Best Varicose veins Laser treatment in Bangalore & Cost


Best Varicose veins Laser treatment in Bangalore & Cost

Best varicose veins Doctor in Bangalore.

Dr Adarsh M Patil. mbbs. ms FICS. FIAP.

  • Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
  • He has experience of treating numerous varicose veins  patients successfully in Bangalore .
  • He believes in that Patient safety comes first and strives to provide exceptional service to patients.

Call Now –  +91- 9901355882

What is the cause of vericose vein ?

Some key facts about Varicose veins .

  • The venous system of the leg is comprised of three groups:
    • superficial: long and short saphenous systems and tributaries;
    • deep: between the muscle compartments of the legs;
    • perforators: connecting the superficial and deep systems.
  • Blood passes from the superficial to deep systems via perforators in the calf and also at the saphenofemoral (SFJ), saphenopopliteal (SPJ), and mid-thigh perforators (MTP) which contain one-way valves.
  • Varicose veins are tortuous and dilated segments of veins, associated with valvular incompetence.
  • Affect up to 20% of the population.
  • There is a familial predisposition.
  • Varicose veins treatment in Bangalore & Cost (Laser)

Varicose veins treatment in Bangalore

Causes and features

Types of varicose veins .

  • Thread veins: intradermal dilated veins; may be associated with hormonal influences.
  • Flares: often around the ankle and associated with calf perforator incompetence.
  • Stem veins: along long or short saphenous systems.
  • Venous malformations, e.g. congenital (Klippel-Trelaunay syndrome).

What causes varicose veins.

  • Primary idiopathic.
  • Secondary:
    • pelvic masses, e.g. pregnancy, uterine fibroids, ovarian mass, pelvic tumour;
    • pelvic venous abnormalities, e.g. after pelvic surgery or irradiation, previous iliofemoral deep venous thrombosis (DVT).

Symptoms of varicose veins

  • Symptoms: pain, aching, itching, heaviness, swelling, oedema, cramps, worse at end of day/hot weather/premenstruation.
  • Complications: eczema, excoriation, phlebitis, lipodermatosclerosis, ulceration, or bleeding.
Diagnosis and investigations
  • General condition: oedema, eczema, ulcers (usually medial calf), lipodermatosclerosis, healed ulceration.
  • Standing: cough impulse, thrill, or saphenovarix at SFJ.
  • Tap test. Tap downwards over vein from SFJ; impulse should be interrupted if valves are competent (frequently unhelpful).
  • Trendelenberg test. For competence of SFJ, MTP, and SPJ.
    • With the patient supine, elevate the leg, empty veins, apply tourniquet high in the thigh and ask patient to stand.
    • Look for venous filling and then release the tourniquet, observing filling of the veins.
    • If controlled by the tourniquet and then rapidly fill on release, the incompetent valve is above the level of the tourniquet, i.e. SFJ.
    • Then repeat two times with tourniquet just above knee and below knee to test the MTP and SPJ, respectively.

Investigations for varicose veins

  • Hand-held Doppler (HHD). Listen over SFJ and SPJ and apply calf compression with other hand and listen for reflux lasting 1-2sec. Most accurate outpatient method of diagnosis and localization of primary venous reflux disease.
  • Colour duplex. Gold standard investigation in defining anatomy and incompetence for varicose veins treatment in Bangalore .
    • Used for: recurrent varicose veins and previous DVT; mismatch between clinical examination and HHD. for Best Varicose veins Laser treatment in Bangalore

Treatment options for – varicose veins treatment in Bangalore.

Indications for treatment for varicose veins

  • Cosmetic: venous flares/thread vein microsclerotherapy, laser, or photodynamic therapy.
  • Varicosities without valvular incompetence: sclerotherapy, compression stockings, foam sclerotherapy, avulsions.
  • Primary varicose veins with valvular incompetence.
    • For SFJ or MTP incompetence: saphenofemoral ligation, long saphenous vein stripping, and stab avulsions.
    • For SPJ incompetence, saphenopopliteal ligation and stab avulsions for varicose veins treatment in Bangalore.
      • For calf perforator incompetence, controversial role of subfascial endoscopic perforator ligation for Best Varicose veins Laser treatment in Bangalore

Medical

  • Microsclerotherapy, laser sclerotherapy, photodynamic therapy.
  • Compression stockings for varicose veins treatment in Bangalore.

