Endovenous Laser Treatment for Varicose Veins

The modern treatment alternative for varicose veins:

  • Minimally invasive
  • Optimal cosmetic results
  • Fastest recovery
  • Day case – walk in-walk out
  • Local anaesthetic

Screen Shot 2014-09-24 at 9.58.56 AM

Laser Treatment (also called Endovenous Laser Ablation) is the first preference treatment for varicose veins in most patients. The European Venous Forum, The Society for Vascular Surgery and the American Venous Forum recommend laser ahead of traditional vein stripping for the majority of patients (who have saphenous vein reflux).

Laser Vein Treatment gets the best possible cosmetic results because it has no need for the large incisions required for vein stripping.

Recovery is quicker because it is less invasive. Bruising is less, and most patients can return to office work after 3 days.

Recovery is further aided because Laser Vein Treatment is done with local anaesthetic (avoiding the need for general anaesthesia).

Dr Baker was the first Perth Surgeon to do Laser Vein Treatment. He brings experience and knowledge to ensure the best possible outcome for each patient.

Initial Assessment

At the First Appointment a history is taken and a clinical examination is made.

Patients who are candidates for Laser Vein Treatment are referred for an Ultrasound Examination of the veins, to obtain information that guides the surgery.

Dr Baker refers to CVS, (a third party) who specialise in Vascular Ultrasound and have a commitment to quality.

Laser Vein Treatment is particularly suitable for patients who:

  • Place a high priority on the cosmetic outcome
  • Need to get back to work
  • Want to return to physical activity soon after treatment
  • Have leg swelling – Laser rarely makes it worse, but stripping can
  • Are elderly, and will tolerate the treatment well

The Procedure

The procedure is performed with the patient awake. Mild sedation may be given.

The leg is prepped with antiseptic and surgically draped.

Screen Shot 2014-09-24 at 9.59.40 AM

A sheath (fine tube) is placed in the vein with the aid of ultrasound. The laser fibre is then introduced into the vein and carefully positioned.

Screen Shot 2014-09-24 at 10.00.19 AM

Further local anaesthetic ensures good contact between the laser fibre and the vein.

Laser Treatment of the vein is then performed. Pulses of laser energy pass from the tip of the fibre to the vein, causing it to close as the fibre is gradually moved along the vein. When complete the fibre is removed.

Screen Shot 2014-09-24 at 10.00.50 AM

Smaller vein branches are then treated by Sclerotherapy and Phlebectomy.

Screen Shot 2014-09-24 at 10.01.37 AM

After Laser Vein Treatment

When the procedure has been completed a stocking is applied to the leg, over the bandage.

Patients are then asked to walk for 15 minutes in the building, before being driven home.

A Follow-up Appointment with Dr Baker, and a Follow-up Ultrasound are scheduled for approximately 2 weeks.

The success rate of Laser Vein Treatment exceeds 97%. The results are better than traditional surgery in the short term and the long term.

Before and After

version 3

patient 2_colour2


Dr Baker’s Privacy Policy

Vascular Surgery WA complies with the Privacy Act (2001) and as part of their Privacy Policy, they are committed to protecting the privacy of individuals and their personal information. The purpose of collecting personal information is to provide quality medical and health related services and associated account keeping. Patients have the right to request access to their own information except where access would be denied. Vascular Surgery WA and Dr Baker make every effort to manage information in accordance with the National Privacy Principles and keep records up to date and accurate. Patients may withdraw consent for Vascular Surgery WA to use and disclose personal information (except when legal obligations must be met).

Agreeing to Vascular Surgery WA and Dr Baker’s Privacy Policy indicates that consent is given to:

  • Dr Baker collecting, using, storing and disposing of personal information.
  • The release of relevant personal information to other health professionals (e.g. Specialists, etc.).
  • In the case of a work related consultation or service, the release of relevant personal information to an employer, their authorised representative, and their insurer.