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Which varicose veins procedures do not require an incision?

This question was asked in Irvine, California and has 8 answer(s) as of 01/28/2013.
I have large black varicose veins in my legs. I need to get them taken care of. But I do not want to have to do an operation that uses needles and an incision. Which procedures do not use an incision?

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Doctors Answers (8)

There are several procedures to treat varicose veins that do not require incisions. After an ultrasound evaluation if reflux is found in the saphenous vein/s [which often is the underlying cause of varicose veins], endovenous laser ablation or RF ablation can be done. these treatments only require needle punctures. if the vein problems[ venous insufficiency] are confined to the varicose veins in the skin they can be treated with sclerotherapy which only also does not require incisions.

There are several ways to treat large varicose veins. First, we define varicose veins as protruding veins that have a diameter of 3mm (3/8th inch) or larger. Smaller diameter veins (1-3mm), especially ones that do not bulge, are called reticular veins. Spider veins are tiny, being less than 1 mm in diameter. Large varicose veins usually signifies the presence of venous reflux (also called venous insufficiency) in the deeper saphenous veins. The saphenous veins are treated with a catheter procedure called an ablation or a closure. This requires no incisions, but it does require some small needle sticks to get the area numb. Once the underlying venous insufficiency is corrected, the varicose vein can be handle 3 different ways. Occasionally, it will shrink down on its own, and nothing further needs to be done. If it remains bulging, it can be injected with a strong sclerotherapy medicine to cause it to close down. The body can then shrink and absorb the vein. This can take months, sometimes years, and it is not always effective. It does not require incisions, but it does require some small needle sticks. Finally, a micro ambulatory phlebectomy can be performed. This is the method I recommend, because it actually removes the vein, so its effect is immediate, an there is no residual vein left to potentially clot off. The good news is that "vein stripping" is no longer used in modern vein treatment. The procedures discussed above are done in an office setting, under local anesthesia, with no or minimal post procedure discomfort. The only thing you feel are some small pricks to numb the skin.

You should see a naturopath. A naturopath will institute the therapy you are requesting. When you learn that it isn't effective, revisit if you are serious about having your veins treated.

It's called sclerotherapy; a tiny needle is used to inject a small amount of medication to close the veins.

The only procedure I can think of without needles or an incision is laser.

Sclerotherapy and Foam Sclerotherapy uses only needles to shut down varicose veins. For big bulging veins I like to do a foam phlebectomy which is not necessarily an incision, but it's a tiny needle hole that that leaves minimal or no scarring at all. The results are immediate and patients are very pleased.

Endovenous laser ablation of the greater saphenous vein does not require an incision. Sclerotherapy does not require an incision. Ambulatory phlebectomy requires small 1 to 2 mm incisions that allow for removal of residual cluster of varicose veins that may remain after endovenous laser ablation of the greater saphenous veins. These incisions are very small and do not need stitches and heal very nicely, barely noticeable.

Only sclerothapy does not require an incision. Although, any of the other procedures that do require an incision, they are very tiny, no stitches.

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