Endovenous Laser Ablation (EVLA) & Perforator Vein Ablation

Endovenous Laser Ablation (EVLA) is a minimally invasive procedure used to treat painful, unsightly varicose veins. Varicose veins often develop in the legs when a valve within the vein becomes weakened and lets blood flow backward. This appears on the leg as a twisted, blue or purple growth under the surface of the skin that may cause pain, swelling and bleeding. While traditionally treated with a procedure called ligation and stripping, many patients experienced pain and discomfort from this invasive procedure.

Fortunately, new technology has allowed for the development of advanced, less invasive procedures such as EVLA. EVLA uses laser energy to seal off the vein and prevent blood from flowing through it. This relieves symptoms and corrects the embarrassing appearance of the veins.

During the EVLA procedure, local anesthesia is injected to numb the area. A laser probe is then inserted into the leg through a tiny incision and guided to the affected vein through ultrasound imaging. The vein is exposed to laser energy for about three minutes until it becomes sealed off and the contained blood is diverted to another healthier vein.

Patients are able to return home immediately after the EVLA procedure and most can return to work the very next day. Exercise and other strenuous activities should be avoided for about two weeks. The incision from this procedure does not require any stitching and leaves virtually no scarring.

Although the EVLA procedure is considered safe, there are certain risks associated with every surgical procedure. Some of these risks include infection, bruising, bleeding, clotting, puncturing and thermal damage. These risks are considered rare and most patients undergo the procedure with no complications.

Ambulatory Microphlebectomy

Ambulatory microphlebectomy is a minimally invasive procedure used to treat varicose veins that are too large to treat with sclerotherapy and too small for laser ablation. Microphlebectomy uses tiny punctures to remove damaged veins and divert blood flow to healthy veins. This can relieve the painful symptoms and unsightly appearance associated with varicose veins.

Ambulatory microphlebectomy is performed under local anesthesia in your doctor’s office. There is little to no downtime after this procedure, with most patients able to return to work and other normal activities the very same day. However, strenuous activities should be avoided for a week. After the microphlebectomy procedure, patients are usually required to wear compression garments for about one week post surgery to help minimize swelling and bleeding. There are virtually no scars left after this procedure because of the tiny incisions used.

Although ambulatory microphlebectomy is considered a safe procedure, there are certain risks associated with any form of surgery. These risks may include mild discomfort and bruising for a few days after the procedure, or in rare instances, a skin nerve injury. These side effects are usually mild and go away on their own over time.

Foam Sclerotherapy

Foam sclerotherapy is a medical procedure used to treat varicose veins. These unsightly veins are treated by injecting a sclerosant solution into the areas of damage, causing the irritation and eventual collapse of the affected veins. Sclerotherapy has been used throughout the world since the 1930s and remains a primary effective treatment for varicose veins.

Foam sclerotherapy is performed with the aid of ultrasound imaging to ensure precise results that relieve the painful symptoms and the unsightly appearance of varicose veins. The affected veins are injected with a foamed sclerosant solution, which causes the veins to eventually collapse and become absorbed into the bloodstream. This safe procedure can be performed in your doctor’s office and takes less than an hour.

Anesthesia is not needed for foam sclerotherapy, during which patients only experience a mild burning sensation. After the skin is cleaned with an antiseptic solution, the sclerosant is injected into the affected veins with a very fine needle. The number of injections per session varies based on the number and length of the damaged veins. After the sclerotherapy procedure, cotton balls and compression tape are applied to the injection site(s).

After foam sclerotherapy, most patients can immediately return work and typical activities the very same day. Exercise and other strenuous activities, however, should be avoided for seven to 10 days. Compression bandages may need to be worn for a few days after the procedure, and some patients may experience mild bruising and pigmentation following sclerotherapy; these side effects usually subside within a few days.

The results of foam sclerotherapy are usually fully visible after three to six weeks. Most patients are satisfied with the results. To preserve the results of sclerotherapy, patients should maintain an active, healthy lifestyle after the procedure.

While sclerotherapy is a safe procedure, there are certain risks associated with any procedure. These may include lumpy veins, raised red areas, brown lines or spots, swelling, allergic reactions or infection. Your doctor will discuss all these risks with you and address any other concerns you may have about the foam sclerotherapy procedure.

Call 912-267-9550 today to schedule a complimentary consultation or contact us with any questions.

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