Endovenous Laser Ablation (EVLA) — also called Endovenous Laser Treatment (EVLT) — is the modern, minimally invasive replacement for old-fashioned vein stripping surgery. Using a thin laser fibre passed inside the diseased vein under ultrasound guidance, the vein is sealed permanently from within. There are no cuts, no stitches, no general anaesthesia and no overnight stay. At Dr. Raja's Vein Clinic, Bathinda, we use a state-of-the-art 1470 nm radial-tip laser — the safest and most effective laser wavelength available today.
How EVLA Works — Step by Step
- Ultrasound mapping of the diseased refluxing vein.
- A pinhole entry is made in the leg under local anaesthesia.
- A thin laser fibre is threaded into the vein under live ultrasound guidance.
- Tumescent fluid is injected around the vein to numb and protect surrounding tissue.
- The laser is activated and slowly withdrawn — heating and sealing the vein wall along its full length.
- The body reabsorbs the closed vein over the next few months. Blood automatically reroutes through healthy deep veins.
Why EVLA Is the Gold Standard
- 97-99% success rate — highest of all varicose vein treatments
- No cuts, no stitches, no scars
- Done under local anaesthesia — you stay awake and comfortable
- Walk in, walk out — back to office in 24 hours
- Recommended by NICE (UK) and SVS (USA) guidelines as first-line treatment
- Covered by most insurance & TPA panels
EVLA vs Old-Style Vein Stripping Surgery
| Feature | EVLA (Modern) | Stripping (Old) |
|---|---|---|
| Cuts & stitches | None | Multiple incisions |
| Anaesthesia | Local only | General / spinal |
| Hospital stay | Same-day discharge | 2-3 days admission |
| Recovery | Back to work next day | 2-3 weeks rest |
| Pain | Minimal | Significant |
| Scarring | None | Visible scars |
| Recurrence | 1-3% | 20-30% |
Other Modern Treatment Methods We Offer
EVLA is our most-used treatment, but we choose the right tool for each patient based on Doppler findings:
- RFA — Radiofrequency Ablation — heat-based, similar to laser
- MOCA — Mechano-Chemical Ablation — non-thermal, no tumescent anaesthesia
- VenaSeal Glue — medical glue, no compression stocking required
- Foam Sclerotherapy — for branch and recurrent veins
- Microsclerotherapy — for spider veins
Recovery After EVLA
- Walk for 30 minutes immediately after the procedure
- Wear class-2 compression stockings for 1-2 weeks
- Resume office work the next day
- Resume gym & heavy lifting after 1 week
- Mild bruising and tightness along the vein for 5-10 days is normal
- Follow-up Doppler at 2 weeks and 3 months
Cost of EVLA in Punjab
EVLA cost depends on the number of veins treated and whether one or both legs need treatment. We offer transparent package pricing, EMI options and full insurance support. Call +91 90342 42189 for an exact quote after Doppler mapping.
Frequently Asked Questions
Is EVLA safe?
EVLA has been performed worldwide for over 20 years with an excellent safety record. Major complications are extremely rare — less than 1% — when performed by a trained specialist using ultrasound guidance.
How long does EVLA take?
30-60 minutes per leg, including Doppler mapping and the laser procedure itself.
Will I need general anaesthesia?
No. EVLA is done entirely under local anaesthesia. You remain awake, comfortable, and can walk out of the procedure room.
When can I see the bulging veins disappear?
The diseased vein is sealed immediately during the procedure. Visible bulges shrink and fade gradually over 4-12 weeks as the body reabsorbs the closed vein.
Does insurance cover EVLA?
Yes — EVLA for symptomatic varicose veins with documented venous reflux on Doppler is covered by most Indian health insurance plans and TPAs. Our team helps you with cashless approval.
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