Treatment options for Vein Removal

Varicose Vein Surgery . 4 answers . 3 years ago

Which is a better option for vein removal (vein stripping or laser treatment/ELA) in the presences of a varicose ulcer around the size about 5cm? The patient is known to have hypertension which is under control.

ANSWERS FROM DOCTORS


2 years ago by General Vascular Surgery Group

Depends on patient but in general ablation is doable for almost all patients with good results even with large veins.
Michael D. Ingegno MD

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

Depends on patient but in general ablation is doable for almost all patients with good results even with large veins.
Michael D. Ingegno MD


2 years ago by The Vein Center

We perform laser ablation (usually with additional sclerotherapy to adjacent varicosities) and have a great deal of success with healing ulcerations. Most recent studies demonstrate that laser ablation offers better long term success with less initial downtime and pain. The most important issue for the patient is to have an ultrasound performed by an experienced clinic so that all the abnormal sources of reflux can be identified prior to any procedure being performed. Hypertension will not be a problem with laser ablation; I cannot speak for hypertension in the setting of vein stripping as I do not perform stripping.

2 years ago by The Vein Center (View Profile)

We perform laser ablation (usually with additional sclerotherapy to adjacent varicosities) and have a great deal of success with healing ulcerations. Most recent studies demonstrate that laser ablation offers better long term success with less initial downtime and pain. The most important issue for the patient is to have an ultrasound performed by an experienced clinic so that all the abnormal sources of reflux can be identified prior to any procedure being performed. Hypertension will not be a problem with laser ablation; I cannot speak for hypertension in the setting of vein stripping as I do not perform stripping.


2 years ago by VeinCare Centers of Tennessee

Endovenous thermal ablation is preferred over vein stripping in the vast majority of cases. In the presence of a stasis ulcer, it is common for incompetent varicose veins or perforating veins to be present which often are treated with foam sclerotherapy. This can be a complex issue and consultation with an experienced phlebologist is important.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

2 years ago by VeinCare Centers of Tennessee (View Profile)

Endovenous thermal ablation is preferred over vein stripping in the vast majority of cases. In the presence of a stasis ulcer, it is common for incompetent varicose veins or perforating veins to be present which often are treated with foam sclerotherapy. This can be a complex issue and consultation with an experienced phlebologist is important.
Stephen F. Daugherty, MD, FACS, RVT, RPhS


2 years ago by Vanish Vein and Laser Center

Laser treatment is currently the gold standard for the treatment of venous reflux leading to either varicose veins or chronic venous insufficiency and venous ulcerations.

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

Laser treatment is currently the gold standard for the treatment of venous reflux leading to either varicose veins or chronic venous insufficiency and venous ulcerations.


Related Questions for Varicose Vein Surgery

Varicose Vein Surgery - 2 years 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 procedure which can fix it? I don't like the look of the vein.
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. What can be done? Will these resolve?
See More
Varicose Vein Surgery - 5 years ago
And, are there any options in terms of colors or styles?
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 - 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 history, sickness, fever. How can this happen?
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 - 5 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 - 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 is this really all genetic or do I have a health problem?
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 - 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 a nurse.
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
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 - 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 - 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 - 2 years ago
I had varicose vein surgery 14 years ago to strip veins from my right leg. I have had severe pain in my groin and lower abdomen for years. Just found out the surgeon left three surgical clips in my groin. They are to be removed. Why would he do this?
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 because there won't be enough circulation?
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 will put stress on the deep system. Any options
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
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
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
Need Help?
Get answers from experienced doctors
Ask Now

Most Active Doctors


,

,

Recently Asked Questions