Endovenous Laser Ablation

Advance Care Centre for Endovenous Laser Ablation

What are Varicose Veins?

Varicose veins are twisted and swollen veins, which often appear to be blue or purple. They happen when faulty valves in the veins cause the blood to flow in the wrong direction or to collect at the wrong places. Statistics have discovered that at least 23% adults suffer from varicose veins.

While any superficial vein may be varicosed, but the veins most affected are those in your legs, especially if you are prone to standing for long hours. This can increase the pressure on the veins in the lower body.

What are the common causes of Varicose Veins?

It is common knowledge that the arteries carry oxygenated blood from the heart to the rest of the organs, and the veins carry the deoxygenated blood from the rest of the body back to the heart. For the veins in the legs to do their function effectively, they need to work against gravity.

For the same, the muscle contractions in the legs act as pumps and the elastic vein walls help blood return to your heart. The veins contain valves which open when blood enters them and then close to prevent the blood from flowing backwards. If these valves get damaged or become weak, then they cannot stop the blood from moving back and pooling in the vein. This causes unwanted stretching and twisting of the veins.

Symptoms of Varicose Veins

  • Dark purple or blue veins
  • Twisted or bulging veins (veins that looks like ropes in the body).
  • Achy or heavy feeling in the legs particularly in the evenings.
  • Burning, throbbing, cramping and swelling in your lower legs.
  • Worsening pain from sitting or standing after a long time.
  • Itching around the affected veins.
  • Skin discoloration around the affected veins.

Important : Spider veins are similar to varicose veins, except that they are similar. They are closer to the skin and appear as red or blue.

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Why Eravio

No Cuts. No Wounds.

Thanks to the cutting-edge laser technology, the procedures are quick, non-invasive and leave no scars.

Best in Class Treatment

With advanced technology and expert doctors on call, Eravio is one of the best hospitals in Kharghar, Navi Mumbai for your proctology issues.

Qualified and Expert Doctors

Eravio Hospital handpicks the best doctors with rich experience. These doctors are not only skilled in their areas, but also friendly and compassionate towards the patients.

Cutting-Edge Technology

Eravio Hospital employs Lasotronix Laser products which have proven their worth to both the surgical community and the patients.

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Eravio Hospital follows all the guidelines to protect the infrastructure and the staff from the COVID-19 pandemic.

Diagnosing Varicose Veins

The primary diagnosis of varicose veins is usually done with a physical examination. After taking a careful look at the affected area, a doctor will further explore it to confirm varicose veins.

For the same, the doctor uses the following methods:

  • Doppler Test: Test measuring the amount of blood flowing through the arteries and veins using high-frequency sound waves.
  • Colour Duplex Ultrasound Scan: Combination of the traditional ultrasound and doppler test to measure the speed and other such as aspects of blood flow.

What are the treatment options for Varicose Veins?

There are two ways to go about treating varicose veins:

  • Non-operative procedures which include adequate exercise, use of comfortable clothing, avoiding long hours of standing or sitting, and using compression stockings to manage blood flow.
  • Operative procedures which provide long-lasting relief to varicose veins, such as:
    • Subfascial endoscopic perforator surgery: Minimal access surgery and best alternative to open surgery. Process uses small incisions and ties up the affected veins using an operating scope.
    • Sclerotherapy: Useful for treating small and medium varicose veins
    • Laser Treatments: Effective in treating smaller varicose veins and spider veins.

Endovenous Laser Ablation (EVLA): Treatment for Varicose Veins

One of the latest methods to treat varicose veins, the Endovenous Laser Ablation (EVLA) uses a radial laser probe for its operation. In this treatment, the doctor inserts the radial laser probe into the affected veins. The heat from the laser ablates the walls of the veins, resulting in the destruction of the abnormal veins and absorption of the dead tissue.


Laser Treatment vs Surgery

Main Feature Laser Surgical Procedure
Anesthesia LA GS
Patient Hospital Stay Day Care 3-7 Days
Pain (Post-Operative) Low High
Recovery Time 3 days 10 days
Relapse Risk Low High
Complications Low High
Treatment Through Laser (Pin Hole Surgery) RF Machine
Collateral Damage Least Very High
Area Of Treatment cm Energy Delivered 7cm Energy Delivered
Treatment Of perforators Yes No
Portability Of Machine Very Much (2.5kg) Less(15kg abd above)
Technology/Concept Latest Old

Things you should know about EVLA

What are the factors causing varicose veins?

  • Heredity
  • Standing for long hours.
  • Excessive body weight.
  • Hormonal changes.
  • Birth control medication .
  • Tissue lumps.
  • Constipation .
  • Injuries.
  • Past medical complications.

What are the precautions I should take before and after the procedure?

Before the surgery, perform the following actions:

  • Wear compression stockings.
  • Follow the dietary restrictions.
  • Drink adequate water.
  • Avoid tea, coffee and other such caffeinated beverages.
  • Refrain from applying lotions before the surgery.

After the surgery, perform the following actions:

  • Remove the compression stockings .
  • Follow the exercise and diet regiment as prescribed by the doctor.
  • Start swimming and hot tub bathing after consulting with the doctor.

