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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?
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
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.
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.
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.
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.
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.
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.