Can you do both legs at the same time? Is it advised? Why?

Endovenous Laser Ablation . 9 answers . 3 years ago

My wife (age 26) has post pregnancy (1.5 years ago) bad veins with:Rt leg:great saphenous- moderate refluxpopliteal - light refluxLt leg:great saphenous- Sever refluxSuperficial Femoral - light refluxCan you do both legs at same time?

ANSWERS FROM DOCTORS


3 years ago by General Vascular Surgery Group

It is possible to do both legs simultanoeusly, however, I never do this with the endovascular technique a significant amout of dilut local anesthesia is used and I prefer not to push the limits of the maximun allowed dosage. I therefore always perform these procedures in two stages.
Michael D. Ingegno, MD

3 years ago by General Vascular Surgery Group (View Profile)

It is possible to do both legs simultanoeusly, however, I never do this with the endovascular technique a significant amout of dilut local anesthesia is used and I prefer not to push the limits of the maximun allowed dosage. I therefore always perform these procedures in two stages.
Michael D. Ingegno, MD


3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery

Because of qualities of tumescent anesthesia should be limited to
a safe level, and because there may be moderate to severe pain after
the procedure, which may limit patient activities and promote deep
vein thrombosis. These veins can be done on two consecutive days.
Maggie Sorden

3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery (View Profile)

Because of qualities of tumescent anesthesia should be limited to
a safe level, and because there may be moderate to severe pain after
the procedure, which may limit patient activities and promote deep
vein thrombosis. These veins can be done on two consecutive days.
Maggie Sorden


3 years ago by Center for Venous Disease - Santa Fe

The doctors can discuss this. But, it depends on body weight and length of treatment area due to the local anesthesia concentrate. Usually 1 is done at a time. Thanks.
James A. Heinz-M.A.H.A.

3 years ago by Center for Venous Disease - Santa Fe (View Profile)

The doctors can discuss this. But, it depends on body weight and length of treatment area due to the local anesthesia concentrate. Usually 1 is done at a time. Thanks.
James A. Heinz-M.A.H.A.


3 years ago by Bella MD Laser Vein and Aesthetic Center

Some do them at the same time. I do not as I believe it may increase the risk of DVT or other complications. No need to take the risk as it is a very safe procedure.
David A. Engleman M.D.

3 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Some do them at the same time. I do not as I believe it may increase the risk of DVT or other complications. No need to take the risk as it is a very safe procedure.
David A. Engleman M.D.


3 years ago by Vein Specialties of St. Louis

It is very hard to determine which procedures can be combined if at all. Being a surgeon I am able to deal with superficial saphenous veins differently where laser isn't appropriate, in the office under local.
If your wife is planning further pregnancy it is often better to treat these issues to decrease the risk of clot. Definitely she should wear compression hose if she delays treatment.

3 years ago by Vein Specialties of St. Louis (View Profile)

It is very hard to determine which procedures can be combined if at all. Being a surgeon I am able to deal with superficial saphenous veins differently where laser isn't appropriate, in the office under local.
If your wife is planning further pregnancy it is often better to treat these issues to decrease the risk of clot. Definitely she should wear compression hose if she delays treatment.


3 years ago by Angelo N. Makris MD

It can be done, but most physicians won't.

3 years ago by Angelo N. Makris MD (View Profile)

It can be done, but most physicians won't.


3 years ago by Heart and Vein Center

Technically they can be done on the same procedure. However most practitioners and patients prefer to do one at the time. The procedure is shorter and easier to tolerate. The recovery might be easier as well.
Dr Farhy

3 years ago by Heart and Vein Center (View Profile)

Technically they can be done on the same procedure. However most practitioners and patients prefer to do one at the time. The procedure is shorter and easier to tolerate. The recovery might be easier as well.
Dr Farhy


3 years ago by Vanish Vein and Laser Center

Both legs can be done simultaneously with EVLT but I would not recommend it. Doing two together requires double of everything-time involved, amount of local anesthesia and procedural discomfort. My experience is that patients do much better with a staged procedure especially if the EVLT is combined with other components such as microphlebectomies.

3 years ago by Vanish Vein and Laser Center (View Profile)

Both legs can be done simultaneously with EVLT but I would not recommend it. Doing two together requires double of everything-time involved, amount of local anesthesia and procedural discomfort. My experience is that patients do much better with a staged procedure especially if the EVLT is combined with other components such as microphlebectomies.


3 years ago by Bailey Vein Institute

Typically we usually will treat one leg at a time but certainly could tray both the same week.
Sincerely,
Colin E. Bailey MD, FASC

3 years ago by Bailey Vein Institute (View Profile)

Typically we usually will treat one leg at a time but certainly could tray both the same week.
Sincerely,
Colin E. Bailey MD, FASC


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation - 4 years ago
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation - 3 years ago
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation - 5 years ago
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation - 4 years ago
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation - 2 years ago
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation - 1 year ago
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation - 2 years ago
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation - 5 years ago
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation - 5 years ago
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation - 4 years ago
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation - 5 years ago
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation - 2 years ago
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation - 5 years ago
I've heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?
See More
Endovenous Laser Ablation - 3 years ago
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation - 4 years ago
Does this procedure hurt?
See More
Endovenous Laser Ablation - 4 years ago
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Endovenous Laser Ablation - 3 years ago
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Need Help?
Get answers from experienced doctors
Ask Now

Suggested Doctors

Related Articles