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VIP Laser Clinic - Mauritius
Standard Surgical Treatment v/s Endovascular Laser Treatment (EVLT) of Varicose Veins

Standard Surgical Treatment

 of Varicose Veins

Venous Stripping and Ligation

Incision at ankle to reach vein


To strip the greater or lesser saphenous varicosities, a small transverse incision is made over the appropriate vein at the ankle.

stripper advanced towards groin

A transverse venotomy is made with a # 11 scalpel blade. The stripper is introduced into the vein at the ankle level and advanced towards the groin.

cutdown at fossa ovalis

If it can be guided to the groin, a small cutdown is made over the fossa ovalis at the now palpable saphenofemoral junction.

bulbous tip attached to stripper

Occasionally, due to the many tortuous and widened venous channels, the stripper cannot be advanced to the groin. In that case, a cutdown is made over the vein at the level of blockage and a new stripper is inserted proximally.

Prior to placement of traction on the stripper, the accompanying nerve (saphenous or sural) should be dissected free for a distance of 4 to 5 cm.

The vein is divided, oversewing the end with 3-0 silk suture ligatures. The bulbous tip is attached to the stripper as it is withdrawn subcutaneously for a distance of 5 cm from the incision site.

rapid encirclement of varicosity

Subcuticular 5-0 absorbable suture is used to close the ankle incision.

Identifiable incompetent perforators away from the path of the stipper should then be ligated while dilated tributaries are stripped through small (1 cm) stab wounds.

A nerve hook or a crochet hook ensures rapid encirclement of the varicosity. For extensive tributaries, multiple stab wounds at 6 cm intervals are necessary for local stripping of the varicosities with a hemostat.

sequential wrapping

In each case, a single inverted 5-0 absorbable subcuticular suture suffices to approximate the skin.

When all incisions in the leg below the groin are repaired, the stripper is slowly withdrawn.

The leg is sequentially ace wrapped using sterile technique during the stripping to assure hemostasis.

sequential wrapping for hemostasis

The groin incision is closed with 4-0 absorbable subcuticular sutures and the legs are elevated 200 overnight.

The following morning the ace wraps are removed and re-applied prior to ambulation and discharge.

They are kept in place for 3 days, after which time showering and elastic compression stocking use is permitted.

Endovascular Laser Treatment (EVLT) of Varicose Veins

The Latest & Best Technique For Treating Varicose Veins

EVLT of veins



Endovenous Laser Therapy (EVLT) is the only minimally invasive laser treatment for greater saphenous vein reflux with long-term clinical evidence. With three-year follow-up data proving the exceptional safety and efficacy of the procedure, practitioners and patients can feel confident about EVLT.

  1. EVLT is designed to be a 30-45 minutes office procedure.
  2. EVLT is performed only under local anaesthesia.
  3. EVLT knows a 98% success rate.
  4. EVLT gives no scarring.
  5. EVLT needs no hospitalization.
  6. EVLT shows a very low risk of complications.
  7. EVLT allows a fast return to normal activities.
  8. EVLT is reimbursable by many health insurance plants.

Targeted laser energy seaks the greater saphenous vein shut, shrinking the branch veins. Thermal ablation causes contraction and permanent occlusion of the blood vessel being treated but with minimal effects beyond the vessel wall.

Around 40% of women and 25% of men suffer from bulging leg veins due to greater saphenous vein reflux. Now EVLT can be offered as an effective alternative to painful surgery to this significant patient population.

From the advanced world of minimally invasive laser treatment comes a safe fast effective treatment for a pervasive element that affects the quality of life for millions of people worldwide - the twisted and bulging veins of the greater saphenous vein reflux. 

Twisted bulging veins represent an enormous problem worldwide. It is estimated that 80 million Americans alone suffer from bulging veins of greater saphenous veins reflux.

But bulging veins are not just a cosmetic problem. Many people suffer symptoms such as pain and swelling. These painful veins can have a major impact on lifestyle and are responsible for the loss of millions of working hours worldwide.

Venous stripping and ligation is performed under general endotracheal or epidural anaesthesia whereas endovascular laser treatment is done under local anaesthesia.

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