Dr. Gabriel Lasry
Vascular Surgeon & Phlebologist — Casablanca
Surgical Treatment of Varicose Veins
surgery varicose veins modern: laser endovenous, minimally invasive surgery, local anaesthesia using the tumescent technique — بwithout hospitalisation, with immediate walking وno pain in Casablanca.
Modern Surgical Treatment of Varicose Veins in Casablanca
Dr. Gabriel Lasry, vascular surgeon in Casablanca, commands a full range of modern surgical techniques for treating varicose veins. These techniques deliver excellent cosmetic and medical results, far removed from the old classical surgery which is now completely abandoned.
Endovenous Laser Treatment (EVLT)
A precise optical tube inserted into the vein to destroy it from the inside — local anaesthesia only, no large incision
Minimally Invasive Surgery
Removal of varicose veins via very fine needle incisions (Microphlebectomy) — 90% good results, no visible scars
Local tumescent anaesthesia
The fundamental technique allowing surgery without bleeding or pain — the vein alone is anaesthetised
Vascular Doppler
Precise imaging examination to map varicose veins before surgery and monitor them afterwards
The Aesthetic Approach to Varicose Vein Surgery
The advantages of modern surgical varicose vein treatment make it possible to achieve perfect outcome on both the medical and aesthetic levels:
- Local tumescent anaesthesia technique Instead of general anaesthesia — no pain, no hospitalisation, the vein alone is anaesthetised completely, just as a dentist anaesthetises doctor the tooth Age the patient only
- Precise external varicose vein mapping before surgery — drawing a precise map of the affected veins on the skin to guide the surgeon and make microscopic punctiform incisions
- excellent aesthetic outcome for the legs and ankles — microscopic incisions invisible after two to three months, no sutures on the skin, skin pigmentation
Pre- and Post-Operative Instructions
Before performing varicose vein surgery, a visit to Dr. Gabriel Lasry is required which is of paramount importance. There are strict instructions that must be followed to ensure the best results and avoid potential complications.
- Undergo Doppler ultrasound and required blood tests
- Inform the doctor of your personal and family medical history
- Report any existing skin allergy
- Fast (no food or drink) for 6 hours before the appointment
- Bring compression stockings to the clinic
- Clean and dress wounds daily
- Wearing compression stockings continuously
- Avoid prolonged standing and sitting
- Avoid wearing high heels
- Light walking is permitted immediately
Local Anaesthesia and Endovenous Laser Treatment (EVLT)
Using a simple local anaesthetic and through a painless needle prick, inserts the doctor a tube small very called catheter in inside the vein. once insertion, delivers catheter laser energy or high-frequency waves causing the vein to shrink and close, while the neighbouring healthy veins restore normal blood flow normal .
shortly after treatment the varicose veins shrink, atrophy, and disappear from the surface of the skin. If needed, the remaining connected varicose veins can be treated with sclerotherapy or external laser.
Inserting the precise catheter
Via a small needle prick under local anaesthesia — no incision, no pain, no general anaesthesia required.
Applying Endovenous Laser energy
The light energy closes the vein from the inside — the healthy veins take over the role of the closed vein immediately.
Microphlebectomy (when needed)
Removal of remaining swollen varicose veins via very fine needle punctures — completes laser treatment for a comprehensive result.
Immediate return home
patients are free of all varicose veins within one hour at the doctor's clinic and return to their activities immediately.
Minimally Invasive Surgery — A Breakthrough in Varicose Vein Treatment
The essential principles for performing minimally invasive varicose vein surgery:
- Vascular surgeon consultation — comprehensive case evaluation and selection of the appropriate technique
- Vascular Doppler Ultrasound — precise mapping of all varicose veins before surgery
- Anaesthetist consultation — to assess the general condition and confirm suitability for local anaesthesia
- Biological assessment — blood tests and required examinations before the procedure
- Local anaesthesia only — allows the patient to leave the clinic on the day of surgery
| The criterion | Modern surgery (minimally invasive) | Old classical surgery |
|---|---|---|
| Type of anaesthesia | Local anaesthesia only | general or spinal |
| hospitalisation | ✗ — same day | ✓ Several days |
| Visible scars | invisible | Large scars |
| bruising and bleeding | very rare | recurring |
| Time off work | 3 to 8 days | 15+ days |
| good results | 90% | 50–70% |
| varicose vein recurrence rate | less than 5% / 10 years | 30–50% |
Vascular Doppler — The Essential Examination
Vascular Doppler is a type of ultrasound — a technique non-surgical that enables measurement and monitoring of blood flow and pressure in specific areas of the body. Unlike X-rays traditional that enables measurement of blood flow, allows Doppler a precise and comprehensive assessment of the veins and arteries.
Key Uses of Vascular Doppler
Drawing the varicose vein map
Locating varicose veins and measuring their size, determining the direction of blood flow, and identifying leak points
Blood Clot Detection
Identifying the location of blood clots that may cause obstruction of the arteries and veins
Assessing blood circulation
Measuring blood flow in the arms, feet, and neck — detecting any obstruction or narrowing
Guiding the surgeon
Mapping the veins on the skin on the day of surgery to guide the incisions with great precision
Post-operative monitoring
Verifying removal of all diseased veins and monitoring the surgical outcome
Diagnosing venous diseases
weakening of vein valves, vascular dilation, peripheral vascular disease, assessment of graft condition
