1. ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS.
Endovenous Laser Therapy (EVLT), a modern treatment for varicose veins, has revolutionised the
management of this common condition. Varicose veins, typically presenting as twisted, enlarged veins close
to the surface of the skin, often develop in the legs and can cause discomfort, pain, and aesthetic concerns.
Traditionally, varicose veins were treated with surgical techniques like vein stripping, which involved
removing the affected veins. However, these methods were often invasive, requiring lengthy recovery times.
The advent of EVLT has provided a less invasive, highly effective alternative. EVLT utilises laser energy to
treat varicose veins. The procedure is typically performed under local anesthesia. It involves inserting a thin
fiber into the diseased vein through a small incision. The fiber delivers laser energy to the vein walls, causing
them to heat up, collapse, and seal shut. Over time, the body naturally absorbs the closed vein, and blood
flow is redirected to healthier veins.
One of the primary advantages of EVLT is its minimally invasive nature. Unlike traditional surgery, it doesn't
require general anesthesia or a hospital stay. Most patients experience minimal discomfort during the
procedure and can return to normal activities shortly afterward, with little to no downtime.
The effectiveness of EVLT is another significant benefit. Studies have shown high success rates, with most
patients experiencing relief from symptoms and an improvement in the appearance of their legs. Additionally,
the risk of complications is lower compared to traditional surgical methods.
Post-procedure care is relatively straightforward. Patients are usually advised to wear compression
stockings for a certain period to support healing and improve circulation. Regular follow-up appointments are
essential to monitor the treated veins and check for any potential complications.
2. OPEN VEIN REMOVAL FOR VARICOSE VEINS.
Open vein removal, also known as vein stripping or ligation and stripping, is a surgical procedure used to
treat varicose veins. Varicose veins are swollen, twisted veins that usually appear in the legs. They occur
when the valves in the veins do not work properly, causing blood to collect in the veins rather than flowing
smoothly back to the heart. This condition can cause discomfort, pain, and sometimes more serious health
problems.
The open vein removal process begins with a consultation, where the surgeon assesses the severity of the
varicose veins and discusses the procedure and recovery. Before the surgery, the affected veins are marked
while the patient is standing. The surgery is typically performed under general anesthesia.
During the procedure, small incisions are made in the leg near the top and bottom of the damaged vein. The
surgeon then inserts a flexible wire into the vein and pulls it out from the lower incision, effectively removing
the affected vein segment. The incisions are then closed with stitches.
The removal of these veins doesn’t affect blood flow in the leg as other veins take over the role of the
removed veins. This surgery is effective in eliminating varicose veins, reducing pain and swelling, and
improving the appearance of the legs.
Recovery from open vein removal varies but usually involves a period of rest and limited movement. Patients
are often encouraged to walk regularly to promote circulation and prevent blood clots. Compression
stockings are typically worn for several weeks after surgery to reduce swelling and improve healing. Full
recovery may take several weeks, and patients are advised to avoid strenuous activities during this period.
While effective, open vein removal is more invasive than newer, less invasive treatments like sclerotherapy
or endovenous laser treatment. The decision to undergo this surgery should be made after consulting with a
healthcare professional who can assess the specific needs and health conditions of the patient.