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Varicose Veins

Varicose Veins - EVLA / EVLT

Varicose veins of the lower extremities are a common disease with an incidence rate of about 15% in men and 35% in women. It includes the obstruction of venous blood flow in the lower extremities, an increase of pressure in the veins, gradual dilatation of the superficial vein, and the symptoms of thinness of some parts of the the veins. It is mostly engaged in physical labour, especially the standing work people. The disease has a long course and can cause chronic ulcers, thrombotic superficial phlebitis, venous rupture, and other diseases, and the recurrence rate is relatively high. It is related to age, gender, weakness of the venous wall, valve defect, and continuous increase of venous pressure.

With the advent of LASER treatment EVLA / EVLT the treatment is now done as a day care procedure. There is no need for surgery, cuts, stitches or scars.

Treatment of Varicose Veins

The treatment of varicose veins reduces the symptoms and the complication rate of venous insufficiency and increases the patient’s health related quality of life (HRQOL). 

The various techniques available to treat varicose veins include Compression stockings, Ligation and stripping, Avulsion of perforators, Endovenous Laser ablation (EVLA/EVLT), Radiofrequency ablation, Foam Sclerotherapy, Liquid Sclerotheray, Glue, TIPP and SEPS. There is no single gold standard method for all the cases. Studies have shown that combination of various methods give better results.

Graduated compression stockings are to be worn for at least 6 weeks after operation. Class II below knee compression stockings may be designed to apply graduated or uniform compression

Advantages of LASER treatment

  • Faster and Lesser Invasive

  • No Cuts No Stitches

  • No Scar

  • Minimal or no bruising

  • Quick recovery time

  • Same Day discharge

Contraindications to sclerotherapy

The following absolute and relative contraindications for sclerotherapy shall be observed:

Absolute contraindications :
  • Known allergy to the sclerosant.

  • Acute venous thromboembolism.

  • Local infection in the region of the sclerotherapy or severe generalized infection.

  • For foam sclerotherapy:

    Known symptomatic right-to-left shunt (e.g. symptomatic patent foramen ovale).

Relative contraindications (individual risk–benefit assessment is obligatory) :
  • Pregnancy.

  • Lactation (if the indication is urgent, interrupt lactation for 2–3 days).

  • Severe peripheral arterial occlusive disease.

  • Poor general state of health.

  • High risk of thromboembolism (e.g. known history of thromboembolic events, known severe thrombophilia, active cancer).

  • Long-term immobility or bed-ridden patient.

  • For foam sclerotherapy:

    Neurological disorders, including migraine, after previous foam sclerotherapy.


What is the best treatment for Varicose Veins?

Endovenous Laser Ablation (EVLA) with Sclerotherapy

What happens if varicose veins are left untreated?

Excess pressure in the vein can lead to aching, heaviness, itching, swelling, discoloration of skin and even ulcers over the skin.

What is the main cause of varicose veins?

Varicose veins are caused by increased blood pressure in the veins.

Where can I find the best Varicose veins doctor in Mumbai? Near me?

Dr. Sunny Agarwal is one of the best Varicose Veins doctor in Mumbai. He aims at delivering good cosmetic results, uses best quality LASER combining it with Sclerotherapy and ensures complete depletion of Varicose Veins.  Dr. Sunny Agarwal operates in many centers like Chembur, Sion, Ghatkopar, Mankhurd, Tilak Nagar, Andheri, Borivili, Dombivili, Navi Mumbai, Vashi, Kharghar, Thane.

When can I return to work after Varicose vein treatment?

There are no cuts no stitches. You can resume your work in 1 or 2 days but preferably light work like a desk job. Avoid prolonged standing for 1 or 2 weeks.

How long do I have to wear stockings after varicose vein laser treatment

Graduated compression stockings are to be worn for at least 6 weeks after operation

Do Varicose veins return after treatment?

Properly treated varicose veins don’t return. However, it’s possible to form new varicose veins.

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