
What are my options for treatment of varicose
veins?
Phlebectomy, which is the removal of
short segments of the varicosed vein through very small incisions
that usually do not need stitches. Compression bandages are applied
for a few days and the patient is back to usual activities very quickly.
Sclerotherapy is an office procedure useful for
treatment of spider veins (telangiectasia). A small needle is inserted
under the skin and a solution of a sclerosing agent or chemical
is injected into the vein to permanently close it. Multiple injections
are usually needed to completely close a cluster of these varicosities.
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Newer techniques known as the Endoluminal ablation
procedures have recently been developed to close varicose veins
with the use of a either a radiofrequency catheter or Laser inserted
into the vein. The heat produced by the radiofrequency energy causes
the vein to collapse and seal shut. This is an office procedure,
with expected return to normal activities in 1-4 days.
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