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Welcome to Foothill Surgical Associates & Varicose Vein Care

Having a procedure or surgery, whether for the first time or more, can always a stressful situation. Here at our practice, we believe that making you a well-informed patient will help you understand all of your options and guide you on the path towards clarity and comfort. When you become a part of our practice,
you become a part of our family.

What Procedure is Performed to Close the Non-Functioning Veins?

There is a very specific treatment protocol created and followed for every patient. The ultrasound performed in our office will create a clear picture regarding which veins of your superficial system are not working well. The veins that are usually part of the superficial system are the following:

  • Great Saphenous Vein (This vein runs from the groin to the inner ankle.)
  • Short Saphenous Vein (This vein runs from the back of your knee down to the ankle)
  • Any Accessory Veins
  • Perforator Veins

All of these above veins can be treated with Endovenous Laser Ablation (EVLT). EVLT is the latest advancement in the treatment of superficial venous reflux disease that causes the rest of the varicose veins.

Femoral Saphenous Leg Vein Diagram

EVLT: What Should You Know?

This treatment involves the following steps:

You are brought into the room and comfortably positioned on the table. You will NOT have any whole-body anesthesia. This eliminates any complications from general anesthesia. You are awake during the procedure and you can choose to listen to whatever music you prefer. Your leg to be treated is cleaned and then draped. Your entire leg is scanned with the ultrasound again to find the perfect access point to your vein. A small IV catheter is placed into your vein under ultrasound guidance. Through this catheter, a laser fiber thinner than a piece of spaghetti is inserted and advanced through the course of the vein to the top. The goal of this is to close the entire vein that is diseased. Then under ultrasound guidance, liquid containing local anesthesia is placed all around the length of the vein. This is called Tumescent Anesthesia. This step prevents you from feeling any pain from the heat of the laser fiber. Another benefit of only having local anesthesia is that if you feel any pain at all, we can always place more tumescent anesthesia and stop the pain immediately. The laser fiber is then pulled back at a speed appropriate for the vein. While being pulled back the fiber fires heat which closes the vein. The procedure is completed. We will then wrap your leg with a cotton wrap and we provide you with a custom fit stocking. You are usually able to drive home yourself. You will remove the stocking and the dressing underneath, 24 hours after your procedure. You may then shower and resume your regular activities. You will wear the stocking only for ONE week on the treated leg. You can remove this stocking while you shower. The vein that is treated by the laser is not removed. It will be absorbed by your body over time.

What Procedures are Performed for the Medium-Sized Veins?

The medium sized veins are called Varicose Veins if they are greater than 3 mm or Reticular Veins if they are between 1 mm to 3 mm. The varicose veins that are very large and cause bumps at the skin level almost always need to have micro-phlebectomy done. The veins smaller than 3 mm that are not easily visible at the skin level will have ultrasound guided sclerotherapy. Veins smaller than 3 mm that are visible at the skin level will have regular sclerotherapy done.

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MORE FAQ's

Micro-phlebectomy is done for surface veins that are easy to feel and often times bulge out of the skin. We use an ultrasound to mark the entire pathway of these veins. Then your leg is cleaned. Local anesthesia is injected around the vein. Small needle sized openings are made next to the veins. Through these a very small part of the vein is removed. This “breaks the bridge” and the entire vein shuts down. There is no need for stitches. We place gauze bandages and a custom fit stocking on the leg that has been treated. You will usually be able to drive home.
 
You may remove the stocking and the gauze bandages 48 hours after your procedure. You may then shower. Normal activities can be resumed on the second day and exercise can be resumed on the third day. You will wear the stocking for ONE week on the treated leg. You may remove the stocking when you shower.

The most common side effect is temporary numbness over the course of the vein that has been treated with the laser. This will resolve over time. Another common finding is a sensation of “pulling” along the course of the vein that has been treated. This is due to the vein shrinking and will also improve over time, typically 2 weeks to a month. Less than 3% of the patients may experience a burning sensation or sensitivity at the area of the vein that has been treated. Over the counter Motrin or Advil will help ease you through recovery and this sensation will heal within a couple weeks. Less than 1% of the patients may have prolonged symptoms during recovery, you can always reach us If you have any further questions or concerns.

The most common side effect is temporary numbness over the course of the vein that has been treated with the laser. This will resolve over time. Another common finding is a sensation of “pulling” along the course of the vein that has been treated. This is due to the vein shrinking and will also improve over time, typically 2 weeks to a month. Less than 3% of the patients may experience a burning sensation or sensitivity at the area of the vein that has been treated. Over the counter Motrin or Advil will help ease you through recovery and this sensation will heal within a couple weeks. If you have any questions, always discuss them with your doctor. Please also refer to our FAQs for further questions.