Treatment of varicose veins

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Varicose veins occur due to weakness in the venous valves, leading to blood reflux, vein dilation, leg heaviness, swelling, burning pain, and, in advanced cases, venous ulcers.
At Dr. Mohamed Rafeek Saafan’s Clinic – Consultant of Vascular Surgery, Diabetic Foot, and Interventional Catheterization, we provide the latest global techniques for treating varicose veins with minimally invasive procedures and excellent cosmetic results.

1) CLaCS Technique (Cryo-Laser & Cryo-Sclero)

A modern combined technique using intense cooling + transdermal laser + micro-sclerotherapy.

How It Works:

  • Deep skin cooling to minimize pain.

  • Targeted surface laser to shrink tiny superficial veins.

  • Microscopic injection of a special solution to permanently close the tiny veins.

Advantages:

  • Non-surgical and needle-fine.

  • Ideal for spider veins and telangiectasias.

  • Excellent cosmetic results.

  • Immediate return to normal activities.

2) Endovenous Laser Ablation (EVLA)

One of the most advanced and effective catheter-based treatments for varicose veins.

How It Works:

  • A thin laser fiber is inserted into the affected vein under ultrasound.

  • Laser energy seals the vein from the inside without surgery.

Advantages:

  • Very high success rate.

  • No surgical incisions — only a tiny catheter entry.

  • Performed under local anesthesia.

  • Return to work the same day.

Best For:

  • Large and medium varicose veins.

  • Reflux of the great or small saphenous vein.

3) Radiofrequency Ablation (RFA)

A minimally invasive technique that uses controlled thermal energy.

How It Works:

  • A catheter emits radiofrequency heat inside the vein.

  • The heat causes the vein wall to collapse and seal safely.

Advantages:

  • Less pain than laser.

  • Fast recovery and minimal bruising.

  • Excellent long-term results.

4) Microwave Ablation

A newer, highly efficient ablation technology.

How It Works:

  • Microwave energy is delivered through a specialized catheter.

  • The vein wall heats evenly and closes completely.

Advantages:

  • Uniform energy delivery for predictable results.

  • Less pain compared to laser.

  • Effective for medium to large varicose veins.

  • Shorter procedure time.

5) Venous Glue (Venaseal Closure System)

A revolutionary non-thermal, non-tumescent treatment.

How It Works:

  • A micro-catheter is inserted into the vein.

  • A medical adhesive is injected to seal the vein instantly.

Advantages:

  • No need for multiple anesthesia injections.

  • No heat ⇒ almost no bruising or discomfort.

  • Suitable for elderly patients or those with clotting issues.

  • Immediate return to normal activity.

6) Mini-Phlebectomy (Limited Surgical Removal)

A minimally invasive surgical method performed through tiny micro-incisions (2–3 mm).

How It Works:

  • Small, visible veins are removed using delicate hooks through tiny skin openings.

Advantages:

  • Excellent cosmetic outcomes.

  • No noticeable scars.

  • Perfect complement to EVLA or RFA for removing bulging branches.

7) Foam Sclerotherapy

Injection of a special foam inside the vein to close it gradually.

How It Works:

  • A foamy sclerosant spreads evenly inside the vein.

  • The vein collapses and disappears over several weeks.

Advantages:

  • Ideal for superficial and medium-sized veins.

  • Quick, non-surgical, and repeatable if needed.

  • Minimal discomfort.

8) Venous Ulcer Treatment

Venous ulcers arise due to severe venous reflux and pressure buildup in the leg veins.

Our Treatment Protocol Includes:

  1. Restoring venous circulation: treating the main varicose veins using laser/RFA to reduce venous pressure.

  2. Accurate wound debridement: removing dead tissue and cleaning the ulcer.

  3. Advanced wound dressings for moisture control and tissue regeneration.

  4. Compression therapy (stockings or medical bandages) to improve venous return.

  5. Antibiotics are used when an infection is present.

  6. Continuous follow-up until full healing.

Advantages:

  • Treats the underlying cause, not just the ulcer.

  • Faster healing and improved skin quality.

  • Reduces the chance of ulcer recurrence.

💡 Why choose Dr. Mohamed Rafik Saafan's clinic?

Extensive experience in vascular surgery and diabetic foot treatment.

Utilization of the latest interventional catheterization and microsurgical techniques.

An individualized treatment plan for each patient to ensure optimal results and maximum safety.