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Endovenous Laser Ablation:

Endovenous Thermal Ablation is a treatment alternative to surgical stripping of varicose veins. Until recently, the removal of varicose veins was done in OR under general anesthesia by means of cutting down the skin in many places and physical removal of the vein. This causes significant trauma to the tissues, dramatically increases risk of infection, prolongs recovery period and eventually carries more than 25% recurrence rate. Since 1990s the new technique was introduced, now carrying the name of THERMAL ABLATION, i.e. elimination of the vein by means of the heat, generated by laser or radiofrequency beam. Both methods are now used concurrently and ongoing studies are being held to identify the long term results. We use the laser at our office since this method is proven to be successful for at least 10 years now.

 

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Under ultrasound visualization a tiny needle poke is made into your vein around the knee. A small optical fiber is then inserted into the vein and is guided up to the groin. After delivering the local anesthesia along the fiber, the energy is gradually delivered while withdrawing the catheter away causing the vein to clot, collapse and later on to fibrose, since there is no normal vessel alignment left. The procedure is done in totally conscious patient, within 1 hour, and you can walk home afterwards. The recovery period is usually 24-48 hours and you can return back to work next day. The success rate is claimed to be around 90-95%.