Can you offer advice on options for a non-healing vein wound?

Varicose Vein Surgery . 9 answers . 1 year ago

My husband had varicose vein surgery a dvt (aug 2011), and a bleed from a vein (may 2012), which has left a non-healing wound. We are currently struggling to get the infection under control. He is a large man, so not really suitable for anesthetic. What options does he have?

ANSWERS


1 year ago by Advanced Vein Center (View Profile)

See someone who specializes in vein treatment and has some experience with ulcers. They need to ultrasound the whole leg and the areas around the ulcer looking for reflux. If there is reflux then ultrasound guided foam sclerotherapy can help.

1 year ago by Advanced Vein Center (View Profile)

See someone who specializes in vein treatment and has some experience with ulcers. They need to ultrasound the whole leg and the areas around the ulcer looking for reflux. If there is reflux then ultrasound guided foam sclerotherapy can help.


1 year ago by General Vascular Surgery Group (View Profile)

Depends on the cause of the wound. Most vein procedures can be treated with local anesthesia alone. There are many potential causes for chronic wounds.

1 year ago by General Vascular Surgery Group (View Profile)

Depends on the cause of the wound. Most vein procedures can be treated with local anesthesia alone. There are many potential causes for chronic wounds.


1 year ago by Arizona Vein Specialists

Really cannot comment as I do not have enough information or detail on his case. Talk with your doctor and request a second opinion if unsatisfied.

1 year ago by Arizona Vein Specialists

Really cannot comment as I do not have enough information or detail on his case. Talk with your doctor and request a second opinion if unsatisfied.


1 year ago by Intermountain Vein Center (View Profile)

What kind of vein surgery? Ambulatory phlebectomy? Ablation? Usually non-healing wounds do not heal because they are fed by bad veins and the tissue is not receiving the oxygen it needs and so the tissue dies. That is why the wounds do not heal. Most vein 'surgeries' are out-patient operations and just require local anesthetic. Having another ultrasound and follow up would be helpful. Also, a wound clinic would be helpful as well. Find an interventional radiologist to have a look at options, especially with that DVT.

1 year ago by Intermountain Vein Center (View Profile)

What kind of vein surgery? Ambulatory phlebectomy? Ablation? Usually non-healing wounds do not heal because they are fed by bad veins and the tissue is not receiving the oxygen it needs and so the tissue dies. That is why the wounds do not heal. Most vein 'surgeries' are out-patient operations and just require local anesthetic. Having another ultrasound and follow up would be helpful. Also, a wound clinic would be helpful as well. Find an interventional radiologist to have a look at options, especially with that DVT.


1 year ago by Vein Treatment and Aesthetic Center (View Profile)

Sclerotherapy to surrounding perforator veins may be very helpful but should be done with caution and only by a vein specialist. A compression stocking is necessary, and there are devices that would assist him while putting a stocking on his leg. Check with a vein specialist first.

1 year ago by Vein Treatment and Aesthetic Center (View Profile)

Sclerotherapy to surrounding perforator veins may be very helpful but should be done with caution and only by a vein specialist. A compression stocking is necessary, and there are devices that would assist him while putting a stocking on his leg. Check with a vein specialist first.


1 year ago by Cosmetic Vein Centers of Texas (View Profile)

He needs a vein specialist.

1 year ago by Cosmetic Vein Centers of Texas (View Profile)

He needs a vein specialist.


1 year ago by Vein Clinic of North Carolina (View Profile)

This case would require us to discuss further details with you in regards to your husband and his vein treatment. It is very unfortunate that he is still suffering after his procedures and he needs a consult to determine next steps.

1 year ago by Vein Clinic of North Carolina (View Profile)

This case would require us to discuss further details with you in regards to your husband and his vein treatment. It is very unfortunate that he is still suffering after his procedures and he needs a consult to determine next steps.


1 year ago by Vanish Vein and Laser Center (View Profile)

This is a complex issue. To give advice without seeing him is very difficult. Many things need to be known, such as: Is he diabetic? What is the status of his arterial circulation? Where is the wound located and is it clean or infected? Does he have reflux in any other veins such as small saphenous or perforators? and What is the status of his calf muscle pump? All of these issues, and possibly others, will need to be addressed in order to give a reasonable answer. You (he) should see a vascular surgeon for an evaluation.

