Phlebology treatment laser Endovenous Treatment
EVLA 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. It can be carried out in a simple treatment room rather
than an operating theatre. EVLA is performed under local
anaesthetic as a Walk-in, walk-out' technique.
Advantages in Veins:
- In-office procedure performed in less than an hour
- No hospital stay
- Instant relief from symptoms
- No unsightly scaring or large, prominent incisions
- Quick recovery with minimal post-procedural pain
Treatment Before and After :
What is Endovenous Laser Ablation (EVLA)?
An ultrasound scan is performed and the 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
anaesthetic 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 fibre 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 anaesthetic solution is then injected around the
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.
What happens after treatment?
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
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.
Laser Technical Specification: