No — the procedure is performed under local tumescent anaesthesia and is well-tolerated. Mild ache and bruising along the treated vein are common for a few days; oral painkillers are sufficient.

✦ Endovenous Laser Ablation (EVLA)

Endovenous Laser Ablation (EVLA)

Q: When can I return to work?

Most patients return to office work the next day. Standing or physical jobs may need 2–3 days. Walking 30–45 minutes daily is encouraged immediately to support venous return.

Q: How long do I wear compression stockings?

Class II compression stockings are worn for 1–2 weeks during the day to support healing, reduce bruising, and minimise the very small risk of deep vein thrombosis after treatment.

Q: Will varicose veins come back?

Recurrence is uncommon (under 10% at 5 years) when EVLA is done correctly. Rather than recurrence in the treated vein, new varicosities may develop in untreated veins, requiring touch-up treatment.

Laser energy is delivered through a thin fibre inside the refluxing vein to seal it shut — walk-in, walk-out treatment with no scars and same-day return to work.

30–60 min PROCEDURE

Day-Care HOSPITAL STAY

>95% SUCCESS RATE

1–3 Days RECOVERY

What is Endovenous Laser Ablation (EVLA)?

Endovenous Laser Ablation (EVLA) is a minimally invasive treatment for varicose veins caused by saphenous vein reflux. Under ultrasound guidance and local tumescent anaesthesia, a thin laser fibre is introduced into the refluxing vein through a tiny puncture; laser energy is delivered as the fibre is withdrawn, sealing the vein along its length. The body gradually reabsorbs the closed vein, redirecting blood flow to healthy veins. Dr. Abhishek performs EVLA at Lux Hospitals — a walk-in, walk-out procedure with excellent durability and almost no downtime.

How the Procedure Works

Duplex Mapping

The refluxing vein is mapped under ultrasound; the entry point and treatment length are planned.

Vein Access

A small needle puncture is made; a sheath and laser fibre are introduced into the vein under ultrasound.

Tumescent Anaesthesia

Dilute local anaesthetic is injected around the vein to numb, compress, and protect surrounding tissues.

Laser Delivery

Laser energy is delivered as the fibre is withdrawn at a controlled rate, sealing the vein along its length.

Compression

The leg is wrapped in a compression bandage or stocking; patient walks out and resumes activity.

Outcomes

30–60 minDURATION

Day-CareHOSPITAL STAY

>95%SUCCESS RATE

Who Needs This Treatment?

→Walk-in, walk-out — no general anaesthesia or hospital stay
→No surgical incisions — only a tiny needle puncture
→Same-day return to most activities and work within 1–3 days
→Excellent long-term closure rates (>95% at 5 years)
→Lower risk of nerve injury than open vein stripping
→Treatment can be combined with phlebectomy for tributaries

Endovenous laser ablation has transformed varicose vein treatment — patients walk in with bulging painful veins and walk out with the underlying problem solved, no scars, and back to normal life within days.

— Dr. Abhishek Katha, Consultant General & Advanced Laparoscopic Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is EVLA painful?+

When can I return to work?+

How long do I wear compression stockings?+

Will varicose veins come back?+

Not sure which treatment is right for you?

Book a consultation with Dr. Abhishek Katha and get a personalised treatment plan.

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