Endovenous Laser Treatment – Dr Sunny Agarwal

Endovenous Laser Treatment (EVLT)

Endovenous Laser Treatment (EVLT) is a minimally invasive procedure used to treat varicose veins and other vein disorders. It is an alternative to traditional open surgery methods like the Trendelenburg operation, which involves stripping the veins. EVLT is preferred due to its effectiveness, reduced risk, and quicker recovery times. In some cases, multiple treatments, such as Foam Sclerotherapy or Cryo Laser and Cryo Sclerotherapy (CLaCS), may be combined with EVLT depending on the patient’s condition.

Before undergoing EVLT, a Venous Colour Doppler (ultrasonography) is performed to map the veins and evaluate the severity of the condition. This helps determine the appropriate treatment plan. During the procedure, a thin laser fiber is inserted into the faulty vein under ultrasound guidance. The 1470 nm laser delivers thermal energy, causing the vein to collapse and occlude. Over the following weeks, the treated vein becomes fibrous and eventually disappears. Post-treatment, patients are advised to wear class II compression stockings for four months to help with the vein’s closure and support healing.

Why Choose Endovenous Laser Treatment
for Laser Piles Surgery?

Minimally Invasive Procedure

EVLT is a highly advanced, minimally invasive technique, ensuring a quicker recovery compared to traditional surgeries.

Precision and Effectiveness

The laser technology targets the affected tissues with pinpoint accuracy, reducing damage to surrounding areas.

Painless Treatment

Patients experience significantly less pain during and after the procedure, enhancing comfort.

Short Recovery Time

EVLT allows most patients to resume their normal activities within a day or two, minimizing downtime.

Reduced Risk of Complications

This procedure minimizes risks like infections or excessive bleeding due to its advanced laser application.

No Stitches Required

The procedure doesn’t involve cuts or stitches, leaving no scars and improving cosmetic outcomes.

Safe and Reliable

EVLT is a proven and well-researched technique, ensuring safety and effectiveness for piles treatment.

Quick Procedure

The surgery is performed in a short duration, often as a daycare procedure, avoiding prolonged hospital stays.

Less Post-Surgery Discomfort

Postoperative care is simpler, with less swelling and discomfort, making it ideal for patients with a busy lifestyle.

Long-lasting Results

EVLT offers durable outcomes, reducing the recurrence of piles when coupled with lifestyle changes.

By choosing EVLT for laser piles surgery, you ensure a modern, efficient, and patient-friendly treatment approach under the expert care of Dr. Sunny Agrawal.

About Doctor

Dr. Sunny Agarwal

Dr. Sunny Agarwal is one of the best surgeons in Mumbai. He has excellent skills in Laparoscopy and LASER procedures and has an experience of more than 13 years. Worked as an Assistant Professor in Nair Hospital, Mumbai Central and Senior Registrar in KEM Hospital, Parel where he gained profound knowledge and skills in minimally invasive surgeries, trauma care, complex surgeries, LASER procedures and many other expertise.

FAQs

Is EVLT performed under local anesthesia?

EVLT can be done under local, regional, or general anesthesia, depending on the patient’s condition.

What happens to the blood circulation after EVLT?

The veins treated during EVLT are the faulty ones that cause blood to flow backward, contributing to varicose veins. After these veins are ablated, the blood flow is redirected to healthier veins that are functioning properly, ensuring continued circulation to the heart.

What are the advantages of EVLT over traditional surgery?

EVLT offers several advantages over open surgery, including:

Minimal pain and scarring
Better cosmetic outcomes
Faster recovery (patients can resume normal activities within 48 hours)
Lower risk of complications
Simultaneous treatment of both legs, unlike surgery, where a waiting period is necessary for the second leg

Are there any complications associated with EVLT?

Complications are rare but may include:

Mild leg pain
Minor bruising
Numbness along the inner ankle These symptoms are temporary and usually resolve within a few days without the need for additional treatment.

What care is required after EVLT?

After the procedure, patients need to wear class II graduated compression stockings for four months. These should be worn during the day and removed at night. Regular walking is encouraged to promote blood circulation, but more strenuous activities, such as weight training, should be avoided for four weeks. Wearing stockings helps ensure optimal vein closure, enhancing the treatment’s effectiveness.

Can EVLT be performed if a patient has an ulcer?

Yes, patients with ulcers caused by varicose veins can undergo EVLT. The healing time for the ulcer typically ranges from four to six weeks, depending on its size. Regular cleaning and dressing of the ulcer are necessary, and wearing compression stockings aids the healing process.

Will pigmentation associated with varicose veins go away?

The pigmentation caused by varicose veins is typically irreversible, but there is usually some improvement after treatment. To manage the condition, patients should apply moisturizers or coconut oil to the affected areas to prevent dryness and maintain skin health.

EVLT is an effective, minimally invasive solution for varicose veins, providing quick recovery, minimal pain, and improved cosmetic results. Early treatment is crucial to prevent complications and ensure the best outcomes.

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