Surgical treatment options – Varicose veins surgery in Bangalore.

  • Local avulsionsâ deals with varicosities.
  • Saphenofemoral or saphenopopliteal disconnection.
  • Long saphenous vein stripping (effectively avulses all incompetent thigh perforators). Never done below the knee due to risk of saphenous nerve injury.
  • Subfascial endoscopic perforator ligation (SEPL): for calf perforators. for Best Varicose veins Laser treatment in Bangalore

What is RFA?

RFA, also known as the VNUS Closure procedure, uses a catheter to close off the vein that is feeding your varicose veins. (See our information sheet for more information on varicose veins) for Radiofrequency ablation for Best Varicose veins Laser treatment in Bangalore

What are the benefits – why should I have RFA?

Traditional surgery for varicose veins involves making a cut in your groin to remove the affected vein, this is known as stripping. It is done under general anaesthetic, which means you’re asleep for the entire procedurefor Radiofrequency ablation for varicose veins in India .

RFA avoids this cut in your groin and much of the bruising around the area where the vein is stripped. RFA is done under local anaesthetic, so you recover faster and avoid many of the risks involved with having a general anaesthetic for Best Varicose veins Laser treatment in Bangalore

.

Best varicose veins surgeon in Bangalore.

Dr Adarsh M Patil. mbbs. ms. (mrcs) FICS. FIAP.

  • Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
  • He has experience of treating numerous varicose veins  patients successfully in Bangalore .
  • He believes in that Patient safety comes first and strives to provide exceptional service to patients.

Call Now –  +91-9901355882

Laser varicose veins treatment in Bangalore

Endovenous laser ablation (EVLA) has been developed as an alternative to surgery of the great saphenous vein and short saphenous vein in an attempt to reduce morbidity and improve recovery time. › EVLA can be performed in an outpatient special procedure room in a hospital.

EVLA works by means of thermal destruction of venous tissues. Several wavelengths can be used: 810, 940, 980, 1,064, 1,320, 1,470, and 1,500 nm.

Heating decreases with tissue depth as absorption and scattering attenuate the incident beam.

Consequently, the laser beam must heat the vein wall and not the blood. › Before EVLA is performed, the vein lumen must be emptied of its blood by using leg elevation (Trendelenburg positioning), manual compression, and infiltration with perisaphenous subcutaneous tumescent saline solutio

  • for Best Varicose veins Laser treatment in Bangalore

Advantages of Laser varicose veins treatment in Bangalore (EVLT)

  • EVLT is a very effective, minimally invasive treatment to provide relief to patients suffering from pain, leg swelling and unsightly bulging leg veins that signal varicose veins.
  • The EVLT treatment is a much more convenient, faster,  and less risky (because no general anesthesia is involved and treatment is minimally invasive) than earlier alternatives such as vein stripping surgery.
  • EVLT can be performed under local anesthetic and accomplished in less than an hour. EVLT requires little downtime needed to recover from the procedure and little to no post-procedure pain. Patients may experience some bruising from the procedure.
  • EVLT can be performed with different types of lasers, so your vascular surgeon will choose the best laser for your needs.

Disadvantages of Laser varicose veins treatment in Bangalore

  • Only disadvantage is that cost of the surgery is about 40% higher than the open technique.
  • Availabilty of expertice
  • Complications associated with laser treatment.
  • Patient might require to convert to open method if any other complications are found during the surgery.

Cost of Laser varicose veins treatment in Bangalore

Cost may range from 80000 to 150000 based on type of procedure and hospital.

Cost of Laser varicose veins treatment in India.

For international patient cost is 2000 $ US for single leg &   3000 $ US for both legs.

Recurrence of  varicose veins

can be due to inadequate primary assessment/operation, neovascularization, perforator disease, or disease progression.
Complications of surgery
  • Bruising (virtually universal).
  • Recurrence (20%).
  • Haemorrhage.
  • Wound infection (commonest in groin).
  • Saphenous nerve damage with paraesthesia (8%).

Experimental treatments

  • Endovenous radiofrequency ablation.

Best varicose veins surgeon in Bangalore.

Dr Adarsh M Patil. mbbs. ms. (mrcs) FICS. FIAP.

  • Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.
  • He has experience of treating numerous varicose veins  patients successfully in Bangalore .
  • He believes in that Patient safety comes first and strives to provide exceptional service to patients.

Call Now –  +91-9901355882