter back out of the vein. The laser light pulses cause the affected vein to shrink and eventually shut.
  4. The laser fiber and catheter is removed out of your leg.
  5. The incision is bandaged in the leg. Incisions generally do not need stitches.

Is it painful?

It feels like a pinch, minor discomfort or pain when a local anesthesia is injected into the skin.  You might also feel some pressure on your leg during the procedure. Inform doctor if the discomfort continues for long time.

Risks and complications

Usually endovenous laser treatement does not lead to any complications, but any medical procedure involves risks and potential complications. Complications may become serious in some cases. Complications can develop during the procedure or your recovery. Following risks and complications can appear in the treatment:

  1. Allergic reaction to the local anesthetic
  2. Blood clots
  3. Bruising and swelling
  4. Damage to deeper veins and other blood vessels
  5. Infection
  6. Inflammation of the remaining vein or at the incision
  7. Numbness
  8. Skin burns

Preparing for Endovenous Laser Treatment

You are an important member of your own healthcare team. The steps you take before your procedure can improve your comfort and outcome.

You can prepare for endovenous laser treatment by:

  1. Answering all questions about your medical history and medications. This includes prescriptions, over-the-counter drugs, herbal treatments, and vitamins. It is a good idea to carry a current list of your medical conditions, medications, and allergies at all times.
  2. Acquiring detailed knowledge of the procedure and asking any questions you may have
  3. Taking or stopping medications exactly as directed

Post treatment

You may have soreness and inflammation after endovenous laser treatment. Over-the-counter (OTC) pain medications may relieve this. Check with your doctor before using OTC pain relievers and only take them as directed. Call your doctor if your pain gets worse or changes in any way because it may be a sign of a complication.

You will probably need to wear compression stockings after your procedure to stabilize your veins and help them heal. Your doctor may encourage you to walk frequently to encourage healing.

Recovery after surgery is a gradual process. Recovery time varies depending on your general health, your age, and other factors. Full recovery takes a few days to a few weeks.