|
-
Choosing a Vascular Surgeon
-
-
-
-
-
|
 Ambulatory
phlebectomy is a procedure that consists in the removal of
varicose veins on the surface of the legs. It can be done
at your Better Looks doctor’s office under local anesthesia
in Costa Rica. The treatment involves making tiny punctures
or incisions through which the varicose veins are removed;
these incisions are so small that no stitches are required
afterwards. Veins are very collapsible, which means that even
large veins may be removed through the tiny incisions used
in this technique. The patient is able to walk following the
procedure. Ambulatory phlebectomy is recommended for medium
and large varicose veins.
Most patients experience little to
no discomfort and generally don’t even need pain medication
after the treatment. In fact, you may stand and walk right
after treatment, then return to work the next day.
Versión Español: Flebectomía Ambulatoria
TOP
Ambulatory phlebectomy may be used
to remove both asymptomatic and symptomatic superficial veins
from the skin. Typically, treated veins are the larger, bulging
(raised) and varicose veins, although smaller veins may also
be removed with using this treatment. An ambulatory phlebectomy
procedure may be combined with other therapies in the treatment
of venous diseases.
 Patients
who are allergic to the local anesthesia, who are not able
to walk on their own and who cannot wear the compression stockings
(due to arterial circulation problems) are not adequate candidates
for this treatment. Any active infection or rash in the treated
areas needs to be resolved before any kind of treatment can
commence.
TOP
For
a Vein removal surgery (ambulatory phlebectomy), your Better
Looks physician begins by numbing the area with a local anesthetic;
this means that the procedure is virtually pain free. Small
incisions (as small as 1mm) are made on the outside of the
vein. A tiny hook is then inserted into the incision and a
small portion of the varicose vein is removed. This is repeated
until the entire vein has been eliminated. Ambulatory phlebectomy
is a quick procedure, and because the incisions are so tiny,
no stitches are required.
 For
the removal of varicose veins, doctors have actually developed
a few procedures from which to choose from.
Surgery
The objective of this procedure is
to remove as many of the problematic veins as possible and
is performed under general anesthesia. At all moments, doctors
try to maintain the 'deep veins' intact, since these change
in these veins can cause serious circulatory problems, especially
the saphenous vein (which runs the groin to the ankle).
Incisions are made in the problem
areas in other to remove the varicose veins. Since these are
superficial veins, they can be removed without complication,
since they do not have a significant role in returning blood
to the heart and taking them out does not affect the circulation
of the leg at all.
This procedure can take up a few
hours, since it is tedious and precise. By removing the problematic
veins, the pain and discomfort the patient was experienced
disappears; however, this surgery does leave scars, so you
most keep this in mind. Also, the more widespread and detailed
the procedure, the more time it will take for new varicose
veins to surface.
Laser therapy
This newly developed treatment is
being experimented with by some of the most experienced surgeons
in the removal of varicose veins. The objective of this procedure
is to concentrate a continuous stream of high-intensity light
to destroy or cut tissue.
Since
this procedure is relatively new in the industry, its effectiveness
hasn't really been determined, however, the results of varicose
treatment using this therapy are highly promising and can
have left many satisfied patients feeling better about themselves.
For further information, please click here for more information.
Sclerotherapy
Please visit the section of our site
dedicated to this treatment for further information. You
can find it here.
TOP
After treatment, a compression bandage
and/or compression stocking are worn. Your Better Looks doctor
will advice you on how long you will need to wear any bandages
or hose. Many physicians recommend that you walk or bike after
treatment. By doing so, you can reduce the pressure in the
veins, increase the flow in the veins and reduce the risk
of any blood clots forming.
Bruising
and swelling can be expected and are only temporary. You can
walk immediately after surgery and carry on normal daily activities
except for heavy exercise and/or heavy lifting. You must follow
the activity restrictions and wear the compression stockings
as directed by your Better Looks physician. The small incisions
heal well without sutures and after six to 12 months, they
are practically imperceptible. Your varicose veins are physically
removed and therefore should not come back. However, you must
keep in mind that depending on other factors such as family
and personal history, new varicose veins may develop over
time.
TOP
As with any type of surgical intervention,
complications are unusual, but they sometimes do happen. However,
they are usually minor and can be reduced by precisely following
your doctor’s directions before and after the procedure.
When it comes to ambulatory phlebectomy, the following are
related complications:
Unexpected tenderness or soreness
- If you have more than the average amount of bruising,
swelling or inflammation after the procedure, you can experience
temporary tenderness and soreness that may last longer than
the average 1-3 days. All of these problems are temporary
and they resolve completely given enough time.
Nerve irritation - Occasionally,
nerves that are adjacent to the extracted vein can be irritated
by the procedure. This can lead to a small area of numbness
or an area that just doesn't "feel right" where
the sensation in your skin is mildly altered. Although some
mild irritation of surrounding nerves happens in about 5%
of patients, it is almost always mild and resolves completely
after some time. In extremely rare cases, the nerve irritation
can persist and be problematic.
Infection at an incision site
- Rarely, a mild superficial infection can develop at
an incision site. This is usually just a minor complication
which slows down the healing of the incision and does not
normally lead to any more serious consequences.
Make
sure to ask your Better Looks doctor concerning any risks
you might have to face when undertaking this surgery. However,
you must keep in mind that our certified group of doctors
works full-time to prevent such scenarios from happening,
since we value the health of our patients above anything else.
TOP
The
information given in this website should be considered an
introduction to a ambulatory phlebectomy surgery. Before deciding
on submitting yourself to the procedure described above, we
highly recommend you contact Better Looks directly, so we
can answer any specific question you might have.
Related Keywords:
Spider Veins, Injections, sclerotherapy,
vein therapy, vein clinic, vein surgery, leg veins, lasers,
vein lasers, vein treatment,
cosmetic treatments, Doctor Ignacio Camacho, Vascular Doctor.
|
