Endovenous laser ablation EVLA

Less painful, short recovery, far less bruising, better cosmetic effect. Minimally invasive laser surgery consists in closure of the main superficial vein (great or small saphenous vein) by heat emitted by a laser at the end of an optic fibre, which is advanced via a small incision or even just a needle puncture into the above mentioned veins. Many years of experience. Out- patient care. 

Minimally invasive laser surgery consists in a closure of the main superficial vein (the great or small saphenous vein) by heat emitted by a laser at the end of an optic fibre, which is advanced via a small incision or even just a needle puncture into the above mentioned veins. Sometimes – depending on the ultrasound finding – a crossectomy via an incision in the groin or back of the knee (popliteal fossa) needs to be added. The vein that has been closed by the heat emitted from the laser remains in the body and turns into a fibrous band over the next several weeks. Smaller varices located on the venous side branches are removed in a similar manner as in a standard surgery.

Compared to a standard surgery, this type of intervention has many advantages

Less pain, short recovery time, far less bruising, better cosmetic effect. The intervention may often be performed under a local anaesthesia and the client discharged 1-2 hours after the procedure.

Common effects of the procedure

Mild bruising may occur, sometimes a pulling sensation within the vein that has been treated by the laser, small indurations after side branch varices removal, the pain is minimal.

Risks

Uncommon – larger bruising – hematomas with a subsequent temporary pigmentation, minor loss of skin sensitivity, minor wound healing disorders rare – venous thrombosis, thrombophlebitis, wound inflammation very rare – internal complications – heart attack, embolism, pneumonia.

Postoperative measures and postoperative course

A compression bandage by an elastic roller bandage will be applied on the operated leg in the operating theatre, in the case of a smaller scale surgery a compression stocking is applied directly. If a roller bandage has been applied, it will be exchanged for a compression stocking the following day. The compression stocking has to remain on the leg 24 hours a day, that is continuously during day and night for the first 7-8 days following the surgery. When lying down, the stocking may be carefully exchanged for a clean one and the leg washed. The pain is minimal and Ibalgin 400mg 2-3 times a day 1 tablet will be sufficient for the first 2 days following the surgery. Walking is possible and encouraged, however, prolonged sitting with legs hanging down or prolonged standing should be avoided. Dates of outpatient follow-ups are scheduled after an agreement between the patient and doctor.

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