Case Studies

Case Of The Week

69 yrs old male patient Mr. L L , presented with pain & swelling since many years which gradually developed into a non healing ulcer since 1 yr in Right leg. Venous Doppler Study revealed S-F junction incompetence , refluxing GSV, SSV & Superficial varicosities, which was treated using endovenous laser & Sclerotherapy procedure followed by a regular dressing of wound. The ulcer healed well & the varicosities disappeared within a month.

Case Study

27 yrs old male patient Mr. V O , who is working as an engineer which involves 8-9 hours of continuous sitting work, presented with pain in left leg, Large Superficial varicosities in medial leg. Venous Doppler Study revealed S-F junction incompetence , refluxing GSV & Superficial varicosities. The GSV was ablated using endovenous laser procedure. Large varicosities in posterior calf was treated with foam sclerotherapy. With this treatment , the varicosities disappeared within a month with relief of symptoms.

Case Study

53 yrs old housewife, Mrs R. J, presented with pain and swelling in Left leg since 10 yrs. Also she has Burning, night cramps, large varicosities in medial leg. Venous Doppler study demonstrated S-F junction incompetence, refluxing GSV & Superficial varicosities. The GSV was ablated using endovenous laser procedure. Large varicosities in posterior calf was removed with microphlebectomy procedure. With this treatment, the varicosities disappeared within a month with relief of symptoms.

Case Study

26 yrs old male patient Mr F. B, working as an engineer which involves a lot of exertion, presented with pain, swelling in Right leg & large varicosities in medial leg. Venous Doppler study revealed S-F junction incompetence , refluxing GSV & Superficial varicosities. The GSV was ablated using endovenous laser procedure. Large varicosities in posterior calf was removed with microphlebectomy procedure. With this treatment , the varicosities disappeared within 2 months with relief of symptoms.

Case Study

46 yrs old female patient Mr R V , who has a business which involves prolonged standing of 2-3 hours , presented with pain , swelling in Right leg & pigmentation of skin around ankle since 1-2 yrs. Venous Doppler study revealed S-F junction incompetence , refluxing GSV , SSV, Superficial varicosities & Incompetent perforators . The GSV was ablated using RFA procedure and incompetent perforators was closed using Laser procedure. The varicosities disappeared within a month.

Case Study

37 yrs old female patient Mrs N B presented with pain in Right leg & Large varices in medial thigh since 1 year, aggravated since 6 months. Venous Doppler study revealed dilated SSV , incompetent perforators & Superficial varicosities which was closed using combination of Laser & foam sclerotherapy. She had an excellent result within a month with complete relief of symptoms.

Case Study

36 yrs old male patient Mr. K N presented with pain in left leg & large varicosities in upper medial leg since 3-4 yrs. Venous Doppler study revealed refluxing GSV , incompetent perforators & Superficial varicosities which was treated with endovenous Laser procedure. The varicosities disappeared with no residual scar left within a month.

Case Study

58 yrs old male Mr. K S had severe varicose veins since many years and had gradually developed into a large non healing ulcer around forefoot since 2 years. Venous Doppler study revealed S-F junction incompetence , refluxing GSV & Incompetent perforators. The GSV & incompetent perforator was ablated using endovenous laser procedure followed by 4 layer dressing for ulcer. The ulcer healed well over a period of next 4 weeks.

Case Study

48 yrs old Housewife Mrs. G M, presented with pain in right leg & pigmentation of skin around ankle since 3-4 years. Venous Doppler study revealed S-F junction incompetence , refluxing GSV & Superficial varicosities. The GSV was ablated using a combination of endovenous laser procedure & Sclerotherapy. Large varicosities in posterior calf was removed with microphlebectomy procedure. Following this treatment, the varicosities disappeared within a month.

Case Study

29 yrs old male, Mr. A P was suffering from severe varicose veins since 5 yrs. He presented with pain in left leg & pigmentation of skin around left medial malleolus. Venous Doppler Study revealed S-F junction incompetence, refluxing GSV & Superficial varicosities. The GSV was ablated using endovenous laser procedure. Large varicosities in posterior calf was removed with microphlebectomy procedure. With this treatment, the varicosities disappeared within a month with relief of symptoms.

Case Study

A senior bank executive, with long standing varicosity in the right leg. Symptoms of pain in the leg, on standing or prolonged sitting, and swelling of the feet, especially in the evenings. Laser was used to close the incompetent great saphenous vein, and Sclerotherapy to close the distal segment of this vein. The collapse of the distended vein is well appreciated immediately after the procedure.

Case Study

This 40 year old dock worker, with a job involving standing continuously, developed severe varicosities on the back of the left leg. One month following his laser treatment, we can appreciate the improvement, with marked decrease in the size of his varicose veins.

Case Study

This 65 year old housewife had severe varicosities since last 40 years. Since 8 years she had severe pain in both thighs and legs on standing. The pictures below show the large varicosities in the right leg and thigh immediately before and after treatment. The last picture shows the result 6 weeks after treatment, with no visible varicosities.

Case Study

This 21 year old college student developed large varicose veins in the right leg, causing pain and discomfort on standing and walking. There was associated incompetence of the great saphenous vein. Laser treatment was performed, with immediate collapse of the varicose veins. The pain relief was immediate.

Case Study

This 70 year old had severe night cramps in the left leg due to his varicose veins. Following treatment, the cramps were relieved within 2 weeks.

Case Study

This 45 year old cook has a standing job. As a complication of long standing varicose veins, he developed a large varicose venous ulcer, which did not heal for over two years in spite of regular dressing. He underwent laser closure of his incompetent vein, along with closure of incompetent perforator veins. Over the next two months, there was complete healing of his varicose ulcer.

Case Study

This courier boy, who had to cycle everyday for several kilometers during his work, had severe varicosities in both his legs. He could not afford to get surgery done since this would mean he would have to stop work for at least one month. He underwent laser treatment, and resumed his cycling within 48 hours.

Varicose Veins of Great Saphenous Vein Case Studies of Laser Treatment

Venous Ulcers - Case Studies

Varicose Veins of Short Saphenous Vein - Case Studies

Lateral Vein of Thigh- Case Studies

Reticular and Spider Veins

Reticular and Spider Veins can also be effectively treated if they are symptomatic, giving rise to burning or pain, or if they are cosmetically disturbing. The feeder veins are closed with endovenous laser, and the superficial veins are closed with micro foam sclerotherapy. This involves injection of these veins with a chemical solution ( usually Polidocanol) through tiny gauge needles after making a foam out of it. Most patients need one or two sessions at a gap of about 6 weeks.

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