Laser vein removal (endovenous laser ablation)

Laser vein removal

Varicose treatment has been an actual topic at all times. If before varicose veins were removed through surgery (incisions in the skin), today safer methods of eliminating deflated veins are used. One of the most effective and safe methods of varicose veins treatment is laser vein removal.

Endovenous laser ablation (laser coagulation) is an office-based surgery. Surgeons started to use the term “office-based surgery” to designate radical surgical treatment methods, that do not have post-operative complications, right after which an individual can get back to work.

evlt treatment for varicose veinsAll methods of endovenous thermal ablation are based on endovasal thermal damage of the vein wall. As a result vein walls are destroyed and stick together. The energy of electromagnetic radio waves, laser radiation and the energy of superheated steam are used to do that.

Modern endovasal methods of varicose veins treatment like laser and radiofrequency ablation are meant to replace classic surgical treatment of varicose veins.

Indications and contraindications

Indications for endogenous laser ablation are the development of varicose veins and the removal of affected veins.

Why do we need to remove veins? Varicose veins prevent blood circulation. This leads to blood pooling in the veins and to the appearance of thrombosis. If the thrombus breaks off and start to move towards the heart, it is dangerous for life. Besides that blood puts a high pressure on thin vessel walls, it causes the enlargement of vein tributaries.


  1. Pregnancy and lactation;
  2. Atherosclerosis in the arteries of the lower limbs;
  3. Thrombophlebitis (acute thrombosis of deep and superficial veins);
  4. Heart disease;
  5. Inflammation and infectious skin diseases in the zone of the potential surgery;
  6. Inability to wear compression garments for a long time (for example, for people suffering from obesity);
  7. Inability to move actively after the procedure (in this case classic surgery is safer).

How is the endogenous laser ablation performed?

Before procedures a patient should be examined by a doctor (ultrasound scan of veins, visual examination, analysis). Right before the procedure a patient should shave legs and to pick out compression garment in advance.

In most clinics endovenous laser ablation is performed without hospitalization.

Endovasal laser coagulation is performed on an ambulatory basis.

Endovenous laser ablation is performed strictly under ultrasound control and under local anesthesia. During the procedure the laser light is injected into the vein and collapse the vein wall, the vessel gets irradiated and shuts down.

laser fiber for evla

During laser coagulation modern tracking monitors are used, thus the procedure poses no danger. Endogenous laser ablation should be performed in the operating room equipped with all modern devices. Sterility, safety, professionalism of the phlebologists are an important indicators of favourable treatment.

To get an effective result of varicose veins treatment specialists can combine different methods. Together with laser ablation phlebologist can perform sclerotherapy.

After venous ablation

A special band is applied on the seam on the ankle.

It is recommended that a patient walks about 30 minutes.

It is also recommended to wear compression garments 24 hours within 5 days after the intervention. After that the patient wears compression garments only during the day within 1,5-2 months (therefore many specialists do not recommend to perform this surgery at summer time).

In the first days after the laser ablation it is not recommended to do aerobics, gymnastics or cycling.

It is recommended to walk every day no less than an hour, to avoid prolonged standing or seating if possible, not to take hot baths or use saunas for 1,5-2 months. These are the only lifestyle restrictions.

After the procedure the patient is under the doctor’s supervision for couple of months. The first examination is carried out on the second-third day, and includes the ultrasound scan.

This method guarantees quick recovery, an excellent cosmetic effect, lack of swellings, pain, tissue injuries.

Advantage of endogenous laser ablation

  • the procedure lasts no more than 40-60 minutes;
  • general anesthesia is not required, only local is used;
  • the patient does not feel any discomfort or pain;
  • the treatment is effective in almost 100% of cases;
  • right after the procedure the patient leaves clinics with assistance;
  • No rehabilitation is required; the patient can go back to work the next day after the surgery;
  • it leaves no scars and have no other consequences.

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Laser vein removal (endovenous laser ablation)