I have suffered many stripings and injections. This has been the best experience yet. When I went to get my legs looked at, I was examined by Dr. Perez, He explained the process of the procedure in detail. I loved the way he treated me, he is unique and made me feel welcomed. Also I felt like I was one of his family members; not a patient. The process of the surgery was fast and painless.
One incision in the groin over the top of the Great Saphenous vein and a second one around the inside of the knee area over the same vein. During the surgery, the vascular surgeon ties shut the vein from both ends and introduces a special wire, called the stripper, into the vein from the knee side. The surgeon then pushes the wire towards the groin, ties it to the cut end of the vein and then forcibly pulls the vein out from the knee-end.
The surgeon then closes the cuts with stitches sutures and applies bandages and compression stockings. Varicose vein surgery is commonly performed under a general, spinal or epidural anesthesia in a hospital setting. Generally, it requires hospital-stay of one or two days and a recovery time of one to four weeks. The risks of the procedure include sensory nerve injury resulting in pain and numbness. Bleeding, deep-vein blood clots, infection, scarring, and the anesthetic risk are other side effects.
Nowadays, vascular surgeons perform surgery instead of one of the newer, less invasive techniques, whenever there are blood clots or swelling inflammation in the target veins phlebitis. The removal of very large or large and very superficial veins may also require surgical removal. This entirely new surgical technique for the treatment of varicose veins is derived from cardiovascular surgery.
During the surgery, a special endoscope tiny video camera is introduced under the skin through an incision just above the knee. The varicose veins are then removed through small cuts. A further small incision must be performed in the groin area. People who have this surgery must have some kind of anesthesia, such as epidural or general anesthesia. For that reason, it is usually applied during cardiovascular surgery, or when varicose veins are causing skin ulcers.
Patients can resume their normal activities within a few weeks. A recovery period much longer than that needed after endovenous thermal ablation. Varicose vein removal with this modality is carried out in a darkened operating room. A vascular doctor uses an external transillumination light source device, much like a flashlight, to accurately pinpoint veins for removal. During the procedure, the surgeon uses a tumescent anesthetic solution and loosens the veins and releases them from the surrounding.
Similar to a liposuction procedure, the surgeon then uses a special cannula to cut and remove a vein by sucking it through a small hole at the tip of the cannula. This technique is only applied to the very superficial veins, the incisions usually do not require stitches, and patients can return to normal activities in 2 to 3 days.
ClariVein is another emerging minimally invasive endovenous varicose vein treatment system. ClariVein relies on mechanical agitation and an infused chemical to destroy a diseased vein. The ClariVein device is a hand-held single-use device equipped with a catheter that contains a rotating wire driven by a motor situated inside the device.
The procedure starts by introducing the catheter, under Ultrasound guidance, into the targeted vein. After positioning the tip of the wire precisely, the phlebologist turns on the device, causing the wire to rotate and scrape the inner walls of the vein while simultaneously dispersing a chemical solution. This combined mechano-chemical technique aims at efficiently sealing the vein with the smallest possible amount of infused chemical. The main advantage of this treatment over heat-based endovenous techniques is the elimination of the need for the sometimes uncomfortable step of local anesthetic injection, as well as lack of the residual leg numbness after the procedure.
Those who do not get them treated are more likely to develop:. Also known as Ambulatory Phlebectomy or microphlebectomy, phlebectomy is a minimally invasive treatment option where Dr. Shah uses a needle or scalpel to make micro-incisions to remove varicose veins from the surface of your leg.
Shah may use a non-invasive form of sclerotherapy, known as Ultrasound Guided Foam Sclerotherapy to treatment small varicose veins. Depending on your case, Dr. Shah may recommend more than one treatment option for optimal results. If you are looking to get rid of your varicose veins once and for all, then we urge you to schedule a free consultation with our vein specialist, Dr. Haimesh Shah. To schedule an appointment, please call our office Shah is a ture professional, very informative and excellent bedside manners.
Center for Vein Wellness Dr. Haimesh Shah Meet The Team. Sclerotherapy Sclerotherapy uses injectable sclerosing solution that causes the vein to shrink. Endovenous Laser Ablation Endovenous Laser Ablation surgery uses laser to heat and eliminate the affected veins. Microphlebectomy It is more appropriate for treating varicose veins rather than smaller spider veins. Michael Omidi Plastic Surgeon Dr. He offers alternatives rather than simply saying THIS is what we will do
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