Varicose Veins affect a large proportion of the population. These are visible dilated tortuous veins on the leg that are usually unsightly at best but are also associated with significant heavy or dragging pain and swelling at the end of the day. Left untreated, the high pressure in the veins can lead to changes in the skin of eczema, discolouration and ultimately ulceration. There are a number of treatments available from vascular services for varicose veins, including laser and injection sclerotherapy, keyhole approaches that avoid an operation. Expert assessment is vital to tailor the correct therapy to the individual. Where necessary, conventional surgery is also offered when appropriate.
- Varicose vein surgery
- Endovenous laser ablation
- Endogenous thermal ablation
- Clarivein techniques
- Ultrasound guided foam sclerotherapy
- Coiling of ovarian veins and internal iliac veins for pelvic varicose veins
DVT (Deep Vein Thrombosis)
Deep vein thrombosis can be difficult to recognize and is probably under diagnosed. It often presents with acute leg or arm swelling and can occur spontaneously, after travel or associated with other medical conditions including malignancy. It requires expert management and can now be easily diagnosed with a non-invasive out patient duplex scan. Where necessary, patients with extensive thrombosis can benefit from acute inpatient treatment with clot busting infusions to reduce the risk of long-term complications. DVTs in the leg sometime need stenting to avoid recurrence and patients with thrombosis of the upper limb occasionally need a rib taken out as this is the cause, pinching the vein.
- Venous stenting
- Cervical or first rib resection
Leg ulcers – an increasingly common and troublesome problem in the elderly. All such patients require a comprehensive vascular assessment to confirm the aetiology and best treatment options. Therapies include topical dressings, expert bandaging and compression regimes through to operative treatment to debride and skin graft.
- Surgical debridement
- Biopsy and analysis
- Skin grafting
- Comprehensive treatments for arterial and venous disease to avoid recurrence
Thread veins – can be associated with varicose veins and vascular services will give you a full check up. Thread veins without varicose veins are a cosmetic nuisance but can be easily treated in an outpatient setting with micro-sclerotherapy or with the use of a skin laser once properly diagnosed.
- Skin Laser Therapy
- Microsclerotherapy Injections