01. Local Anesthesia & Access

Tumescent local anesthesia is given around the vein. A small puncture is made and a thin catheter is inserted into the vein under ultrasound guidance.

Tumescent local anesthesia is given around the vein. A small puncture is made and a thin catheter is inserted into the vein under ultrasound guidance.

The laser fiber is advanced through the catheter to the required position below the saphenofemoral/saphenopopliteal junction.

Tumescent solution is injected around the vein. This compresses the vein, provides anesthesia and protects surrounding tissues.

Laser energy is delivered while the fiber is gradually withdrawn. The vein wall collapses and the vein is sealed shut.

The fiber and catheter are removed and pressure is applied to the puncture site.
Uterine artery embolisation was performed as a minimally invasive treatment for symptomatic uterine fibroids. Selective embolisation reduced fibroid vascularity, resulting in significant reduction in menstrual bleeding, pelvic pain, pressure symptoms, and fibroid size while preserving the uterus. The procedure offered faster recovery, shorter hospital stay, and avoidance of major surgery such as hysterectomy.