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Endovascular laser techniques have been developed that remove the need for stripping out the saphenous vein by cauterising the vein in-situ, resulting in its fibrosis.
The vein is localised and catheterised under ultrasound guidance. A laser fibre is placed at the sapheno-femoral junction at the groin and withdrawn slowly while delivering the laser energy at the tip.
 Protein coagulation of the vein wall results in instant contraction of the vein, closing it around the withdrawing fibre. The vein remains closed and fibroses and disappears over the following weeks
In the Minamilly Invasive Treatment Unit (MITU) located on the third floor of 149 Harley Street, the procedure is carried out under local tumescent anaesthesia and takes less than 1 hour.
The patient can stand and walk at the end of the procedure. Wearing a compression stocking for a week following the treatment, they can return to normal daily activities and work, almost immediately.
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