Welcome to Americas Vein Centers - Southborough
A Center of Excellence for the Diagnosis and Treatment of Vein Disease. Minimally Invasive, non surgical treatments are available in almost all cases to permenately remove unsightly and symptomatic spider and varicose veins. In addition to removing Varicose Veins, the EVLT procedure is also utilized to treat Hemorrhoids and Venous Stasis Ulcers with a 98% success rate.
Call for your Complimentary Consultation with Dr. Bergus.
About Dr. B. Bergus
Dr. Bergus is a graduate of Harvard Medical School. He is residency-trained in general surgery from Brown University and completed Fellowship training in a subspecialty of Cardiovascular Surgery at Boston Children’s Hospital.
Dr. Bergus has undergone Fellowship training in Phlebology (vein disease) and is a board certified Phlebologist. Dr. Bergus is a Diplomate of the American Board of Phlebology and an active member of the American College of Phlebology. As the founder of Americas Vein Centers, Dr. Bergus performs all facets of treatment in our state-of-the-art teaching facility. Dr. Bergus is a Leading Expert in the use of laser technology and advanced vein treatment protocols and has presented his work at major national meetings in the field of Phlebology.
- Visual and Ultrasound Guided Sclerotherapy
- Endovenous Laser Ablation Treatment
- Wound Care
- Venous Stasis Ulcers
- Ambulatory Phlebectomy
Endovenous Laser Treatment
Endovenous Laser Treatment, or EVLT, is an alternative to surgical stripping of certain underlying veins that are the source of surface varicose veins. Endovenous Laser Treatment is done in-office under local anesthesia. It works by heating the inside of the vein, which causes it to seal shut and disappear.
The EVLT technique requires that a very thin laser fiber be inserted into the damaged underlying vein. To perform the procedure, the doctor uses an ultrasound machine to map the vein, and then numbs the area with local anesthesia. The doctor places a needle into the lower end of the diseased underlying vein, through which a small sheath is put into the vein. The laser fiber is then placed through the sheath and advanced to the upper end of the diseased vein. Local anesthesia is then delivered to the entire vein. The laser fiber heats the inside of the vein as it is slowly withdrawn back down the vein.
You are advised to wear compression stockings and walk a lot after treatment. As a result of the treatment, the blood re-routes through the remaining normal veins much more efficiently, thereby reducing the abnormal pressure on the remaining veins.
Endovenous laser is a widely accepted procedure with a very good success rate and low complication rate.
With this surgery, a special light source marks the location of the vein. Tiny cuts are made in the skin, and surgical hooks pull the vein out of the leg. This surgery requires local or regional anesthesia. The vein usually is removed in one treatment. Very large varicose veins can be removed with this treatment while leaving only very small scars. Patients can return to normal activity the day after treatment.
Sclerotherapy is not just a cosmetic procedure. Varicose vein disease can cause many health problems such as blood clots, venous eczema, skin breakdown and ulceration and, rarely, skin cancers.
The solution, which is injected into the vein, is called a sclerosant. It causes the vein to close by irritating the blood vessel so that it swells and sticks together. This process causes the veins to fade and eventually they can no longer be seen. Some vessels will have vanished by the time the support stockings are removed.
Each vein may require several injections, given some weeks apart. Multiple veins can be injected in one treatment session. Allergic reactions to the sclerosing solution are very rare.
Ultrasound guided sclerotherapy
Ultrasound guided sclerotherapy (UGS) uses ultrasound to locate the underlying leaking veins and aims to seal off the leakage points. The leakage could come from small ‘perforating veins’ that are usually below the knees, or main valves behind the knees or in the groin.
The injection uses a fine needle that causes a barely noticeable pinprick feeling. Some people experience a slight to moderate burning feeling immediately after the injection, but this disappears after a few seconds.