Endovenous Mechan0-chemical Ablation
Instead of heat as used in endovenous thermal ablation, in endovenous mechano-chemical ablation the damage to the inside of the vein is caused not by heat but rather a rapidly vibrating tiny wire. This technique also injects a small amount of liquid sclerosant during the wire vibration and catheter pullback. Whereas thermal ablation methods require local anesthesia, this can be performed without any anesthesia. We typically reserve this for the occasional patient for whom the use of local anesthesia is not possible.
Microphlebectomy is a minimally-invasive procedure to remove segments of large varicose veins near the skin. This is done through tiny puncture incisions allowing for minimal or no scaring after healing. Microphlebectomy leads to faster recovery of the tissues than with the older techniques of removing such varicose segments.
After numbing the skin the tiny incisions are made. A tiny stainless steel hook is placed through the incision and the vein is pulled through the incisions strategically placed along the varicose to be removed with the hook. A surgical dressing is applied over the incisions followed by a compression wrap.
Ovarian Vein and Testicular Vein Ablation
Some women with pelvic pain have Pelvic Congestion Syndrome. Pelvic Congestion Syndrome may be due to varicosities of the ovarian veins inside the pelvis. There are special techniques to treat these. When we make this diagnosis we send patients to centers that perform these procedures. Similarly labial varicosities in women and scrotal varicocele (varicose veins) in men may be treated with ablation techniques.