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

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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 Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? 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.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
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 Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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