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CLaCS (Cryo Laser and Cryo Sclerotherapy) is a novel Brazilian technique, done in nearly 30 countries around the world, for the treatment of spider veins and small varicose veins on the legs. It combines transdermal laser (1064 nm Nd:YAG) and injection sclerotherapy (50% Dextrose), under skin cooling (cold air blown onto the skin at -20°C). CLaCS is better than conventional foam sclerotherapy and other transdermal lasers in terms of offering more cosmetic and long-lasting results.
About Surekha Varicose Veins
Surekha Varicose Veins Clinic is a dedicated centre for treatment of patients suffering from Varicose Veins and other associated problems such as Venous Leg Ulcers. It is one of the facilities available at Samata Hospital, Dombivli and was started in 2013 by Dr.Ashish Dhadas. The clinic is amongst the few centres in Thane and Mumbai, where expert, quality healthcare is available at an affordable cost to patients suffering from Chronic Venous Disease. With some excellent results and word of mouth awareness, the clinic has patients coming in from different parts of Maharashtra as well. It is also the first centre in India to offer the novel Brazilian technique of CLaCS (Cryo Laser and Cryo Sclerotherapy) for treatment of spider veins and small varicose veins.
Traditionally, varicose veins have been treated with open surgery of high ligation of great saphenous vein followed by stripping. However, endovenous laser treatment achieves better long lasting and cosmetic results than open surgery. It is also painless, sutureless procedure with the patient resuming normal activities in less than 48 hours! At Surekha Varicose Veins Clinic, 1470 nm Diode laser approved by vascular associations around the world is used for EVLT.
CLaCS is considered a revolutionary treatment for spider veins and small varicose veins of the leg and it has been used to treat thousands of patients with extremely successful and long-lasting results. It was pioneered by the Brazilian vascular surgeon Prof.Dr.Kasuo Miyake in 1999. Available in nearly 30 countries around the world, CLaCS was started for the first time in India by Surekha Varicose Veins Clinic in April 2019.
The treatment combines 1064 nm Nd:YAG laser with sclerotherapy using 50% Dextrose, under cold air (-20°C) cooling. The visualisation of the veins is done using a Vein Viewer which works on the principle of Augmented Reality, this being the most distinctive feature of the treatment.
The treatment lasts for 60 to 90 minutes depending on the area to be treated. It is a painless, ‘walk-in, walk-out’ OPD procedure. The patient returns to work and usual activities within 4 – 6 hrs after CLaCS treatment.
I consulted Dr Dhadas for varicose veins in my legs. He very thoroughly explained me my disease and was very confident in making diagnosis. I am now very thankful to him as he removed all my doubts. He did laser treatment for varicose veins. I no longer have pain in my legs. Thanks to Dr Dhadas he is one the best doctor for varicose treatment.
Dr. Ashish Dhadas is very co-operative & supportive Doctor. We feel very comfortable with him. I had an experience it him during my cousin's pregnancy, she had problem of varicose veins during pregnancy. He always guides us well. Very friendly nature. He is always available whenever we need either personally Or on phone. We’re very thankful to him.
Got my laser treatment done for varicose veins by Dr Ashish Dhadas. It was a very seamless one. He explain me every single procedure that required for treatment and did my laser treatment for varicose veins I would highly recommend Dr Ashish Dhadas for varicose veins treatment.
Best doctor for deep vein treatment, I have ever came across. Hats off to him. Very knowledgeable and extremely humble.Thanks to Dr.Dhadas.
Dr Ashish Dhadas sir yani vericol vens yavar tyanchya kade asleli ledger upchar padhat chan ahe gret work (Original) Dr Ashish Dhadas sir yani vericol vens yavar tyanchya kade asleli ledger upchar padhat Chan ahe gret work 👌
There are 4 essential elements in CLaCS :
a) Vigorous COOLING OF THE SKIN to reduce discomfort from laser and injections.
b) The use of AUGMENTED REALITY to visualize feederveins so that they can be treated.
c) The application of a TRANSDERMAL LASER to thefeeder veins and spider veins.
d) INJECTION OF THE FEEDER VEINS AND SPIDER VEINS with a chemical sclerosant (sclerotherapy).
‘Augmented reality’ in CLaCS is the technology used to visualize ‘feeder veins’ / ’reticular veins’ (which cause spider veins); these are not visible to the ‘naked eyes’ in many instances. And if these remain untreated, the spider vein treatment fails. In CLaCS, augmented reality is provided by the Vein Viewer (from Christie, USA) – a device that images veins up to 1.0 centimeter beneath the skin using infrared sensing. The image is then projected back on to the skin in real-time. This enables the phlebologist to see the feeder/reticular veins that would not be otherwise visible.
1064 nm Nd: Yag transdermal laser is used. This laser causes a visible heat injury to the veins. Because of the wavelength of the laser, the energy is absorbed more by blood than skin. This allows selective damage to the vein (photothermolysis) without damage to the skin. At Surekha Varicose Veins Clinic, we use one of the best lasers in the class – ‘Harmony Pro XL’ from Alma Laser, Israel.
No. The high flow of ice-cold air directed onto the skin at the site of laser or needle application removes most of the discomfort, and most patients have little discomfort from the treatment. This is done using the Cryo 6 cooler from Zimmer, Germany. In patients who are especially sensitive, prior application of a skin-numbing cream about an hour before treatment may be done.
No. It is a ‘walk-in, walk-out OPD procedure. The patient can return to his/her routine activities within few hours.
Usually, two sessions at an interval of 4 weeks, are required to treat a given area with spider veins and small varicose veins.
CLaCS Treatment for Spider Veins
EVLT for Varicose Veins
EVLT for Venous Leg Ulcers
