A targeted intervention adapted to each patient, leading to the realization of a highly technical “à la carte” surgery.

A minimally invasive microsurgical approach. The ASVAL method is performed under local anesthesia (more or less associated with a light sedation for the patient’s comfort), in a short ambulatory setting, which allows the patient to be discharged only one hour after the treatment.

Very simple postoperative follow-up: the patient can walk again immediately and return to daily activities very quickly, since there is no disability, no dressing or nursing care, and no work stoppage for more than 90% of patients. Only a minority of patients with strenuous activity may eventually have a few days off work.

A new conception of varicose disease which leads to the preservation of the “venous capital”, in particular its principal element at the level of superficial venous circulation, namely the saphenous veins, by removing only the varicose veins developed on the “secondary branches” or collaterals, in contrast to traditional surgical treatment of varicose veins (stripping) or endovenous treatment (laser, radiofrequency, glue, foam sclerotherapy) based on the principle of systematically destroying saphenous veins as soon as they present a reflux. Numerous scientific publications have demonstrated that the ASVAL method allows an “ad intégrum” return with a perennial healing of the saphenous vein, allowing the disappearance or a major reduction of the leakage (reflux) in cases that meet the appropriate criteria (1,2). Numerous scientific publications have demonstrated that the ASVAL method allows an “ad intégrum” return with a perennial healing of the saphenous vein, allowing the disappearance or a major reduction of the leakage (reflux) in cases that meet the appropriate criteria (1,2).