General, Vascular and Minimally Invasive Surgery

 


 

 

TREATING VARICOSE VEINS

Segmental Excision
Large varicose veins and their branches can be surgically removed through small 'band-aid' incisions that are usually closed with absorbable sutures and butterfly bandages. This leaves minimal bruising, and effectively eliminates the symptoms related to varicose veins. This procedure is usually done under light general anesthesia in an operating room. It is 'outpatient,' meaning you can go home the same day - usually within 1-2 hours after the procedure is completed. On a purely cosmetic level, the veins will be removed, but there will be small overlying scars which fade with time.
Excision is usually covered by insurance so long
as it is done for symptomatic or painful veins.

Endo-Venous Ablation (ClosureŽ Procedure)
This is a minimally invasive procedure involving one small 'band-aid' incision above the knee. Through this incision and under ultrasound guidance, a catheter (a thin flexible tube) is placed into the vein that runs up the thigh to the groin. Heat is then applied to the end of the catheter causing the vein to coagulate and collapse. Over several months, the body then absorbs the vein remnant so that it is gone. By eliminating this 'feeding vein,' pressure on all of the smaller surface veins lower in the leg is reduced, and therefore recurrent varicose vein formation is reduced. Calf and ankle swelling is also diminished. ClosureŽ is usually done with the same anesthetic routine as segmental excision, and in fact, it is usually done at the same time as the excision procedure. Only one leg can be so treated at a time, but if both legs need to be treated, then the second procedure can be done 1 week to 1 month later, depending on patient preference.
ClosureŽ is usually covered by insurance so long
as it is done for symptomatic or painful veins.

 

ClosureŽ is a Registered Trademark of VNUS Medical Technologies

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ˇˇ THE SURGICAL OFFICES OF DR. AARON M. SCOTT, MD ˇˇ PHOENIX, ARIZONA ˇˇ GLENDALE, ARIZONA ˇˇ