What are some of the myths related to varicose veins?

  • Varicose veins are caused by daily usage of high heels.
  • Varicose veins are minor condition with no further serious complications.
  • Varicose veins are caused by sitting cross-legged.
  • Varicose veins treatment is expensive.

What are the risk factors of varicose veins?

  • Age: Aging causes wear and tear in the veins which may eventually lead to cause some blood to flow back to veins leading to varicose veins.
  • Gender: Women are more prone to varicose veins than men. Hormonal changes during pregnancy, menstruation, and menopause may accelerate the process of varicose veins because the female hormones tend to relax the vein walls.
  • Pregnancy: The volume of the blood increases during pregnancy. This may cause pressure on the veins in the legs as they are already bearing the weight of the growing foetus. The hormonal changes during pregnancy also tend to increase the risk of varicose veins.
  • Family history: If any parents have had varicose veins, then there is a high chance that you may also experience the same condition.
  • Obesity: Increasing weight adds more pressure on the veins in the legs, thus resulting in varicose veins.
  • Long hours of continuous sitting or standing: A single continuous posture for a long time affects the blood flow and can cause varicose veins.

What complications can varicose veins cause?

  • Ulcers : Varicose veins may lead to the development of ulcers, usually around ankles. The most common symptom of a developing ulcer is skin discoloration. Contact the doctor immediately if you spot one.
  • Blood clots : Veins deep within the legs may become enlarged causing tremendous pain and swelling. This happens due to a blood clot also known as thrombophlebitis.
  • Bleeding: Occasionally, due to too much pressure on the veins, there is possibility that the veins may burst and cause minor bleeding. But this minor bleeding should not be ignored.

Is it possible to avoid varicose veins?

Yes. With the help of a healthy lifestyle, it is possible to avoid – or delay – the occurrence of varicose veins. To achieve the same, you should inculcate the following habits:

  • Regular exercise
  • Weight control
  • High fibre and low salt diet.
  • Changing the position on a regular basis.
  • Elevating the legs.

Things you should know about EVLA

  • Dark purple or blue veins
  • Twisted or bulging veins (veins that looks like ropes in the body)
  • Achy or heavy feeling in the legs particularly in the evenings
  • Burning, throbbing, cramping and swelling in your lower legs
  • Worsening pain from sitting or standing after a long time
  • Itching around the affected veins
  • Skin discoloration around the affected vein

Important: Spider veins are similar to varicose veins, except that they are similar. They are closer to the skin and appear as red or blue.

Apart from the common types of fistula – Anal and Urinary tract, there are many more types of fistula depending on the organs they affect:

  • Heredity
  • Standing for long hours
  • Excessive body weight
  • Hormonal changes
  • Birth control medication
  • Tissue lumps
  • Constipation
  • Injuries
  • Past medical complications

Before the surgery, perform the following actions:

  • Wear compression stockings
  • Follow the dietary restrictions
  • Drink adequate water
  • Avoid tea, coffee or other caffeinated beverages
  • Refrain from applying lotions before the surgery

After the surgery, perform the following actions:

  • Remove the compression stockings
  • Follow the exercise and diet regiment as prescribed by the doctor
  • Start swimming and hot tub bathing after consulting with the doctor
  • Varicose veins are caused by daily usage of high heels
  • Varicose veins are minor condition with no further serious complications
  • Varicose veins are caused by sitting cross-legged
  • Varicose veins treatment is expensive
  • Age: Risk of varicose veins increases with age. Aging causes wear and tear in the veins which may eventually lead to cause some blood to flow back to veins leading to varicose veins
  • Gender: Women are more prone to varicose veins than men. Hormonal changes during pregnancy, menstruation, and menopause may accelerate the process of varicose veins because the female hormones tend to relax the vein walls.
  • Pregnancy: The volume of the blood increases during pregnancy. This may cause pressure on the veins in the legs as they are already bearing the weight of the growing foetus. The hormonal changes during pregnancy also tend to increase the risk of varicose veins.
  • Family history: If any parents have had varicose veins, then there is a high chance that you may also experience the same condition.
  • Obesity: Increasing weight adds more pressure on the veins in the legs, thus resulting in varicose veins.
  • Long hours of continuous sitting or standing: A single continuous posture for a long time affects the blood flow and can cause varicose veins.
  • Ulcers: Varicose veins may lead to the development of ulcers, usually around ankles. The most common symptom of a developing ulcer is skin discoloration. Contact the doctor immediately if you spot one.
  • Blood clots: Veins deep within the legs may become enlarged causing tremendous pain and swelling. This happens due to a blood clot also known as thrombophlebitis.
  • Bleeding: Occasionally, due to too much pressure on the veins, there is possibility that the veins may burst and cause minor bleeding. But this minor bleeding should not be ignored.

Yes. With the help of a healthy lifestyle, it is possible to avoid – or delay – the occurrence of varicose veins. To achieve the same, you should inculcate the following habits:

  • Regular exercise
  • Weight control
  • High fibre and low salt diet
  • Changing the position on a regular basis
  • Elevating the legs

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