What is Endovenous Laser Therapy (EVLT)?
Endovenous Laser Therapy (EVLT) is a minimally invasive procedure used to treat varicose veins. It involves the use of laser energy to heat and seal off affected veins, causing them to collapse and eventually be reabsorbed by the body. Although primarily used in treating varicose veins in the legs, EVLT has found applications in gynecology as well.
How Does EVLT Work?
During EVLT, a
laser fiber is inserted into the affected vein through a small incision. The laser emits energy that heats the vein walls, causing them to collapse and seal shut. Blood is then redirected to healthier veins. The procedure is typically performed under local anesthesia and takes about 30 to 45 minutes.
Applications of EVLT in Gynecology
EVLT is primarily known for treating varicose veins, but it also has specific applications in gynecology, such as: Pelvic Congestion Syndrome: This condition is characterized by varicose veins in the pelvis, leading to chronic pelvic pain. EVLT can help alleviate symptoms by treating the affected veins.
Vulvar Varicosities: These are varicose veins that occur in the vulva, often during pregnancy. EVLT can be used to treat these veins, providing relief from pain and discomfort.
Minimally invasive with no need for large incisions
Quick recovery time, often allowing patients to return to normal activities within a day
High success rate with low recurrence rates
Performed under local anesthesia, reducing risks associated with general anesthesia
Who is a Candidate for EVLT?
EVLT is suitable for individuals with symptomatic varicose veins or other related conditions. Candidates typically experience symptoms such as:
Chronic pelvic pain
Swelling
Heaviness or aching in the legs
Visible varicose veins
A thorough evaluation by a
gynecologist or vascular specialist is necessary to determine if EVLT is the appropriate treatment.
What to Expect During the Procedure?
The procedure begins with the administration of local anesthesia to numb the area. A small incision is made, and a catheter is inserted into the vein. The laser fiber is then threaded through the catheter to the targeted vein. Laser energy is delivered as the fiber is slowly withdrawn, sealing the vein. The incision is closed with a small bandage.
Post-Procedure Care and Recovery
Patients are usually encouraged to walk immediately after the procedure to promote blood flow. Compression stockings may be recommended to support the treated veins and minimize swelling. Most patients can resume normal activities within 24 hours, although strenuous activities should be avoided for a week.Potential Risks and Complications
While EVLT is generally safe, some potential risks and complications include: Bruising and swelling at the treatment site
Temporary numbness or tingling
Rarely, infection or blood clots
It is essential to follow post-procedure instructions and attend follow-up appointments to ensure proper healing and monitor for any complications.
Conclusion
Endovenous Laser Therapy is a highly effective and minimally invasive option for treating varicose veins, including those related to gynecological conditions. Its benefits, such as quick recovery and high success rates, make it a preferred choice for many patients. Consulting with a qualified healthcare provider is crucial to determine if EVLT is the right treatment for you.
