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Laser energy is delivered while the fiber is gradually withdrawn.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.
Minimally invasive treatment performed under ultrasound guidance using endovenous laser ablation combined with foam sclerotherapy for symptomatic varicose veins. The procedure effectively seals incompetent veins, reduces pain, swelling, heaviness, skin discoloration, and improves cosmetic appearance with early recovery. Performed as a daycare procedure under local anesthesia, it enables rapid return to normal activity with minimal scarring and reduced recurrence rates compared to conventional surgery.