Endovenous laser ablation
Closing a failing vein from within.
Patient education from the practice of Dr. Mandeep Sagar. This guide does not replace individual medical advice. About Dr. Mandeep Sagar
Endovenous laser ablation is the day-care treatment for varicose veins. The faulty vein is closed from inside with heat through a needle puncture, so there is no stripping surgery and most patients walk out the same day.
What patients call it
Laser treatment for varicose veins
At a glance
- What it does
- Closing a failing vein from within.
- Used for
- Varicose veins · Venous leg ulcer · Aching, heavy legs from vein reflux
- How it is done
- Ultrasound identifies the failing vein (Varicose vein + ulcer). → A laser fiber is guided into the vein under ultrasound. → Laser energy closes the diseased vein from within.
- Recovery
- Procedure: Day 0 - Discharged and walking within an hour. · Day 1: Back to work / routine activity.
Used for
- — Varicose veins
- — Venous leg ulcer
- — Aching, heavy legs from vein reflux
Symptoms & Causes
Symptoms
- — Bulging, rope-like veins
- — Aching or heaviness in the legs
- — Swelling in the ankles and feet
- — Skin discoloration or hardening
- — Non-healing ulcers near the ankle
Common Causes
- — Weak or damaged vein valves
- — Prolonged standing
- — Family history
- — Pregnancy
Diagnosis & Treatment
How it is diagnosed
- — Clinical examination
- — Venous duplex ultrasound (standing)
The Procedure
- — Ultrasound-guided access to the vein.
- — Laser or radiofrequency fiber insertion.
- — Heat energy delivered to seal the vein.
- — Rerouting blood to healthy deep veins.
Recovery & Benefits
- Procedure: Day 0 - Discharged and walking within an hour.
- Day 1: Back to work / routine activity.
- 1 Week: Normal lifestyle resume / walking distance improves.
- 1 Month: Follow-up imaging and normal life / ulcers usually close.
Procedure sequence
- 01
Ultrasound identifies the failing vein (Varicose vein + ulcer).
- 02
A laser fiber is guided into the vein under ultrasound.
- 03
Laser energy closes the diseased vein from within.
- 04
Blood is rerouted to healthy deep veins.
- 05
The venous ulcer begins to heal immediately.
Questions patients ask
Do varicose veins come back after laser treatment?+
The treated vein stays closed. New veins can develop over years, which is why compression, weight and standing habits still matter after treatment.