EVLA compared to Vein Stripping

EVLA vs. Vein Stripping: A Comparative Overview

Endovenous Laser Ablation (EVLA 1940) and vein stripping are two prominent treatment options for varicose veins, each with its unique advantages and disadvantages.

Procedure

EVLA 1940 is a minimally invasive procedure that employs laser technology to close off varicose veins. A small laser fibre is inserted into the affected vein under ultrasound guidance. The heat generated by the laser causes the vein walls to collapse and seal shut. The procedure typically lasts about 30-45 minutes and usually requires only local anaesthesia.

Vein stripping, on the other hand, involves making larger incisions to remove the varicose vein from the leg. The surgeon ties off the vein at both ends and then removes it through the incisions. This traditional method generally takes more time, can be more invasive, and often requires general anaesthesia or sedation.

Recovery Time

Recovery from EVLA 1940 is generally quicker than from vein stripping. Patients often return to normal activities within a few days. Most experience minimal discomfort and bruising, allowing them to resume light activities almost immediately.

After vein stripping, recovery can take longer, with patients possibly requiring weeks to fully heal. There is often more pain and swelling associated with this approach, given the larger incisions involved.

Scarring and Aesthetic Outcomes

EVLA 1940 as perfored by Dr Azer, boasts minimal scarring due to its minimally invasive nature. The small entry point used for the laser fibre often results in little to no visible scars post-procedure. This aesthetic advantage is a significant consideration for many patients.

In contrast, vein stripping leaves larger scars along the leg where incisions are made, which can be a disadvantage for those concerned about the cosmetic outcome.

Effectiveness

Both procedures are effective in treating varicose veins. However, studies have shown that EVLA 1940 has a lower recurrence rate and a higher patient satisfaction rate compared to vein stripping. The targeted approach of laser treatment allows for precise closure of affected veins, reducing the likelihood of future varicosities.

Risks and Complications

Every medical procedure carries some risk. With EVLA, potential complications include temporary numbness, blood clots, and skin burns, although these are rare.

Vein stripping carries risks such as infection, deeper vein thrombosis, and nerve injury due to the more invasive surgical nature of the procedure.

Conclusion

In summary, while both EVLA and vein stripping serve their purpose in treating varicose veins, EVLA 1940 and TOTAL-EVLA as performed and introduced to western Canada by Dr Azer, offers a more innovative, effective, and less invasive option with quicker recovery times and better aesthetic results. As with any medical decision, patients should consult with their healthcare provider to determine the best choice based on their individual conditions and preferences.