Dr. Kundan Kharde · MS, FMAS · 19+ years — Pune's Specialist for Laser Varicose Vein Surgery (EVLT & sclerotherapy).
Minimally invasive laser-based day-care treatment for varicose veins, combining Endovenous Laser Treatment (EVLT) and sclerotherapy based on your ultrasound mapping. Starting at ₹80,000* per leg with same-day discharge, modern OT setup, and cashless insurance support at Sharvari Hospital, Pimple Nilakh.
*Starting price for single-leg EVLT. Final cost varies — see cost factors below.
Varicose veins are enlarged, twisted veins that most commonly appear in the legs. They develop when the one-way valves inside the leg veins weaken or stop closing properly, causing blood to pool instead of flowing back up toward the heart. Over time, this pooling stretches the vein wall, making the vein bulge visibly under the skin.
Varicose veins are common in India, particularly among adults whose work involves prolonged standing or sitting — including teachers, retail staff, traffic police, IT professionals, healthcare workers, and factory workers. Pregnancy, family history, obesity, and increasing age also raise the risk.
Typical symptoms include rope-like or bulging veins, an aching or heavy feeling in the legs (especially by the evening), swelling around the ankles, night cramps, itching over the affected skin, and in advanced cases, brown skin discolouration or non-healing ulcers near the ankle. These are clinical descriptors — not all patients experience every symptom, and severity is best assessed by a doctor with a colour Doppler ultrasound.
Dr. Kundan Kharde बताते हैं कि varicose veins क्या होती हैं — पैरों की नसों के वाल्व कमज़ोर होने पर खून जमा होकर नसें फूलने और टेढ़ी होने लगती हैं। वीडियो में इसके कारण, लक्षण और आधुनिक लेज़र इलाज के विकल्प सरल भाषा में समझाए गए हैं। हर मरीज़ की स्थिति अलग होती है — results vary.
Mild varicose veins can be managed conservatively, but you should not delay a vascular consultation if you notice any of the following:
Common risk factors include a standing-heavy job, pregnancy, family history of varicose veins, obesity, previous deep vein thrombosis (DVT), and increasing age. A timely doppler-guided assessment helps decide whether you need lifestyle measures, compression therapy, EVLT, sclerotherapy, or a combined plan.
EVLT — short for Endovenous Laser Treatment — is the primary technique we use at Sharvari Hospital for larger refluxing varicose veins such as the great saphenous vein. It is a minimally invasive, laser-based, day-care procedure performed under local tumescent anaesthesia.
During the procedure, your surgeon uses ultrasound guidance to introduce a very thin laser fibre into the diseased vein through a single small puncture in the skin. Controlled laser energy is then delivered along the length of the vein. The heat closes the vein from the inside, and over the following weeks the closed vein gradually shrinks and is reabsorbed by the body. Blood naturally reroutes through deeper, healthier veins — this is why removing or closing the diseased superficial vein does not affect overall leg circulation.
EVLT is fundamentally different from traditional vein stripping, which is an open surgery that physically removes the vein through multiple incisions in the groin and along the leg. Vein stripping typically required general anaesthesia, an overnight stay, larger wounds, and a longer recovery. EVLT, by contrast, uses a single needle puncture, is performed under local anaesthesia, allows same-day walking, and most patients return to office work within a few days.
Who performs EVLT at Sharvari Hospital: EVLT and sclerotherapy at Sharvari Hospital are performed by Dr. Kundan Kharde (Director and Lead Surgeon, MS · FMAS, 19+ years of experience in laser surgical techniques). Vascular surgery backup is available in-house. Each treatment plan is individualised after Doppler mapping, clinical examination, and a transparent discussion of options.
Dr. Kundan Kharde demonstrates and explains EVLT — endovenous laser treatment for varicose veins. See how a thin laser fibre is passed into the diseased vein under ultrasound guidance and how the vein is sealed from inside through a single needle puncture, without open surgery. Individual suitability and recovery differ — results vary.
Sclerotherapy is an injection-based technique used to close smaller varicose veins, reticular veins (the bluish-green network veins under the skin), and spider veins (fine red or purple threads). A fine needle is used to inject a medical-grade sclerosing agent directly into the targeted vein. The solution irritates the inner lining of the vein, causing it to collapse and gradually be reabsorbed by the body over a few weeks.
Sclerotherapy is generally preferred when the underlying truncal veins are healthy or have already been treated with EVLT, and what remains are smaller cosmetic or symptomatic veins. It is often combined with EVLT for comprehensive treatment: EVLT closes the main refluxing vein and sclerotherapy mops up the residual small branches and spider veins. Most patients need one to three sessions for optimal results, and the number is decided after assessment.
Like EVLT, sclerotherapy at Sharvari Hospital is performed by Dr. Kundan Kharde (MS, FMAS, 19+ years). Sessions are short, performed in our outpatient procedure suite, and most patients walk out and resume routine activity the same day with compression stockings as advised.
The right technique depends on the size, depth, and reflux pattern of your veins. Your surgeon will recommend a personalised plan after Doppler mapping — many patients benefit from a combined approach.
| Factor | EVLT (Laser) | Sclerotherapy (Injection) |
|---|---|---|
| Vein size suited | Larger truncal veins (e.g. great saphenous vein) | Spider veins, reticular veins, small varicosities |
| Anaesthesia | Local tumescent | Typically none / minor topical |
| Sessions usually needed | Single session per leg | 1–3 sessions for optimal result |
| Typical recovery to office work | 2–4 days for most patients | Same day to next day for most patients |
| Approximate cost | From ₹80,000* per leg | Lower per session — depends on extent |
*Final cost varies — see cost factors.
