Dr. Gabriel Lasry
Vascular Surgeon Specialised in Varicose Veins — Casablanca
varicose vein treatment بEndovenous Laser
Minimally invasive — no pain, local anaesthesia only, no hospitalisation, with immediate walking. more from 15,000 procedure completed.
What is laser varicose vein treatment in Casablanca?
Endovenous laser treatment is a technique for treating varicose veins practised in Casablanca by Dr. Gabriel Lasry, a vascular surgeon with over 20 years of experience. This technique involves inserting fine optical fibres inside the diseased vein, allowing it to be destroyed with complete precision without large incisions and without pain, leaving the clinic on the same day.
local anaesthesia only
No general anaesthesia, no additional risks — the vein alone is anaesthetised
immediate walking
You walk out of the clinic the same day, pain-free
invisible scars
Very small incisions, invisible after two to three months
no hospitalisation
Outpatient surgery: you arrive in the morning and leave in the evening
The aesthetic approach to laser varicose vein surgery
allows مبادئ surgery modern الحصول on perfect aesthetic outcome, impossible to achieve with older techniques:
- Local tumescent anaesthesia The procedure on varicose veins is performed without bleeding, avoiding bruising and pain. The vein alone is anaesthetised — just as a dentist anaesthetises only the affected tooth — avoiding the risks of general or spinal anaesthesia.
- Precise map before surgery guides the surgeon in making microscopic punctiform incisions with great precision.
- Dr. Lasry's extensive experience in gentle, minimally traumatic surgery guarantees best aesthetic outcome possible.
This excellent outcome also allows varicose vein treatment under local anaesthesia in very sensitive areas such as the face, around the eyes, hands, feet, and chest.
Pre- and Post-Operative Procedures
The first consultation with Dr. Lasry
This lasts between 30 and 45 minutes. Dr. Lasry explains the modern techniques in simple terms: anaesthesia local, Endovenous Laser, وsurgery outpatient surgery no hospitalisation with immediate pain-free walking. This modern surgery is completely different from the old "stripping" technique which is now abandoned.
Localisation Doppler Ultrasound (before surgery)
always performed the day before or on the morning of varicose vein surgery. The doctor draws a precise map of all varicose veins to be treated and any potential abnormalities on the skin. This examination is essential for knowing the location, size, and discovering common positional abnormalities. The Doppler is like the architect's blueprint which guides the surgeon's technique.
Performing the procedure
no hospitalisation — under local anaesthesia only — immediate walking and no pain. takes a few hours. is given a detailed cost estimate will be provided through consultation 1 —.
Doppler monitoring after surgery
performed between the 15th and 30th day to verify removal of all diseased veins. This examination is the starting point for post-operative follow-up with the vascular physician (sclerotherapy after surgery).
Local Tumescent Anaesthesia and Invagination — The Core Principle
General anaesthesia or spinal anaesthesia — regardless of their own risks — cause dilation of the varicose veins, increasing bleeding during surgery and generally requiring several days of hospitalisation. This bleeding often leads to painful bruising and prolonged time off work.
Local tumescent anaesthesia acts exclusively along the vein to be treated. Its advantages:
- detaching the vein from surrounding tissues without needing to tear it out
- Closing the vein which contains no blood at that moment
- bruising is very rare — only minor blemishes may occasionally appear
- facilitates invagination: i.e. withdrawing the vein by inverting it from the inside (like a sock), via a thread running through it — known as "endovenous surgery"
- is completely different from the old stripping technique which passes outside the vein and damages the neighbouring nerves and fatty tissue, causing bruising and nerve pain recurring
Minimally invasive varicose vein surgery — "tailored surgery"
This surgery targets only the veins diseased and always preserves healthy or minimally dilated veins. These healthy veins may one day be used as a vascular graft (for arterial bypass). Patients arrive in the morning and leave in the evening — fully outpatient surgery.
| The criterion | Endovenous Laser | The old traditional stripping technique |
|---|---|---|
| general anaesthesia | ✗ | ✓ Usually |
| hospitalisation | ✗ | ✓ Several days |
| bruising and bleeding | very rare | recurring |
| immediate walking | ✓ | ✗ |
| visible scars | ✗ — microscopic incisions | ✓ Large incisions |
| recurrence rate (10 years) | less than 5% | 30–50% |
| Time off work | 3 to 8 days | 15+ days |
Doppler Ultrasound — the essential examination
It allows an accurate treatment plan to be established and a "varicose vein map" drawn — examination which is considered the cornerstone of the procedure the entire procedure:
- The Doppler is the only tool for measuring the size of varicose veins, determining the direction of blood flow, and detecting leak points, thereby confirming vein insufficiency
- treatment is adapted based on varicose vein map that shows the direction of blood flow (upward or downward) and the precise location of leak points
- Before choosing the treatment: to locate leak points and guide treatment (sclerotherapy, endovenous laser, or surgery)
- the day before or on the morning of surgery: to guide the surgeon — exactly like an architect's blueprint
- It reveals common positional abnormalities that may lead to recurrence if not identified
- guides the surgical procedure entirely, since varicose veins not all of them are visible to the naked eye — and allows making incisions cosmeticة punctiform minutes
- also performed after surgery to verify removal of all varicose veins and confirm the success of the procedure