Varicose Vein Laser
(Condition treated: Varicose veins.)
Please note, Dr Florescu currently treats varicose veins in conjunction with The Vein Institute Melbourne. To enquire further, please visit their website.
What are Varicose Veins?
Varicose veins are distended malfunctioning veins of the leg. Vein valves which are designed to ensure blood flows in one direction are faulty in varicose veins. Inefficient drainage of blood leads to vein stretching and the visible varicosities cause many to seek treatment due to their look. In addition to cosmetic issues patients may complain of pain, leg swelling, staining of the skin or even ulcers.
What causes varicose veins?
Risk factors for varicose veins include age, female sex, prior pregnancy, obesity, wearing high heels and occupations that require prolonged periods of standing. Genes play a role as well as those with a family history are more likely to get them.
What are my treatment options?
Conservative measures such as weight loss and wearing compression stockings are recommended in the first instance. Minimising time in high heels is also recommended. Laser or radiofrequency ablation or may be performed if problems persist. A newer technique involving the use of specially designed glue to close the varicose veins may also be considered. This is generally more effective in smaller veins.
How is the procedure performed?
The procedure is performed under sedation. Under ultrasound guidance a laser catheter or radiofrequency prove is placed into the varicose vein and directed to the top of the vein which is usually at the groin crease. Local anaesthetic is then injected around the entire course of the vein. Once the vein is numb the laser is switched on and withdrawn as is ablates the diseased vein shut.
An alternative technique uses glue to close the offending vein. This procedure is almost identical to laser or radiofrequency ablation, however there is no need for local anaesthetic to be injected along the entire course of the treated vein. An ultrasound probe is used to compress the vein externally to ensure the glue remains in place while it sets.
What about surgery?
Vein stripping is still performed in Australia although this practice is losing favour. It has similar success rates to laser or radiofrequency ablation with a longer and more painful recovery time. As increasing numbers of vascular surgeons learn to perform these newer minimally invasive, image guided techniques it is anticipated that surgery will be offered less frequently.
What happens after the procedure?
You may be discharged two hours after the procedure. You cannot drive for 24 hours after the procedure as you have been sedated. You will be required to wear compression stockings for 3 days and nights and then during daylight hours over 3 weeks. You will be provided with instructions on managing any post procedural pain you may experience.