Dr. Kharde assesses each patient individually with clinical examination and Doppler ultrasound before recommending the appropriate technique or combination.
EVLT and sclerotherapy at Sharvari Hospital are planned as structured day-care visits. Knowing the sequence in advance helps you and your family feel comfortable.
Most patients experience minimal discomfort during the procedure itself. Your surgeon and the anaesthesia team monitor you throughout, and any concerns can be flagged at any point.
Recovery after EVLT and sclerotherapy is usually predictable for suitable candidates, but timelines vary with the extent of treatment, your general health, and your job profile.
Most patients return to work within a few days for desk jobs and one to two weeks for physically demanding roles. Individual recovery varies — your surgeon at Sharvari Hospital tailors restrictions and clearance to your specific case.
EVLT at Sharvari Hospital starts from ₹80,000* per leg. The final cost is individualised after Doppler assessment because varicose vein anatomy varies significantly between patients.
*Starting price for single-leg EVLT. Final cost varies by: number of legs treated, vein grade and complexity (CEAP class and length of refluxing segment), anaesthesia type (local tumescent versus sedation), additional sclerotherapy sessions if needed, room category chosen for day-care observation, and insurance approval status. Call +91 951 951 1928 for a personalised quote.
Sharvari Hospital is empanelled with 50+ insurance partners and supports cashless treatment wherever your policy allows. Our insurance desk reviews your insurer, sum insured, waiting periods, and pre-authorisation requirements before scheduling, so there are no financial surprises on the procedure day. Where eligible, we also discuss EMI options.
All medical procedures carry some risk. Honest, upfront discussion of these risks is part of informed consent at Sharvari Hospital. For EVLT and sclerotherapy, possible — though usually mild — issues include:
Minimally invasive techniques such as EVLT and sclerotherapy are generally associated with fewer wound, infection, and recovery-related complications compared with traditional vein stripping, because they avoid large open incisions. As with any medical procedure, individual outcomes vary — your surgeon will review your specific risk profile during consultation.
MS (General Surgery), FMAS Certified
Sharvari Hospital, Pimple Nilakh
Questions we hear most often from patients considering EVLT or sclerotherapy in Pune. For anything not covered here, please call us directly.
Traditional vein stripping is an open surgical procedure that physically removes the diseased vein through incisions, typically with longer recovery and visible scarring. EVLT is a minimally invasive technique that uses laser energy to close the diseased vein from the inside through a single small puncture under local anaesthesia. Most patients chosen for EVLT can walk out the same day with smaller wounds and shorter downtime.
A single-leg EVLT session is typically completed in about 45 to 90 minutes depending on the length and number of refluxing veins treated and whether sclerotherapy is added in the same sitting. Including pre-procedure ultrasound mapping and post-procedure observation, most patients spend a few hours at the hospital. Your surgeon shares an exact estimate after Doppler assessment.
EVLT is performed under local tumescent anaesthesia, so most patients describe the procedure itself as well-tolerated with minimal discomfort. Some bruising, tightness, or a pulling sensation along the treated vein is common in the first one to two weeks and is usually managed with simple oral pain medication and compression stockings. Severe pain is uncommon and should be reported to your surgeon.
Most patients with desk-based jobs return to work within two to four days, while those with physically demanding work may need one to two weeks. Light walking is encouraged from the same day, since movement supports healthy circulation and recovery. Your surgeon individualises return-to-activity advice based on the extent of treatment, your job profile, and how you respond in the first follow-up.
EVLT closes the specific refluxing vein that was treated, and that vein generally does not return. However, new varicose veins can develop in other parts of the leg over years, especially if underlying risk factors such as prolonged standing, obesity, pregnancy, or family history persist. Periodic clinical review and lifestyle measures help reduce the chance of new disease.
Many Indian health insurance policies cover EVLT when it is medically indicated (symptomatic varicose veins with documented venous reflux on Doppler). Coverage depends on your policy terms, waiting periods, and pre-authorisation. Sharvari Hospital is empanelled with over 50 insurance partners and supports cashless workflows where eligible — please share your insurer details before scheduling so approvals can be checked early.
Sclerotherapy permanently closes the specific small veins or spider veins that are injected. However, like with EVLT, new veins can appear elsewhere over time if underlying risk factors continue. Many patients need one to three sessions for optimal cosmetic and symptom improvement, and your surgeon advises on the appropriate number of sessions after assessment.
Candidacy is decided after a clinical examination and a colour Doppler ultrasound that maps the refluxing veins, deep system patency, and vein diameter. EVLT is typically suitable for larger truncal veins (such as the great saphenous vein) showing reflux, while sclerotherapy is preferred for spider veins, reticular veins, and small residual varicosities. Many patients benefit from a combined approach — your surgeon at Sharvari Hospital recommends the right technique for your specific anatomy.
Sharvari Hospital's minimally invasive surgical programme also covers proctology, hernia, and urology.
Need help planning your visit? Contact us for directions, insurance pre-authorisation, or to coordinate with an accompanying family member.
Talk to our team at Sharvari Hospital for a transparent assessment, Doppler-led plan, and clear pricing for varicose veins treatment in Pune. We see patients from Wakad, Hinjewadi, Baner, Aundh, Pimple Saudagar, Tathawade, and across Pimpri-Chinchwad.
Sharvari Hospital · SR. NO. 19(P), behind Gulmohor Park, Vishal Nagar, Pimple Nilakh, Pune - 411027
Speak to Sharvari Hospital for EVLT & sclerotherapy eligibility, Doppler assessment, and cashless insurance support.
Sharvari Hospital is in Pimple Nilakh, behind Gulmohor Park — a short drive from Wakad, Hinjewadi, Baner and the PCMC belt.