To operate or not to operate, that is the question.
What are the deciding factors for undergoing surgery for varicose veins ?
Patients generally present with blue bulging veins on the legs, calf cramps, swelling of the ankles and calves, prominent veins on the legs, skin darkening especially over the ankles and open wounds on the legs called varicose ulcers.
A colour Doppler ultrasound is done to confirm abnormal blood flow in the veins and to look for deep vein thrombosis.
The ultrasound also maps veins on the legs that need to be treated.
The operation for varicose veins is called Endovenous Laser Ablation for Varicose Veins. In this procedure, the great saphenous and the short saphenous veins are selected and accessed at the ankle and small ports called sheaths are placed within them. This helps us in easy exchange of devices within the vein.
A radial firing laser fiber device is then placed through this sheath and navigated up the veins. A radial fiber is one which directs the laser beam in a conical fashion – thus selectively acting on the vein wall. The previous generation bare fibers fire laser light straight ahead – thus acting on the blood in the veins while not reaching the wall.
When the laser fiber reaches the desired location, local anaesthesia called perivenous tumescence is injected around the veins to numb the area around the laser and to compress the varicose veins.
The laser is then turned on – we typically use the 1470 nM laser, this wavelength of laser causes less pain and bruising as compared to the previous generation 700 and 980 nM laser.
All accessory veins that are large branches of the GSV and SSV are also treated in the same manner.
Check out our price list for Surgery & Varicose Veins treatment procedure here.