What is involved in laser surgery for varicose veins?

Laser surgery for varicose veins, also known as endovenous laser ablation (EVLA), is a minimally invasive procedure used to treat varicose veins. It involves the use of laser energy to seal and collapse the affected veins. Here is an overview of what is involved in laser surgery for varicose veins:

1. Pre-operative Evaluation:

Before the procedure, a thorough evaluation is conducted by the doctor to assess the extent of the varicose veins and determine if laser surgery is the most suitable treatment option. This may involve a physical examination, ultrasound imaging, and a medical history review.

2. Preparing for the Procedure:

On the day of the procedure, the patient will be asked to avoid wearing jewelry or metal objects near the treatment area. The area around the affected vein may be shaved and cleaned before the procedure begins.

3. Administration of Local Anesthesia:

Laser surgery for varicose veins is typically performed under local anesthesia, which means that the patient remains awake during the procedure but the treatment area is numbed. This is achieved through injections at the site of the affected vein.

4. Inserting the Laser Fiber:

A small incision is made in the skin near the affected vein, and a thin laser fiber is inserted into the vein. The laser fiber emits concentrated laser energy that causes the vein walls to heat and collapse.

5. Sealing the Vein:

As the laser fiber is gently moved along the length of the affected vein, the laser energy seals and collapses the vein, causing it to shrink and block blood flow. This process is repeated for all the targeted varicose veins.

6. Compression Bandages:

After the laser treatment is completed, compression bandages may be applied to the treated area to provide support and reduce swelling.

7. Post-operative Care:

Following the procedure, the patient may experience some discomfort and bruising around the treated area. Over-the-counter pain relievers are typically prescribed to manage discomfort. Walking and regular physical activity are encouraged to aid in recovery.

8. Follow-up Appointments:

The patient will likely be scheduled for follow-up appointments to monitor the progress of healing and to assess the effectiveness of the laser surgery.

Laser surgery for varicose veins is a generally safe and effective treatment option. Most patients experience minimal downtime and can resume their normal activities within a few days. The results of EVLA are usually long-lasting, offering relief from the symptoms of varicose veins, improved cosmetic appearance, and reduced risk of complications associated with untreated varicose veins.