Endovenous Laser Treatment (EVLT) - Varicose Veins (Single Extremity) in Singapore

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About the Endovenous Laser Treatment (EVLT) - Varicose Veins (Single Extremity)

They are superficial veins carrying blood,which creates pressure while standing. They look like spider webs and appears swollen and bulged. In worse case scenario they may cause pain at night experienced with some throbbing sensation in the legs.

How is Endovenous Laser Treatment (EVLT) - Varicose Veins (Single Extremity) performed?

Except for a few, most patient of varicose veins problem can definitely go for the laser solution. However there may be some for whom foam sclerotherapy is more suitable.

Firstly an ultrasound scan is performed and the veins are demarcated with a pen. The leg in concern is cleaned nicely and covered in drapes before the patient is made to lie on a couch. The patient can face downward or backward depending upon the veins that require treatment. The steps are observed and guided with the aid of ultrasound scanning.

The doctor would now get inside the vein. A very minute amount of anaesthetic is injected along with a needle which is inserted into the vein. Through the needle a wire is passed up in the concerned vein. Over the wire a catheter is passed after the removal of the needle.

Through the tubing of catheter a laser fibre is made to pass in such a way so that the tip is present at the top most point which requires heating (most appropriate is the crease of the groin). Through an arrangement of multiple tiny needle pricks, large amounts of local anaesthetic solution is injected around the vein.

During the procedure the patient as well as medical staff are expected to wear safety devices like specs for precuation. The process of firing laser and pulling down the vein does not take more than 5 minutes. Sufficient amount of thermal energy is generated to the wall of the vein to induce occlusion, fibrosis and eventually resulting in the disappearance of the vein. Small amount of blood gets heated in the vein, apart from that some heating may occur due to the absorption of photon from the radiation incident on the vein.

Diode lasers are commonly used having a range of wavelengths. Lower wavelengths are haemoglobin specific including 810 n,, 940 nm,980 nm and 1064nm. Water specific higher wavelengths include 1320nm and 1470nm. Post procedure symptoms are expected to be low with higher wavelength lasers at lower power settings.

The patient can hear a warning buzzer and may also smell a burning odour or even taste it, but there will be no pain associated with it. If both the legs are supposed to be treated then one after the other is done. The laser and catheter is then gradually removed. The puncture created by the needle is covered with a dressing. The total treatment may not last more than half an hour.

The treatment may be followed by some foam sclerotherapy or some sort of avulsions may also be undertaken. After all this a compression stocking is put on the patient's leg.

Recovery from Endovenous Laser Treatment (EVLT) - Varicose Veins (Single Extremity)

After your are done with the laser treatment, you will be allowed home. It is absolutely not advisable to drive at this point. Some stockings will be given to be worn for a specific period of time (almost 2 weeks), till then you are expected not to swim and also adhere to some basic guidelines about bathing and getting your legs wet. This surgery will enable you to get back to work immediately causing no trouble at all. Some amount of pain and swellings may occur which is normal and can be counteracted with medicines like ibuprofen. Ignore occasional tightening sensation in the legs. If pain persists then consult your physician.

How long will the effects last?

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Frequently Asked Questions

What is the health care infrastructure of Singapore / Why should opt for Singapore as a destination for your medical treatment?
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
What are the conditions of the hospitals in Singapore? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Are the doctors/surgeons in Singapore of the best quality?
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
What is the process for obtaining a medical visa in India?
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
What support services does MediGence provide in the United Arab Emirates?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Singapore for medical treatment?
Singapore is a sovereign island city in itself. So you can find many options for treatment in Singapore itself, without having to travel too much.

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