Surekha Varicose Veins Clinic

Dr. Ashish D. Dhadas is the first one to start an exclusive varicose veins clinic in Dombivli-Kalyan area. There is a general neglect regarding this pathology and many patients seek help only after complications set in. It is to spread this awareness and his inherent interest in varicose veins which prompted Dr. Ashish Dhadas to start this clinic and Endovenous treatment for varicose veins - a procedure for which patients had to travel to Thane/Mumbai until now. He is ably supported in this endeavour by his radiologist colleague - Dr. Sachin Patil. The results of the procedures done by them are there to see in the 'Gallery' section.

Varicose veins are traditionally treated by Trendelenburg operation with or without perforator ligation depending on the pathology.
Endovenous laser treatment (EVLT) offers a safe, easier, less morbid and cosmetic alternative to open surgery. Discretion, however, is warranted in case selection.

What are varicose veins

Varicose veins are enlarged, dilated, tortuous veins with defunctioning valves.

Pathology of Varicose Veins

Venous system of lower limb comprises of :

  1. Superficial Venous System
    • Long saphenous vein (LSV)
    • Short saphenous vein (SSV)
    • and their tributaries
  2. Deep Venous System
    • Anterior and Posterior tibial veins
    • Popliteal vein
    • Femoral vein
  3. Perforating Veins
    • Communicating veins between the superficial and deep venous system

These veins (superficial, deep and perforators) have normal set of bicuspid valves which prevent reflux of blood against the normal flow.

Varicose veins occur due to incompetence of these valves. The incompetence may be at the saphenofemoral junction/sapheno popliteal junction / both / perforators


  • Genetic predisposition
  • Prolonged standing at work
  • Obesity
  • Elderly individuals
  • Patients with past deep venous thrombosis

Clinical Presentation and Complications

  • Dilated and tortuous veins below the skin
  • Dull aching sensation in lower limb which increases towards eventing
  • Swelling in the limb
  • Blackish discolouration of skin around the ankles
  • Itching
  • Ulceration - difficult to heal


Colour Doppler (venous) is the gold standard to evaluate varicose veins. It helps to evaluate the saphenofemoral and saphenopopliteal junction and the site of incompetent perforators.

Modalities of Treatment

  • Compression Stockings
  • Injection Sclerotherapy
  • Surgical ligation of SFJ / SPJ / Perforators along with stripping of the LSV
  • Endovenous Laser Treatment (EVLT)

EVLT Procedure

  • Using Ultrasonography (USG) varicose veins are mapped
  • A thin laser fiber is introduced under USG guidance
  • Thermal energy is delivered (1470 nm laser) leading to collapse and occlusion of the faulty vein
  • Use of class II compression stockings is recommended for 4 months following EVLT

Advantages of EVLT over conventional surgery

  • Safe & effective
  • Minimal Pain
  • Cosmetic (no scar)
  • Less hospitalisation
  • Early resumption of activities (within 48 hrs)
  • Recognised as principle mode of treatment worldwide

Side Effects Following EVLT

Relatively None.

Minor bruising discomfort may be experienced which gets relieved with oral medications.

Thus, EVLT procedure is safe, fast and effective with more than 95% success rate and is typically covered by insurance.