For many years, open surgery was the standard treatment for varicose veins. Patients were left with stitches, scars, long recovery times, and the fear of complications.
But today, the world of vascular treatment has changed dramatically.
At Avis Hospitals, we follow a simple and modern philosophy:
“Treat from inside the vein first.”
This approach—called the endovascular-first strategy—has transformed the way varicose veins are managed. Instead of cutting the vein from the outside, we now treat it precisely from within, using advanced minimally invasive techniques.
If a doctor is trained to reach the vein internally under ultrasound guidance, a wide range of safe, effective treatment options becomes available—often completed in less than an hour, with no hospital stay.
Why Endovascular Treatment Comes Before Open Surgery
Open surgery, though effective in earlier decades, has several disadvantages:
- Higher risk of complications
- More bleeding
- Longer recovery
- Visible scars
- Increased postoperative discomfort
Modern vascular science recommends that open surgery should be the last resort, used only in rare or complex cases. Today’s minimally invasive techniques are designed to:
- Reduce pain
- Minimize risks
- Improve long-term outcomes
- Allow patients to walk immediately after treatment
This shift has made varicose vein care safer, faster, and far more comfortable.
The Three Main Types of Modern Varicose Vein Treatments
Modern care relies on three primary categories of treatment—based on whether or not heat is used.
1. Endovenous Thermal Ablation (EVTA)
Heat-based treatments that close the main faulty veins from the inside.
EVTA involves using controlled heat energy to seal the main vein trunks. This prevents blood from pooling and restores healthy circulation.
There are two major thermal techniques:
✔ Laser Ablation (EVLT)
A tiny needle is inserted, a guidewire is passed, and a laser fiber is delivered into the vein.
The laser energy gently burns the inside of the vein, causing it to collapse and seal.
✔ Radiofrequency Ablation (RFA)
Similar steps, but instead of laser light, radiofrequency energy is used to heat and close the vein.
Why Thermal Treatments Need Extra Care
Because heat is involved, the doctor must prevent the temperature from affecting the skin and surrounding tissues.
To protect the area, saline fluid is injected around the vein—a process called tumescent anesthesia.
Success depends heavily on two factors:
- Accurate ultrasound guidance
- Proper scanning and mapping of the venous system
Expertise matters—and it is one of the reasons specialized vein centers see significantly better outcomes.
2. Non-Heat Based Treatment: The Glue Method (EVGA)
A modern, painless alternative without heat or multiple injections.
Endovenous Glue Ablation (EVGA) uses a special medical glue—cyanoacrylate—to seal the affected vein.
How it works
- A small needle is inserted into the vein.
- A catheter (a thin tube) is passed in.
- A controlled amount of glue is injected inside the vein.
- The glue closes and seals the vein instantly.
Blood is redirected to healthy veins immediately.
Why Patients Prefer Glue Treatment
- No heat
- No need for tumescent saline injections
- Minimal discomfort
- Quick and clean procedure
- Faster recovery
For people who fear needles or discomfort, glue ablation is often an excellent choice.
3. A Complete End-to-End Vein Care Plan
Modern treatment requires addressing the ENTIRE venous system—not just one vein.
Varicose veins are rarely caused by a single faulty vein.
They usually involve:
- Main trunk veins
- Side branches
- Small surface veins
- Bulging clusters
A comprehensive care plan treats all of these properly.
Here’s how end-to-end treatment is done:
- Main Trunk Veins:
Treated with Laser or Glue ablation. - Side Branch Veins:
Treated with Foam Sclerotherapy, where a foam medication is injected to close medium-sized veins. - Small Surface Veins (Spider Veins):
Treated with microsclerotherapy or specialized techniques like Clarks/CLACS depending on the technology available.
Only when each segment of the venous system is treated correctly do patients get:
- Long-lasting results
- Reduced recurrence
- Better cosmetic appearance
- Relief from pain and swelling
What’s Approved and Safe in India Today
In India, the most widely approved and recommended technologies include:
- Laser EVLT
- Radiofrequency RFA
- Glue Ablation
- Foam Sclerotherapy
Techniques like MOCA (Mechanochemical Ablation) are still not fully approved or commonly used.
At Avis Hospitals, we strictly follow internationally approved and evidence-based treatments to ensure patient safety and long-term success.
The Future of Varicose Vein Treatment
Varicose vein care has evolved more in the last decade than in the previous fifty years.
We’ve moved from open surgery to precision-guided, needle-based procedures that:
- Take less than an hour
- Leave no scars
- Allow you to walk immediately
- Have minimal discomfort
- Offer excellent long-term outcomes
The goal is simple: Treat safely, effectively, and comfortably.
Conclusion: Choose Treatment That Works From the Inside Out
Modern varicose vein treatments are fast, gentle, and minimally invasive.
The shift from open surgery to endovascular procedures has completely changed patient experience and results.
If you have:
- Leg pain
- Swelling
- Visible veins
- Skin darkening
- Non-healing ulcers
…a simple ultrasound scan can identify the problem and guide the best treatment option.
Healthy veins begin with the right diagnosis and the right technology.
At Avis Hospitals, we bring world-class, modern vein care to every patient.