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Endovenous Laser

A new technique in the horizon, for treatment of varicose veins. The word LASER sells in the market. Majority of patients are not even aware of what laser is and what it does to the vein. The selection of patients for treatment by Laser or Radiofrequency is the deciding factor in the outcome of the result. Not all patients are suitable for this treatment. Both methods use heat energy to burn the vein from inside.

The recurrence rates are variable from center to center from 7 to 10%.

The main use of Endovenous abalation is, it avoids surgical stripping of Long Saphenous vein (LSV). Branch varicocities can never be abalated using this techniques. One needs to either surgically remove or use Sclerosant.

Best results are achieved by using a combination treatment of ablation with avulsions or sclerotherapy.

EVLT Laser Machine
Radiofrequency Machine

Which patients should undergo EVLT?

If the Long /short Saphenous veins has a very straight course where by allowing the laser fiber to pass upto the incompetent junction. A combination procedure is always required for complete treatment of varicose veins.


  • Day care procedure
  • No surgical scars
  • Can be done under local anaesthesia


  • Only laser treatment is never effective in treating varicose veins.
  • Mostly combination procedures are required.
  • May need general or regional anaesthesia as, Local anaesthesia procedure can be painful.
  • Difficult in obese patients.

Venous Ulcer

Dr. Pankaj Patel a vascular surgeon has expertise in peripheral vascular diseases, varicose veins and deep vein thrombosis