Your legs are made up of a network of veins. Healthy leg veins contain valves that open and close to assist the return of blood back to the heart. Venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. This can cause blood to pool in your legs and lead to symptoms such as pain, swelling, swollen limbs, leg heaviness and fatigue, skin changes and skin ulcers and varicose veins.
Varicose veins are noticeable as knotty bulges under the skin, they appear blue and are usually ¼ inch or larger in diameter. Varicose veins are unsightly and often painful. A clotted varicose vein causes the classic phlebitis, hot and red and painful skin at the site of the clot. Beside the visible symptoms, physical symptoms are tiredness, restless legs at night, heaviness in the leg, pain, aching, itching, throbbing, swelling, burning or a cramping sensation.
There are a number of different surgical techniques used in the treatment and removal of varicose veins. Your surgeon will discuss the option best suited to you and provide you with the information needed to prepare you. Depending on the procedure you may be at the hospital as a day case patient or overnight for a one-night stay.
Phlebectomy is a method of surgical removal of veins and often this is referred to as ‘vein stripping’. This is most often combined with ligation of the main superficial vein in the groin.
How it Works
Tiny incisions are made down the leg over the surface of the veins. The small veins are then removed through these incisions. The incisions are small skin punctures which following the procedure are covered with steri-strips; normally there are no stitches. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period.
After the Procedure
You will remain in hospital for 4-5 hours after the operation until you are fully recovered from the anaesthetic and have taken diet and fluids. You will be able to mobilise to the bathroom with the assistance of a nurse.
Your leg will be heavily bandaged. This bandage is applied to limit bruising and swelling of the leg. This bandage will remain in place for 48 hours. You may also have a dressing in your groin area. It is important that you do not get these bandages/dressings wet.
Some discomfort and bruising of the legs can be expected after the surgery, but simple pain relievers generally help treat this. Most people are able to return to work within a few days.
One day following the procedure you can expect to take walks indoors around the house slowly increasing the length of the walks.
Do not walk long distances on the first day. Elevate your leg while resting. Increase the length you walk each day, to a level you are comfortable with.
Sclerotherapy is a procedure used to treat varicose veins and spider veins.
How it Works
This involves the injection of sclerosant into the affected vein which has the effect of sealing the vein and overtime the body absorbs the vein.
The procedure takes about 20-30 minutes.
After the Procedure
Mild discomfort may occur, and a cramping sensation may be felt for 1 to 2 minutes when larger veins are injected.
The number of veins injected in one session is variable, depending on the size and location of the veins. Anywhere from one to several sclerotherapy sessions may be needed for any vein region.
Following the procedure, you are required to wear a venous compression stocking for 2 weeks. A bandage will be applied over the stocking and will remain for one week.
Most patients with small or moderate size varicose veins are suitable. Foam sclerotherapy is suitable in patients who have undergone previous surgery to the veins of the same leg
- VENEFIT™ Closure Procedure
The VENEFIT™ Closure Procedure, is one of the new endovenous catheter based techniques and is an alternative treatment option to traditional vein stripping surgery. This procedure uses ‘thermal energy’ to shrink the vein wall of the affected vein and to seal it closed. Once the vein is closed the blood supply naturally re-routes through other healthy veins.
How it Works
Using an ultrasound for guidance, your doctor places a catheter into the diseased vein through a small incision in the skin. The catheter is powered by radio-frequency energy which delivers heat into the vein wall. The heat shrinks and collapses the vein. The catheter is withdrawn, closing the vein. The catheter based techniques will often be combined with phlebectomies.
Once completed, a bandage and if necessary, compression, is placed over the incision site.
You will be encouraged to walk but to refrain from standing and strenuous activities for the recommended time. Typically patients resume normal activities within a day.
Patients report little or no pain associated with the procedure.
- Suitable Candidates
The Vascular Surgeon will initially carry out an ultrasound scan on your leg to determine if you are a suitable candidate.
Not everyone is suitable for this procedure. Large, winding veins that are not suitable and recurrent varicose veins after previous surgery are often unsuitable.