Varicose Veins Laser Treatment in Gopalganj (EVLA)

Many varicose veins are mainly a comfort and appearance problem. But if ignored, some lead to skin darkening, eczema, ulcers near the ankle, painful inflamed veins or bleeding. A varicose vein can bleed heavily if injured: lie down, raise the leg, press firmly with a clean cloth and come to our hospital. Sudden painful swelling of the calf, or breathlessness, needs emergency care.

First, we do a Doppler ultrasound to map the leaking veins and check the deep veins. On the day, the area is numbed with local anaesthesia, or spinal anaesthesia is used, as our anaesthetist decides. Guided by ultrasound, we pass a thin laser fibre into the faulty vein through a needle puncture, and laser heat seals the vein from inside. We then put on a bandage or compression stocking, and you walk the same day.

The procedure takes about 45 to 90 minutes, and most people go home the same day or the next day. Some bruising, tightness or a pulling feeling along the treated vein is common for 1 to 2 weeks. Most people return to light work in a few days. Please wear the compression stocking as advised, usually for 1 to 2 weeks or longer, and avoid long standing and heavy exercise for the first 1 to 2 weeks.

We numb the area, so most patients feel only mild discomfort during the procedure. Afterwards, some tightness, bruising or a pulling feeling along the treated vein is common for 1 to 2 weeks, and is usually managed with routine pain medicines and walking. Most of our patients find recovery easier than after conventional vein surgery, but it is not completely painless.

No. Stockings support the veins and ease aching, heaviness and swelling, and they are useful for mild veins, during pregnancy, or when a procedure is not suitable. But they do not repair the faulty valves, and the veins remain. They must be the right size and pressure, and are not suitable for everyone, for example with poor blood supply to the legs. Please ask our doctor before buying them.

For suitable veins, endovenous laser treatment is a well-established method, with small puncture wounds and a quicker return to work than conventional vein surgery for most patients. It is not right for everyone, for example with a current deep vein clot, very twisted veins, poor blood supply to the legs, or during pregnancy. Side effects include bruising, tightness and patches of numbness, and rarely a skin burn or a deep vein clot. We explain these before treatment.

The cost depends on the Doppler findings, the method (laser ablation or conventional surgery), whether one or both legs and how many veins are treated, the anaesthesia, the length of stay, the room you choose, and the stockings and medicines. We do not quote a figure without examining you. After the consultation and Doppler report, we give you a clear written estimate before admission. You can send your reports on WhatsApp to +91 72739 94786 first.

We are empanelled under Ayushman Bharat PM-JAY for general surgery and laparoscopic surgery packages. Whether your varicose vein treatment and the chosen method are covered depends on the scheme's package list and your eligibility. Please bring your Ayushman card and Aadhaar card, and ask our Ayushman help desk to check before admission. For other patients, we explain the expected cost clearly before admission, so that your family can plan.

Walk for 10 to 15 minutes several times a day, starting the same day, and wear the compression stocking as advised. For the first 1 to 2 weeks, avoid standing still for long, heavy exercise and long journeys without breaks. Raise your legs on a pillow when resting. Keep a healthy weight with a balanced diet and enough water. Sudden calf pain and swelling, or breathlessness, needs urgent care, so please call us at once.

The treated vein usually stays closed, but new varicose veins can develop over the years, because other veins may become weak, especially with long standing, weight gain or pregnancy. Regular walking, weight control, raising the legs when resting and wearing stockings as advised all help. If new veins appear, we can usually treat them again.

We advise choosing a surgeon who starts with a Doppler scan, can offer stockings, laser and conventional surgery, and tells you honestly which suits your veins. Dr. Rajnish Kumar Thakur, our founder and chief surgeon, MS (General Surgery), is a laparoscopic, laser and general surgeon with 16+ years of surgical experience and 10,000+ surgeries, including experience at IGIMS Patna and Lady Hardinge Medical College, New Delhi. Our hospital has its own diode laser. You can read our patients' reviews on Google.

Yes. Patients come to our hospital in Arar, Gopalganj from Siwan, Chhapra, Motihari, Bettiah, Kushinagar and Deoria. Please bring any old Doppler report, or send it on WhatsApp to +91 72739 94786 first, and visit our OPD, Monday to Friday, 10 am to 7 pm. Most patients go home the same day or the next day, so your family does not need a long stay in Gopalganj.