Visible dilated veins found in the lower extremities are called varicose veins. In these slides, you will understand everything about varicose veins.

12. Surgical Modalities For Varicose Vein
• Trendelenburg s Operation: Ligation & Stripping of vein
• Sclerotherapy
• Radiofrequency ablation
• Endovenous Laser Ablation: Modern minimal invasive procedure
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Treatment modalities for varicose vein
Trendelenburg s Operation: Ligation & Stripping of vein
Sclerotherapy
Radiofrequency ablation
Endovenous Laser Ablation: Modern minimal invasive procedure

14. Surgical Modalities For Varicose Vein
• Trendelenburg s Operation: Ligation & Stripping of vein
• Sclerotherapy
• Radiofrequency ablation
• Endovenous Laser Ablation: Modern minimal invasive procedure
HHC
All rights reserved
Post Surgical complications
Haematoma and bruising
Lymphatoma
Wound sepsis
Post operative saphenous neuritis
Lymphoedema of leg
Induration of stripper tract
DVT and embolism
Poor cosmetic results.
High recurrence results

15. Surgical Modalities For Varicose Vein
• Trendelenburg s Operation: Ligation & Stripping of vein
• Sclerotherapy
• Radiofrequency ablation
• Endovenous Laser Ablation: Modern minimal invasive procedure
HHC
All rights reserved
Foam Sclerotherapy
Principle : By injecting sclerosant
into a varicose vein, destroy its
endothelium in that area , and thus
induce an aseptic thrombosis which
organises and closes the vein.
Complication:
Pain
Hyperpigmentation
Ulceration at injection site
DVT
Anaphylaxis and allergic reaction

16. A UNIQUE AND COMPLETE SOLUTION
FOR TREATMENT OF VENOUS
INCOMPETENCE …
Endo Venous Laser Treatment
The Future is Radial …

18. 980nm 20W 1mm/s 1470nm 6W 1mm/s

19. ELVeS® Radial Treatment Kit
Key benefits for patient ...
Maximum patient comfort
less post operative inflammatory pain, bruising and swelling
Excellent medical and cosmetic results
Quick return to normal activities
Short treatment time

20. Procedure
• EVLT is done under local anaesthesia
• Under USG guidance varicose vein is marked
preoperatively.
• Supine position is given.
• Vein is canulated with 0.035” J guide wire via
16 G needle.
• The LASER fibre is then introduce over it
upto 2 cm distal to SF junction.

21. • Fiber is withdrawn at the rate
1-3mm / sec under USG
guidance .
• This laser fiber causes thermal
damage to the venous
endothelium(1000 c) and
occlusion of lumen by fibrosis.
• Immediately after procedure
compression stockings are
given.
• Patient can be discharge on
same day with good analgesics
and with compression
stockings.

23. ADVANTAGE OF EVLT
• Minimal invasive procedure
• One needle puncture at the level of the knee
• No post op scar
• Done with local anesthesia
• Minimal post-op pain
• Office based procedure
• Takes about 1 hour
• Patient resumes normal activity same day
• Recurrence rate ( at 2 year f/u only 3%.

24. EVLA Results