Environment necessary for the ablation of varices using endovenous laser treatment

The ablation of varices using endovenous laser treatment has only relatively recently proved its effectiveness. After a short experimental period that made it possible to specify the technical procedures (wavelength, continuous or pulsed application, power delivered, etc.), it became necessary to define the useful and necessary environmental conditions for performing this technique. Nothing is set in stone and these are valid at this moment in time. This is all the more true since the criteria taken into account in the imposed environment are complex and specific to each country. They naturally take account of the technical requirements specific to endovenous laser treatments that are of a 'universal' nature. But there are also practices and standards that are specific to each country. These practices mostly concern the various types of anaesthesia that may vary from country to country for the same technique, or even from one operator to another and from one patient to another depending on his/her state of health. Requirements concerning to anaesthesia are generally legislative in nature and, of course, this places restrictions on the context. It thus a matter of the anaesthesia used for endovenous laser treatment that determines the conditions of the environment, even more so than the technique itself. Nor can one ignore the financial impact of the choice of technique, whether in respect of endovenous laser treatment or the anesthetic procedures. This is all the more the case when health insurance funds participate to a greater or less extent in covering these operations.