Varicose Veins Treatment in Hyderabad — EVLT, Laser Surgery, Sclerotherapy
Varicose veins are enlarged, twisted, and bulging superficial veins — most commonly in the legs — caused by dysfunction of the venous valves that normally prevent blood from flowing backward down the leg. They affect approximately 15–30% of adults in India, with significantly higher prevalence in people who stand for prolonged periods (teachers, shop workers, healthcare workers), overweight individuals, pregnant women, and those with a family history of venous disease. SurgiPartner connects patients in Hyderabad with experienced vascular surgeons for modern, minimally invasive varicose vein treatment.
Understanding Venous Disease — How Varicose Veins Develop
Varicose veins are enlarged, twisted, and bulging superficial veins — most commonly in the legs — caused by dysfunction of the venous valves that normally prevent blood from flowing backward down the leg. They affect approximately 15–30% of adults in India, with significantly higher prevalence in people who stand for prolonged periods (teachers, shop workers, healthcare workers), overweight individuals, pregnant women, and those with a family history of venous disease. SurgiPartner connects patients in Hyderabad with experienced vascular surgeons for modern, minimally invasive varicose vein treatment.
CEAP Classification of Chronic Venous Disease
| Class | Clinical Features | Treatment Urency |
|---|---|---|
| C0 | No visible or palpable signs of venous disease | Observation; lifestyle advice |
| C1 | Telangiectasias (thread veins) or reticular veins | Microsclerotherapy or laser for cosmetic concern |
| C2 | Varicose veins — dilated veins ≥3mm diameter | EVLT, UGFS, or surgery when symptomatic |
| C3 | Oedema (leg swelling) attributable to venous disease | Active treatment recommended |
| C4a | Pigmentation (lipodermatosclerosis) or eczema | Active treatment recommended |
| C4b | Lipodermatosclerosis or atrophie blanche | Active treatment — pre-ulcer stage |
| C5 | Healed venous ulcer | Active treatment to prevent recurrence |
| C6 | Active venous leg ulcer | Urgent treatment — combined wound care and vein treatment |
Symptoms of Varicose Veins
- Visible twisted, bulging veins — blue or dark purple, rope-like, prominently visible beneath the skin surface of the legs; the most characteristic feature
- Leg heaviness and aching — typically worst after prolonged standing; improves with walking and leg elevation
- Leg swelling (oedema) — particularly around the ankle and lower leg; worse by the end of the day
- Restless legs — an irresistible urge to move the legs, particularly at night; often associated with venous disease
- Cramping — calf cramps particularly at night
- Itching and burning — over the varicose veins; eczematous change of the overlying skin
- Skin changes — brown discolouration (haemosiderin deposition), lipodermatosclerosis (hard, fibrous skin), and atrophie blanche (white scarring) indicate advanced chronic venous insufficiency
- Venous ulceration — the most severe complication; typically above the medial malleolus; painful, slow-healing wound with characteristic “wine bottle leg” appearance
Treatment Options — From Conservative to Interventional
Conservative Management
Compression stockings (class II compression, 23–32mmHg) are the cornerstone of symptomatic management — reducing venous hypertension, improving calf muscle pump efficiency, and reducing oedema. Worn from waking to bedtime. Effective at controlling symptoms but do not treat the underlying venous incompetence. Lifestyle measures: weight loss; avoidance of prolonged standing; regular walking (activates calf muscle pump); leg elevation above heart level when resting.
EVLT — Endovenous Laser Therapy (Gold Standard)
EVLT is the modern gold standard for treatment of saphenous vein incompetence — replacing the traditional surgical technique of stripping. Under ultrasound guidance and tumescent local anaesthetic (infiltration of large volumes of dilute local anaesthetic around the vein), a thin laser fibre (1470nm or 1550nm wavelength diode laser) is introduced into the great or small saphenous vein through a single needle puncture at the knee. The laser fibre is withdrawn while delivering continuous laser energy — causing thermal endothelial damage, vein wall contraction, and permanent closure of the incompetent saphenous trunk. Completed in 30–60 minutes under local anaesthetic; day-care; return to work in 1–3 days.
Endovenous Radiofrequency Ablation (RFA / VNUS Closure)
Similar to EVLT but uses radiofrequency energy via a catheter (Closure Fast or similar device) to deliver segmental thermal ablation to the saphenous vein. Slightly lower post-procedural pain and bruising compared to laser in some studies; equivalent long-term efficacy. The choice between EVLT and RFA depends on surgeon preference and availability at SurgiPartner partner hospitals.
Ultrasound-Guided Foam Sclerotherapy (UGFS)
A chemical foam (sodium tetradecyl sulphate or polidocanol mixed with air/CO₂) is injected into the incompetent vein under ultrasound guidance — causing chemical endothelial damage and permanent fibrosis. Suitable for recurrent or residual veins after EVLT/RFA; large tributaries; veins in locations not amenable to thermal ablation. Multiple sessions may be required. No incision; office-based. Complication: visual disturbances and migraine from foam passage through patent foramen ovale (rare); skin staining at injection sites; thrombophlebitis.
Traditional Surgery — High Tie and Strip
Saphenofemoral junction ligation and stripping of the great saphenous vein through two incisions (groin and knee/ankle). Now largely replaced by EVLT and RFA due to equivalent long-term efficacy with less post-operative pain, bruising, and recovery time from the endovenous techniques. Still performed when endovenous techniques are not available or not feasible (very large, tortuous veins; recurrent disease).
Frequently Asked Questions — Liposuction Surgery Hyderabad
Why Choose SurgiPartner?
Choosing SurgiPartner means choosing safety, comfort, and advanced care. Our approach to Varicose Vein Treatment ensures lasting relief, minimal downtime, and beautiful, healthy legs.
01.
Expert Vascular Surgeons
Our experienced specialists have performed hundreds of successful varicose vein procedures using the latest minimally invasive techniques.
02.
Advanced Laser & Radiofrequency Technology
We use FDA-approved, pain-free treatments like Endovenous Laser Therapy (EVLT) and RFA for precise and effective vein closure.
03.
Personalized Treatment Plans
Every patient’s condition is unique we design customized vein treatment plans to restore comfort and appearance.
04.
Quick, Pain-Free Recovery
Most procedures are day-care treatments, allowing patients to walk immediately and return to normal life within 24 hours.
Book Your Consultation
Take the first step toward healthy, pain-free legs with SurgiPartner Advanced Varicose Vein Treatments. Our specialists are here to provide safe, precise, and lasting relief.
Walk with comfort and confidence – that’s the SurgiPartner promise.
What Our Patients Say
Your Personalized Path to Wellness
Follow your step-by-step guide to a successful surgery and recovery, with our expert team supporting you all the way.
Book FREE Consultation
Fill in your details and we'll call you back to confirm your slot.
