. Varicose veins are a common health issue faced by people worldwide, and the prevalence in women is slightly higher (29.5–39%) than in men (10.4–23%). Varicose veins constitute the chronic venous disease spectrum which also comprises eczema, hyperpigmentation, telangiectasia, thrombophlebitis, lipodermatosclerosis, atrophic blanching, and venous ulcers. The etiopathophysiology is valvular reflux, leading to a cascade of inflammatory cytokines that cause structural changes in the venous wall by disrupting the collagen homeostasis.
Several treatment options such as endovenous ablation, radiofrequency ablation, ultrasound-guided sclerotherapy, and surgery are available. Superficial venous reflux can be treated successfully with endovenous ablation. Endovenous laser treatment (EVLT), a promising emerging minimally invasive method, can be performed under local anesthesia in an outpatient…
