Welcome to Hill Country Vein Center
Our Facility provides convenient and comprehensive evaluation of the vein anatomy and physiology utilizing the best duplex ultrasound technology available. This noninvasive imaging performed by Registered Vein Technologists, clearly pinpoints the area of venous incompetence and reflux. This knowledge allows us to treat the key area with surgical precision to ensure the best possible outcome.
Mark F. Kneuper, MD, FACS, FACPh
Dr. Kneuper was raised in New Braunfels and is a proud Unicorn alumnus. He attended the University of Texas at Austin where he was awarded a degree in Biochemistry. He enrolled in Medical School at the University of Texas Medical Branch in Galveston and graduated in 1986. After an internship in Tulsa, Oklahoma, he completed a residency in General Surgery in Cleveland, Ohio. While in Cleveland, he met and married his wife, Jean. Returning to New Braunfels in 1992, Dr. Kneuper took over the practice of Hylmar E. Karbach, Jr., MD and has actively practiced General Surgery since then. He served as Chief of Staff at Christus Santa Rosa Hospital – New Braunfels in 2010. He and Jean have two children, Robert and Katherine.
Dr. Kneuper’s interest in vein surgery began early in his surgical training, when he first saw the effects of venous insufficiency that some patients endured. He was trained in the older techniques of vein stripping and the conservative management of venous disease utilizing compression stockings and Unna boots. With the advent of the latest techniques of endovenous ablation, microphlebectomy and sclerotherapy, Dr. Kneuper has a renewed enthusiasm to offer this cutting edge technology to his patients.
Ambulatory phlebectomy is a method of surgical removal of surface veins. This is usually completed in our office using local anesthesia. Incisions are tiny (stitches are generally not necessary) and typically leave imperceptible puncture mark scars. Post-operative discomfort is minimal. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period.
Sclerotherapy is a cosmetic medical procedure used to treat varicose veins and spider veins. A tiny needle is used to inject a solution directly into the vein. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Overtime, the body will absorb the treated vein.
The VNUS Closure Procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease. The Closure procedure is performed on an outpatient basis. Using ultrasound guidance, your physician will position the Closure catheter into the diseased vein through a small opening in the skin. The slender catheter delivers radiofrequency (RF) energy to the catheter, which heats the vein wall. As the vein wall is heated and the catheter withdrawn, the collagen in the wall shrinks and the vein closes. Once the diseased vein is closed, blood is re-routed to other healthy veins.