EVLA laser endovenous coagulation of veins

Choosing EVLA for varicose veins offers a range of benefits over traditional vein stripping surgery.

• Minimally invasive – no incisions, no general anaesthesia. The entire procedure is performed through a single tiny puncture (less than 2mm) under local anaesthesia, which avoids the risks and long recovery of major surgery
• Outpatient, walk‑in, walk‑out treatment. EVLT is typically completed in 45‑90 minutes, and you can return home the same day
• High clinical success rate (98%). The treated vein is reliably sealed off, and over time it shrinks and is naturally absorbed by the body
• Immediate return to normal activities. Most patients resume work and daily routines within 1‑3 days. Walking is encouraged immediately after the procedure, while strenuous exercise may be resumed after 1‑2 weeks
• Minimal discomfort and rapid recovery. Thanks to tumescent anaesthesia, the procedure is nearly painless, and any bruising or tightness typically resolves within 2‑4 weeks
• No hospital stay, no scars. The puncture site is so small that it does not require stitches, leaving virtually no trace

• Before EVLT surgery, the surgeon determines the affected area of the vein and the amount of energy that will be needed for laser coagulation. Then, under ultrasound control, a vein is punctured and a laser fiber inserted in the treated vein close to the point where it enters the deep venous system. After this, local anesthesia is given.
• With EVLT, tumescent anesthesia is used, which allows you to numb only the affected vein. This technique protects nearby tissue from the heat of the laser and pushes out the blood as the vein shrinks. Next, the surgeon double-checks the location of the laser fiber with ultrasound and begins laser coagulation.
• Side branch varicose veins may be removed using Varady hooks through punctures or may be treated with sclerotherapy at the same time.  After all the manipulations, the punctures are sealed with special adhesives and compression garments are put on. The entire operation lasts approximately 30-60 minutes. 

Laser treatment for varicose veins is indicated for a range of bothersome symptoms and conditions:

• Bulging, rope‑like veins on the legs, particularly on the calves or thighs, caused by venous insufficiency (failed valves that allow blood to pool)
• Chronic leg discomfort, including a feeling of heaviness, throbbing, aching, burning, or swelling that worsens after prolonged standing or sitting
• Itching around the veins or skin changes such as discolouration, eczema, or thinning
• Night cramps and restless legs, which often disrupt sleep
• Superficial thrombophlebitis (inflamed, painful blood clots just under the skin)
• Cosmetic concerns – many patients seek treatment to improve the appearance of their legs by eliminating unsightly bulges and visible ropes