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Cosmetic, Vascular & General Surgery Specialist

Texas Vein Doc Services

Endovenous Laser Ablation
Phlebectomy
Sclero
Vascular Ultrasound
 

   

Endovenous Laser Ablation


If you’re wondering how to treat varicose and spider veins, please read on for more information. We want you to make the most informed decision possible.

Endovenous laser ablation, also known as EVLA, EVLT, is a minimally invasive procedure for the treatment of varicose veins. EVLA is approved by the FDA for the treatment of varicose veins.  Studies show a 95% success rate for the procedure with a two-year recurrence rate of only 7%. However, our patients enjoy an even greater success rate exceeding 98% with less than 3% recurrence rate.   EVLA is considered minimally invasive compared to the traditional surgical approach where the varicose veins are removed surgically.  Surgical stripping is more complicated, requires general anesthesia, leaves scars and has a much longer recovery period.

EVLA is done with local anesthesia, leaves virtually no scar, and has a short recovery period of only a few days. During this procedure, Dr. Morris inserts a laser fiber directly through a small skin puncture, under ultrasound guidance, into the varicose vein.  The entire vein is then numbed using local anesthesia. The inside lining of the vein is heated by the laser fiber.  This damage to the vein causes it to collapse and eventually disappear.  In 30-60 minutes, this procedure can successfully treat large varicose veins in the legs. Most patients manage the minimal post-operative discomfort with over the counter medication like ibuprofen.

There may be mild soreness and bruising. A follow-up appointment and ultrasound are scheduled within a week but patients are encouraged to resume normal activities including work, following the procedure.
 

Ambulatory Phlebectomy

Phlebectomy is a procedure for removing varicose veins in legs   Dr. Morris performs this procedure in his office with the use of local anesthesia. The procedure is performed by interrupting the bulging painful veins through a small micro-puncture. No stitches are needed. As a result there is minimal long term scarring. The leg is wrapped using a compression bandage and the leg is elevated most of the day of surgery. Following this procedure, patients wear a compression bandage or stocking.  Dr. Morris informs patient how long to wear the compression bandages or stockings.  Dr. Morris recommends light exercise such as walking or biking beginning 1-2 days following surgery. This reduces the risk of forming blood clots following the procedure by increasing pressure and blood flow in the veins.

 

Sclerotherapy

Sclerotherapy is a treatment used for small reticular veins and spider veins.   The treatment is performed with an injection of an FDA approved solution causing scar tissue to form on the vein walls. This scarring causes the vein to harden and close. Closure ends blood flow through the vein and results in re-routing blood flow through other veins. The veins gradually shrink and recede from sight. Usually, several treatment sessions are needed depending on the size and extent of the diseased veins.   The entire procedure normally takes about 30-45 minutes.  Recovery time for this procedure is 1-2 days during which time it is recommended to wear a compression garment.  Most patients will receive noticeable results after one treatment, but 2-3 treatment sessions may be needed to get the maximum benefit.  Minor itching, burning and redness are possible common side effects. 

 

Venous Ultrasound

Ultrasonography is a noninvasive diagnostic tool that uses sound waves to capture images of soft tissue structures and blockages in blood vessels. High-frequency sound waves, undetectable by the human ear, are used in this medical application of underwater sonar technology.  The sound waves are transmitted and reflected off blood cells flowing through the bloodstream.  These reflections create visual images, which Dr. Morris can use for diagnostic purposes. An Ultrasonography procedure is safe, as it does not require needles, dyes, radiation or any anesthesia since it is non-invasive. Our clinic uses only Registered Vascular Technologists to perform these vein mappings.  Venous ultrasound is used to determine if veins are blocked by clots and to detect incompetent valves allowing refluxing of blood.  Testing takes approximately 30-60 minutes. No preparations are required for the test.

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