What are Truncal Varicose Veins? The term “Varicose Veins “ is loosely applied to the whole spectrum of diseases we see in our clinics. When we say “you have Varicose Veins”, what we most often mean is that you have “Truncal Varicose Veins” that are associated with poorly functioning valves and dilation of one of the main veins of the superficial system of veins. The inefficient vein subsequently causes dilation in the large branches of these trunks and these bulges are what we see. These can be quite painful but seldom cause serious complications. If they do become troublesome, the problems can include clotting, swelling, ulceration and skin changes. Insurance usually covers treatment of symptomatic truncal varicose veins. |  | |
Adequate treatment must do two things, reduce the pressure caused by poorly functioning valves, and eliminate the bulging and unsightly veins. Treatments for truncal varicose veins LIGATION Some problems, such as large varicose veins, may call for ligation, a procedure in which the connections between the damaged veins and the normal vein systems are interrupted. Ligation is usually done under local anesthesia in an outpatient setting, often in combination with other procedures. Your initial consultation will give you and your physician an opportunity to discuss which treatment program may be best for you. MINIPHLEBECTOMY Miniphlebectomy is a procedure that can be used on small and large veins In this procedure, tiny pinpoint holes are made with a small needle. Using specialized instruments, segments of the vein can be removed through these openings. The tiny openings heal with nearly invisible scars that are quite cosmetically acceptable. You won’t even have to wear stockings for an extended period of time with this procedure, which is done under local anesthetic with minimal down time. LASE * Since 2001, we have used lasers for ablating large veins. This procedure (LASE uses laser energy to obliterate the interior portion of the vein. This usually can be completed in the clinic, with local anesthesia and minimal discomfort and downtime. Most patients can drive themselves home. Support stockings are usually not needed. Veintec clinics have preformed more than 2,500 LASE procedures. |