I am significantly overweight and have very painful varicose veins in my legs. Is it better for me to have surgery or endovenous laser treatments?
EVLT or ELVeS/radiofrequency ablation are preferable in most individuals and even more so for overweight individuals. There are several reasons for this preference. First, general anesthesia is not used for EVLT or ELVeS ablation and overweight patients are at higher risk for complication for general anesthesia. Another reason is that ligation and stripping procedures require incisions. In overweight individuals carry there is an added risk of poor healing and infection with incisions form stripping procedures. This would be especially applicable to a groin incision that usually requires to treat the greater saphenous vein.
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March 6th, 2010 at 11:29 pm
I would recommend that patients are also informed about the merits of the Vnus Closure procedure, which achieves the same goal as EVLT in a gentler manner. According to recent study published in the prestigious monthly publication of the Society of Interventional Radiology, the Vnus system for radiofrequency (RF) is statistically ’significantly superior’ to endovenous laser (EVLT) in providing fast and comfortable recovery, and for treating venous reflux, the underlying cause of varicose veins.
March 6th, 2010 at 11:36 pm
I would recommend that patients are also informed about the merits of the Vnus Closure procedure, which achieves the same goal as EVLT in a gentler manner. According to recent study published in the prestigious monthly publication of the Society of Interventional Radiology, the Vnus system for radiofrequency (RF) is statistically significantly superior to endovenous laser (EVLT) in providing fast and comfortable recovery, and for treating venous reflux, the underlying cause of varicose veins.
March 17th, 2010 at 7:25 pm
it is true there is a study that shows that VNUS closure with RF was associated with less discomfort post op .However the RF closure was not as successful at maintaining closure. Having to do the procedure twice is not worth a slight increase in discomfort for a week or two.
March 22nd, 2010 at 2:17 am
thanks
July 16th, 2010 at 4:42 pm
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