1 year ago by Vanish Vein and Laser Center (View Profile)

This is a complex issue. To give advice without seeing him is very difficult. Many things need to be known, such as: Is he diabetic? What is the status of his arterial circulation? Where is the wound located and is it clean or infected? Does he have reflux in any other veins such as small saphenous or perforators? and What is the status of his calf muscle pump? All of these issues, and possibly others, will need to be addressed in order to give a reasonable answer. You (he) should see a vascular surgeon for an evaluation.


1 year ago by Americas Vein Centers - Southborough (View Profile)

There are some options but we would need to evaluate him to determine which option is best.

1 year ago by Americas Vein Centers - Southborough (View Profile)

There are some options but we would need to evaluate him to determine which option is best.


Related Questions

Varicose Vein Surgery - 1 year ago
I am 21 years old and recently I have developed a varicose vein on my penis. The vein gives me slight discomfort. I am not sexually active. How can I fix this vein? Is there any medication or procedur...
See More
Varicose Vein Surgery - 4 years ago
How long should I wait after varicose vein surgery to take an airplane trip, or does it matter?
See More
Varicose Vein Surgery - 4 years ago
And, are there any options in terms of colors or styles?
See More
Varicose Vein Surgery - 2 years ago
Had a phlebectomy and VNUS done 4 weeks ago. I have lumps all along where the vein used to be (ranging from pea size to walnut size). They were painful & had them drained twice now. I still have lumps...
See More
Varicose Vein Surgery - 5 years ago
I had a phlebectomy that was not successful, then laser ablation and sclerotherapy within 2 months of each other. I now have shooting pains in my leg... is this something that is normal?
See More
Varicose Vein Surgery - 2 years ago
My wife had superficial blood clots in leg. They took ultrasound and she just collapsed 13 days ago in my arms and died in the hospital of a blood clot in the lung. She was healthy and young. No histo...
See More
Varicose Vein Surgery - 4 years ago
Is this a side effect of having varicose veins and can varicose vein surgery effectively treat this condition?
See More
Varicose Vein Surgery - 4 years ago
I am 24 yrs old, and after i had my daughter i noticed my legs are veiny. The veins don't bulge out nor are spidery. i was wondering what are they? How should I get rid of them?
See More
Varicose Vein Surgery - 1 year ago
I am 21 years old and within the past four years I have developed spider veins and large veins that are visible in my legs. They are also elevated over my shins. Varicose veins run in my family, but i...
See More
Varicose Vein Surgery - 2 years ago
One week after varicose vein surgery I developed a golf ball size swelling on the inside of my ankle that is very sensitive to touch. Is this normal?
See More
Varicose Vein Surgery - 3 years ago
I have spider veins and varicose veins. Will my insurance ppo bluecross pay for it? I was told by my insurance co they would pay if it is medically necessary, they hurt and are getting worse, I am ...
See More
Varicose Vein Surgery - 4 years ago
I have a large number of varicose veins covering both legs. I want to get them treated but I'm afraid I won't have many veins left! Is there a point where you shouldn't have them all removed/injected ...
See More
Varicose Vein Surgery - 2 years ago
This pain occurs after I have been active on my legs. My varicose vein surgery was about five months ago.
See More
Varicose Vein Surgery - 2 years ago
I had a main vein stripped and incisions by knee done 4 days ago. It looks like its healing well, but I am getting a burning sensation. What does this mean?
See More
Varicose Vein Surgery - 3 years ago
What is the recovery procedure after the vein is removed? For example, do I have to sit and rest it and how long will i need off work?
See More
Varicose Vein Surgery - 3 years ago
If someone has had varicose vein surgery, can they come back? At any time? What are the odds of this?
See More
Varicose Vein Surgery - 4 years ago
I just had a venus reflux exam indicating I have superficial & deep system reflux which has changed from a year ago. I'm concerned about my leg's future if the superficial cannot be treated because it...
See More
Varicose Vein Surgery - 1 year ago
I am getting ready to have a varicose vein treatment but am afraid that I may develop blood clots and die. What should I do? Thanks.
See More
Varicose Vein Surgery - 4 years ago
Is there a difference between PAD & varicose veins, and are there tests to confirm? Also can you have Venous closure surgery done if you have PAD?
See More
MOST ACTIVE DOCTORS (IN THE PAST 30 DAYS)

,
Answers


,
Answers

Need Help?
Get answers from experienced doctors
Ask Now
RECENTLY ASKED QUESTIONS