Endovenous laser ablation is a procedure that uses heat from a laser to treat varicose veins. A laser is a device that sends a thin beam of light. Laser closes and shrinks the varicose vein and causes scar tissue within the vessel. This seals off the vein. Blood then flows through other nearby veins instead.
Why it’s done
Your healthcare provider may suggest laser surgery if your varicose veins are sore, or red and swollen. Laser surgery may also be recommended if the skin over your varicose veins is irritated. Varicose veins are not usually a serious health problem, but they can be painful. You may also not like how they look.
All surgeries have some risks. Some possible risks of laser varicose vein surgery include:
Pain over the vein
Redness or swelling of the vein
Changes in skin color over the treated vein
Be sure to talk with your healthcare provider about any concerns you have before your surgery.
How you prepare
Your healthcare provider will ask questions about your health history. He or she may also give you a physical exam. This is to make sure you are in good health before the procedure. You may also need blood tests and other diagnostic tests.
Tell your healthcare provider if you have a history of bleeding disorders. Let your healthcare provider know if you are taking any blood-thinning medicines, aspirin, ibuprofen, or other medicines that affect blood clotting. You may need to stop taking these medicines before the procedure.
Tell your healthcare provider if you are sensitive to or allergic to any medicines, latex, tape, contrast dyes, and anesthesia medicines (local and general).
Tell your healthcare provider about all the medicines you take. This includes both over-the-counter and prescription medicines. It also includes vitamins, herbs, and other supplements.
You must not eat or drink for 8 hours before the procedure. This often means no food or drink after midnight.
Arrange to have someone to drive you home after the procedure.
What you can expect
This procedure doesn’t require a hospital stay. It may be done in your healthcare provider’s office. The procedure usually takes less than an hour. You can likely go home the same day. Bring loose-fitting clothing to wear right after your surgery.
During the procedure
Generally, endovenous laser varicose vein surgery follows this process:
You’ll change into a hospital gown and lie down on an exam table. The table may be tilted in different positions during the procedure. You may be given special goggles or eyeglasses to wear during the surgery. This is to protect your eyes from the laser light.
Your healthcare provider will numb the area where the tube or catheter will be put into your vein. Your healthcare provider will also give you a shot or injection of numbing medicine along the length of the vein that will be treated.
Your healthcare provider will use a Doppler ultrasound device to check the vein before and during the procedure. This process uses sound waves to make an image of the vein on a computer screen.
Your healthcare provider will make a small cut or incision in your skin and insert the catheter. It will be guided into the varicose vein. A laser fiber will be put into the catheter. As your healthcare provider slowly pulls out the catheter, the laser will heat up the length of the vein. The vein will close up and should eventually shrink.
The procedure usually takes less than an hour. The cut where the catheter was inserted will likely be small enough that you won’t need stitches. A bandage will be put on the site.
After the procedure
You will be encouraged to walk right after the procedure, for about 30 to 60 minutes.
Your leg may have some bruising. The bruises should go away in about 2 weeks.
You’ll need to have someone drive you home after your surgery.
After you go home, be sure to follow any instructions from your provider. You may be told to:
Put an ice pack over the area for 15 minutes at a time, to help reduce swelling.
Check the incision sites every day. It’s normal to see light pink fluid on the bandage.
Keep the incision sites out of water for 48 hours. You may need to take a sponge bath until the bandages are removed.
Wear compression stockings for a few days or weeks, if advised. These stockings gently squeeze your legs. This helps to prevent swelling in your legs. It can also help stop your blood from clotting or pooling.
Not sit or lie down for long periods of time. Keep your leg raised when sitting.
Not stand for long periods of time.
Walk about 3 times a day for 10 to 20 minutes each time. Do this for 1 to 2 weeks.
Keep active, but don’t run, jump, or lift heavy things for 1 to 2 weeks.
Not take hot baths for 1 to 2 weeks.
When it comes to medicine, be sure to:
Take over-the-counter pain medicine as needed, and only if advised by your healthcare provider. Some over-the-counter pain medicines can increase bleeding.
Ask your healthcare provider when it will be safe to take blood-thinning medicine again, if you stopped taking it for the surgery.
Your healthcare provider may want to give you an exam at a follow-up visit. He or she may use ultrasound to make sure the laser procedure worked.
Call your healthcare provider if you have:
Signs of infection in the treated area. These include redness, warmth, or fluid leaking from the incision.
Swelling that gets worse, or new swelling
Any pain that keeps you from doing your normal activities
We are experts in all facets of vascular disease. Our medical services are focused on cutting-edge, image guided, minimally invasive procedures that treat a wide spectrum of disorders with the latest technology, resulting in the least amount of risk and the shortest recovery time.