EVLA treatments can be performed on an outpatient basis in our office. You will receive a sedative and a regional anesthesia. Using an ultrasound to identify the location, a small needle incision is made, and the laser fiber is inserted into the incompetent vein. This is typically done just below the knee, but can occasionally be done at the level of the ankle. Using ultrasound, the surgeon will inject a solution of salt water and anesthetic agent along the length of the vein to be treated. Following this, the laser energy is delivered through the fiber in a series of pulses and the heat it emits gently causes the vein to collapse painlessly. The vein is then reabsorbed by your body. The laser treatment takes about five to ten minutes and one leg can be treated in approximately one hour.
Download the pre and post op treatment sheet for this procedure to learn more.
Benefits
Endovenous laser ablation treatments have many advantages:
• Safe, effective and comfortable treatment
• Fast procedure
• Quick recovery period
• Cosmetically pleasing results
• Minimal downtime
• Office-based procedure
Treatment Plan
Venous insufficiency can typically be addressed with one treatment. Studies show 100% closure at day 2 post procedure and a less than 1% rate of recurrence over time. Following endovenous laser ablation, we may opt to perform other complementary procedures, such as sclerotherapy to treat your varicose veins.
To learn more about this treatment, contact the Vein Center at Fox Valley Plastic Surgery at 920-233-1540 to request a personal vein consultation.
Day of Procedure
In order for the treatment to take place, these rules need to be adhered to on the day of the procedure:
- Do not eat 3 hours prior to procedure. Make your last meal a light meal (e.g. yogurt, fruit, coffee or juice). Stay away from breads and cereal. The breads and cereal may absorb your relaxing medication. You may keep taking any medication that you would take on a daily basis.
- Bring your compression stockings with you. You will be instructed if you will need to wear them home.
- Have a ride. You will be unable to drive for the rest of the day due to the relaxation medication given during your procedure. If you wish to drive yourself, then opt for Pro-Nox, a $125 out of pocket cost. Patients who have used Pro-Nox have felt no pain or anxiety, and were able to drive themselves home immediately after the procedure.
Recovery
You will experience minimal discomfort, bruising, or swelling. You can look forward to a quick recovery period and no wound care. Your leg will be wrapped in compression stockings after the treatment, and you will be up and walking within 30 minutes. Patients are encouraged to walk afterwards. Patients should refrain from extended standing and strenuous activities for a period of time. Most patients return to mild activities within a day and are able to participate in more strenuous activities within several days.
In the rare instances in which pain, swelling, redness, warmth or red streaking is experienced, patients should call the office immediately or come into the office on the same day. This procedure is safe, but rare complications are always a possibility.
We recommend the purchase of Dermaka Cream for $34 to minimize bruising and inflammatory responses of the skin after a procedure. Our patients have had excellent results with the cream, which can also be used for eczema, rashes, dry skin, etc. Learn more on Dermaka.com, or download the patient booklet here.