Great saphenous vein (GSV) reflux is the most common underlying cause of symptomatic varicose veins.

How to manage GSV reflux?

• Endovenous laser ablation (EVLA) is a minimally invasive technique for treating great saphenous vein (GSV) reflux for several years.
• Endovenous laser ablation (EVLA) is an improved method to treat varicose great saphenous veins (GSV) with a high satisfactory rate.
• The entire procedure is performed under ultrasound-guided tumescent local anesthesia.
• Endogenous ablation uses energy to cauterize (burn) and close varicose veins.
• Ablation is safe, less invasive than surgery, and leaves virtually no scars,  doctors use it to help ease symptoms such as pain, swelling, and irritation.
• After the procedure patient will be encouraged to walk right after the procedure, for about 30 to 60 minutes.
• Patients will need  someone to drive him home after the procedure.
  

Recovery:

• After patient goes home,  put an ice pack over the area for 15 minutes at a time, to help reduce swelling.
• Leg may have some bruising. The bruises should go away in about 2 weeks
• Check the incision sites every day. It’s normal to see light pink fluid on the bandage, keep the incision sites out of water for 48 hours. Patients may need to take a sponge bath until the bandages are removed.
  

Traditional treatment of GSV reflux was surgical removal of the GSV. Tributary varicosities require multiple phlebectomy or follow-up treatment with sclerotherapy. Although surgical ligation and stripping of the GSV was the most dependable treatment, it is associated with significant perioperative morbidity.

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Important instructions:

• Wear compression stockings for a few days or weeks, if advised. These stockings gently squeeze the legs. This helps to prevent swelling. It can also help stop blood from clotting or pooling.
• Not to sit or lie down or stand for long periods of time.
• Keep legs raised when sitting.
• Walk about 3 times a day for 10 to 20 minutes each time for 1 to 2 weeks.
• Keep active, but that doesn’t include running, jumping, or lifting heavy things for 1 to 2 weeks.
• Patients should not take hot baths for 1 to 2 weeks.
• When it comes to medicine, patients have to be sure to take over-the-counter pain medicine as needed, if advised by the doctor because some medicines can increase bleeding.