Diseases of the venous systems are common among the Indian population and results in considerable morbidity. Almost more than half of the middle aged populations have minor stigmata of venous disease but less that half of them have visible varicose veins. The incidence of varicose veins increases with age.
If constitutes the deep venous system and superficial system. The superficial veins of the lower extremity are the great and small saphenous veins & their tributaries. Great saphenous vein is the large superficial vein of the leg & thigh & originates from dorsal venous arch of the foot & after running up the medial side of the leg & thigh it opens though the saphenous opening into the femoral vein. Small saphenous veins originates from dorsal venous arch of foot & courses along lateral aspect of foor & runs along posterior aspect of leg.
Treatment for varicose veins have been underdevelopment for more than 2000 yrs but until the present era relatively little weight was given to cosmetic outcomes of treatment.Treatment ranges from ligation of great saphenous vein to stripping the greater saphenous vein & sclerotherapy. But these procedures have very high recurrence and are cosmetically incompatible.The newest & latest techniques for vein ablation uses thermal energy delivered to endovenous wall by means of laser. This is truly the first & indigineous minimally invasive & cosmetically acceptable approach for varicose veins for past 2000yrs.EVLT works by thermal destruction of the venous tissues. It includes introducing a laser fibre into the vein & firing the laser while slowly withdrawing the fibre from the vein. The laser energy causes closer of veins because of optical absorption of laser energy in blood and water content of vein wall.