Sorry everyone!! An Internet crash at the Grove address forced me to delay writing this installment. The double edged sword of modern technology.
This week I want to discuss removing the large varicose veins. This was once done with larger incisions that left unsightly scarring. We now perform what is called the European Micro phlebectomy. What that means is that the veins are removed using a technique developed in Europe. The difference is that this technique leaves very little scarring and is much more Cosmetically appealing than the old way.
The large varicosities that we see in the leg is usually not the actual disease. As discussed in previous blogs, this disease is from incompetent valves in the saphenous system in most cases. These big and ropey veins develope in response to the increased pressure in veins deeper in the leg. Once closed with the laser, the deeper veins no longer feed these enlarged "branches" or varicosities. When this happens a number of problems can occur, they can become painful, they can clot and cause phlebitis, they can cause skin color changes. These problems will usually resolve with time but can be miserable.
How is the procedure done?? After closing the system that is feeding the visible varicose vein, the large ropey veins are marked with a marker with the patient standing. Local anesthesia is injected into the areas to be removed and in our office, IV sedation is given. Once the local has taken effect, very small incisions are made and small instruments are used to grab the vein, elevate it, and tease it out from under the skin. It is completely removed if possible. The incisions are no more than a couple of millimeters in size (less than an eighth of an inch). No stitches are placed, and a compression dressing is applied with Coban to hold pressure. Some minor bruising may occur that lasts for a few days, the wounds may leak minimally for about 24 hr or so. We have patients walk out of the office and most experience very little discomfort after. The wounds heal very well and usually go unnoticed after 6 months or so. Once removed, the painful and ugly source of embarassment is gone.
Next week....Cosmetic sclerotherapy and how to get rid of spider veins.
Call Total Body Surgical today for YOUR vein evaluation 918-786-7780!