![]() You should be able to go back to work straight away and get on with most normal activities. You will have to wear the stockings for up to two weeks and you will be given instructions about how to bathe. It is advisable not to drive but to take public transport, walk or have a friend drive you. ![]() Soon after your treatment you will be allowed home. You may also have some foam sclerotherapy or some avulsions undertaken and a compression stocking is then put on. The treatment takes about 20-30 minutes per leg. The laser and catheter are removed and the needle puncture covered with a small dressing. If you're having both legs treated the process is repeated on the other leg. You will hear a warning buzzer ringing and may smell or taste burning but won’t feel any pain. The laser is then fired up and pulled down the vein over about 5 minutes. All staff and the patient put on laser safety specs as a precaution. A large quantity of local anaesthetic solution is then injected around the vein through multiple tiny needle pricks. The needle is removed and a catheter (thin plastic tubing) is passed over the wire, up the vein and the wire removed.Ī laser fibre is passed up the catheter so its tip lies at the highest point to be heated (usually your groin crease). A wire is passed through the needle and up the vein. A small amount of local anaesthetic is injected into the skin over the vein and a needle inserted into it. All these steps are guided by ultrasound scanning.Įndovenous means inside the vein, so the next thing the doctor has to do is to get inside your vein. ![]() Depending on which veins are to be treated, you may be on your back or your front. You lie on a couch and your leg is cleaned and covered with drapes. Those few who are not suitable (usually those with small recurrent veins after previous surgery) can usually be managed with just foam sclerotherapy.Īn ultrasound scan is performed and the veins to be treated are marked with a pen. It can be carried out in a simple treatment room rather than an operating theatre.Īlmost all patients with varicose veins are suitable for EVLA. The heat kills the walls of the veins and the body then naturally absorbs the dead tissue and the abnormal veins are destroyed. Instead of tying and removing the abnormal vein,s they are heated by a laser. In this article we use the general term EVLA for Endovenous Laser Ablation, as all the various types of laser ablation are essentially the same.ĮVLA is a new method of treating varicose veins without surgery. EVLT, ELVes, VeinSeal, depending on the manufacturer of the laser. Endovenous laser ablation goes under several proprietary names e.g.
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