The aim of the surgery is to help the patients get over their fear and find a solution for the problem.

Hemorrhoids also called as Piles is a very common problem but not many people talk about it and continue to suffer without even seeking medical advice, trying alternative therapies as they are afraid of surgical procedures. At our centre more than 75% patients are treated without surgery with modern techniques. in an outpatient basis.


It is a day care procedure performed under anesthesia in 30minutes post which the patient can be discharged. Laser energy is delivered by radial fiber directly in the sub mucosal hemorrhoidal nodes to shrink the nodes from inside. Moreover, laser energy is used to reduce the blood supply nourishing the abnormal growth. LASER surgery prevents the occurrence or recurrence of a prolapse.

Formal surgical intervention may sometimes be required called Stapled Hemorrhoidectomy (MIPH).

Even at the cost of being repetitive the advantages have to be stressed:

  • Low pain score
  • Can resume work immediately
  • Aesthetically the best procedures – helps as patient confidence builder.
  • The anal sphincter action is well preserved, so no chances of incontinence or fecal leak.
  • Less risk involved as minimal bleeding.
  • Time taken to complete procedure is only 10 to 15 minutes in outpatient department.
  • Can be performed as same day procedure.
  • Less post operative discomfort to patient
  • Faster recovery
  • Happy patient
Laser Surgery for Varicose Veins

Endovenous laser varicose vein surgery is a procedure that uses heat from a laser to reduce varicose veins. Varicose veins are swollen, bulging veins that often happen on the thighs or calves. A laser is a device that sends a thin beam of radiation in the form of light.

Endovenous Laser Ablation Treatment ( EVLA/EVLT) - The Gold Standard Treatment for Varicose Veins

It is prudent to assume that you are aware about about varicose veins and various treatment options available(If not, read here). Hence, we shall directly come to the point and provide information on endovenous Laser Ablation Treatment(EVLT).


EVLT - The Procedure We know that in varicose vein, the problem vein stops functioning properly which results in obstruction of blood flow further leading to blood pooling, clotting, development of ulcers. While performing EVLT, an interventional radiologist uses real time image guidance to insert a thin catheter with a laser fiber into the problematic vein. Once the fiber is in position, the doctor numb the pain to minimize uneasiness during the procedure with liquid anesthetic solution. The laser is activated along with slow As the delinquent vein is closed, withdrawal of the catheter and fiber which releases heat causing the vein to collapse and close. blood flows via the remaining healthy veins. While the above procedure sounds complex, the EVLT technique has been perfected over decades of its application and is now considered among the safest medical procedures.

Why Endo Venous Laser-ablation Treatment (EVLT)

A continuous search for better medical treatment option is always on in the medical world, currently EVLT is among the most favored and quickly becoming golden standard treatment among the varicose vein specialists. Major attributes which make EVLT as a choice treatment plan are

  • It is minimally invasive procedure hence it has minimum effect on body compared to traditional option of surgery.
  • It is among the safest procedure for varicose veins with very high success rates.
  • It is considered safe for mostly all category of patients including the patients who are not fit for surgery like aged patients.
  • Does not leave scar marks on the patient's body.
  • In most patient's the procedure does not require general anesthesia administration and hence it is better for the human body.
  • It's a procedure which is mostly done on outpatient basis hence patient's revert to routine activities in no time.

However, there are various treatment protocols with respect to EVLT treatment issued by recognized institutions like NICE Guidelines, UK, which needs to be adhered to by interventional radiologists.

Care after EVLT

EVLT as described is mostly an outpatient procedure and hence patients return to their home the same day. While no specific care is required post mentioned steps may be EVLT as it is minimally invasive procedure, below for faster recovery. recommended to patients Strenuous exercise is not preferred for some time (two to three weeks). However light Use compression stockings as prescribed by the doctor. The stockings help improve blood flow in legs. exercise like walking is recommended and encouraged. Till surgical dressings (a day) are removed a patient may be advised to avoid use of public swimming pools. Pregnant Woman - While symptoms can develop during the pregnancy, treatment should not be undertaken during pregnancy. Only non-interventional methods should be adopted, provided they are specifically approved by a trained specialist such as an Interventional Radiologist.