Before suggesting ways to treat your vein problems, Mr H S Khaira will carry out a thorough assessment. This will involve taking a history of your vein problems, an examination and an ultrasound scan of the veins in the legs. He will go through all of the options that are available to you and discuss the advantages and disadvantages of each therapy.
You can be assured Mr Khaira has a commitment to excellence when it comes to the level of care he provides
Standard surgery to treat varicose veins has been used the longest and is still applicable today. It usually involves a small cut in the groin or back of knee, stripping of the vein causing the varicosities and pulling out the visible varicose veins. The leg is then compressed with bandages or stockings for 2 weeks. This procedure is carried out under a general anaesthetic (you will be asleep).
With advancements in technology, parts of surgery have been replaced with minimally invasive procedures. Instead of tying the vein in the groin or back of the knee and stripping it, the vein that causes the varicosities is heated using special probes (using high frequency electricity or laser). The visible varicosities are still pulled out through tiny cuts in the skin. The leg is then compressed with bandages or stockings for 2 weeks.
This procedure can be carried out under local anaesthetic (you are awake) or a general anaesthetic.
Sometimes reticular veins or small varicose veins with no obvious cause can be removed by pulling them out. This is usually carried out under local anaesthetic. This avoids the potential risk of brown pigmentation from injection sclerotherapy. A bandage is often applied for 48 hours.
Using the ultrasound machine a needle is inserted into the deeper vein that causes the visible varicosities. The liquid sclerosant (chemical that damages the vein causing it to shrivel up) is mixed with a little air to make it more effective. This foam is injected through the needle into the deeper vein and into the varicosities once the leg has been elevated to empty the veins of blood. Compression is applied for 2 weeks.
The aim is for the chemical to cause inflammation in the veins and for your body to make these veins scar up and shrivel away.
This procedure is carried out in out-patients and does not need an anaesthetic.
This is the treatment for thread veins. Very small needles are used with magnification to inject the thread veins with sclerosant. Compression is applied for 5 days to minimise the risk of brown pigmentation. This is an out-patient procedure.
Thread veins on the face are particularly suitable for this treatment. The machine delivers a high frequency electric current through a very fine needle (under magnification) to directly heat the small vein and get rid of it. No anaesthetic is needed for this procedure.
Thread veins on the legs and face can be treated using light energy in the form of laser or IPL (intense pulsed light). The idea is to use light of a certain wavelength that delivers its energy to heat the blood within in the vein and then destroy the vein. No anaesthetic is needed for this procedure.
Sun exposure has to be avoided for a few weeks before and after this treatment.