Healing from laser or radiofrequency closure takes about 2 to 4 weeks. Depending on your rate of healing, you should be ready for abdominal surgery between 2-4 weeks post-ablation.

Published on Jul 11, 2012

I think 2 months would be reasonable.

Published on Jul 11, 2012

I would recommend waiting at lease 1 week after the procedure--if it is not urgent--to have your major abdominal surgery as long as these conditions are satisfied:

1. Make sure you have been properly evaluated with a venous duplex ultrasound study to ensure that you do not have a post-VNUS closure procedure DVT (deep venous thrombosis).

2. Make sure your surgeons knows that you had the VNUS closure procedure done and that he or she puts you on appropriate medication to prevent you from having a preoperative DVT or VTE (venous thromboembolic event).

Published on Jul 11, 2012

Two weeks should be fine if the follow-up venous ultrasound exam does not show thrombus in the common femoral vein.

Published on Jul 11, 2012

We would recommend waiting 6 weeks, if possible.

Published on Jul 11, 2012

I recommend > 6 weeks as optimal.

Published on Jul 11, 2012

You should have the abdominal surgery BEFORE VNUS closure, as the venous insufficiency treatment is elective in most cases. This would be the best case scenario. Make sure you exercises your legs and wear compression stockings while recuperating in the hospital and after discharge.

If you decide to have VNUS closure before abdominal surgery, you should have it approximately 2 weeks or more before elective abdominal surgery or gynecologic surgery. A scan should be done a day or two before your abdominal surgery to make sure there is no DVT (deep vein thrombosis).

These are guidelines and are individualized based on risk factors, underlying abdominal pathology, thrombophilia status, and many more conditions. Consult your vein specialist for guidance.

Published on Jul 11, 2012

If you have not had the closure yet, I would consult with your surgeon who is performing your abdominal surgery. If you have saphenous reflux, we feel this is best dealt with first to reduce the chance of clotting--when blood is not flowing normally, there is an increased risk. Of course, compression hose should be worn after both procedures.

Published on Jul 11, 2012