Local or Spinal Block
This type of treatment offers a great variety of options depending on the specific pathology of the patient (varicose vein, thrombosis, phlebitis). Our vein specialist usually performs a microsurgery and laser combined procedure or a laser vein removal.
If the great saphenous vein (GSV), the most important vein of the superficial venous system, is insufficient, it has to be ablated in order to achieve satisfactory long-term results.
In this way, the patient is admitted to the hospital to start an IV. The saphenous vein is then cannulated under local anesthesia or spinal anesthesia and a laser fiber is passed through the vein into the femoral vein. In order to perform this procedure, a 2.5-cm incision is made in the inguinal region in order to ligate the tributary veins from the saphenous vein. In this way, the saphenous vein is ablated so as to prevent varicose veins from reoccurring. Eventually, if the vein cannot be cannulated due to several difficulties, a 1-cm incision is made at the ankle in order to find it. The remaining veins will be treated with puncture and passage of laser. This physical method uses electrofulguration in order to ablate the insufficient vein, and in this way, reduce the inflammatory process and prevent the development of bruising allowing a faster return to normal activities.
After the surgery, the patient will need to wear compression bandages and she will be discharged from hospital on the same day. The patient should wear bandages day and night for 24 to 48 hours and from time to time for 15 to 10 days until the bruising and inflammation fades.