EndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "EndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins"

Transcription

1 EndoVenous Laser Therapy (EVLT) Information Booklet Dr. Dueck Varicose Veins Varicose veins are abnormally large veins that protrude from under the skin in the legs. They can be associated with a brown discolouration (staining) or small purple or dark blue veins (reticular or spider veins). In addition to these visual changes, varicose veins can cause symptoms of discomfort, aching, mild swelling, burning, itching or fatigue. Venous Valves and reflux All veins in the legs have thin valves that help direct blood flow toward the heart. These valves prevent blood from rushing backwards toward the ankles, especially when standing up. Varicose veins are branches of one of two main superficial veins called the greater (long) or lesser (short) saphenous vein. Varicose veins usually result because of a failure of the valves in the greater saphenous vein which runs down the inside of the leg, right from the top of the leg down to the ankle. Even though symptoms and visible changes are most often seen below the knee, the portion of vein that is usually responsible is in the upper part of the leg, from the top of the leg to the knee. These superficial veins are extra veins, and can be removed or ablated without harm to your health or circulation. Occasionally deep veins can be responsible for some or all of the symptoms you may be having. Deep veins are close to the bone and can only be seen by ultrasound, although they can contribute to varicose veins you can see by individual connecting veins called perforating veins. Deep veins are very important veins that cannot be removed; they are critical to normal circulation in your legs. Dr. Dueck will assess both your superficial and deep veins to help determine the best treatment for you, and what to expect from treatment in terms of symptom relief. Laser Treatment (EVLT) EndoVenous Laser Therapy (EVLT) is a minimally invasive way to ablate a saphenous vein with valves that are not working, which is the cause of varicose veins. Local anesthetic is used to freeze the skin and the area around the veins between the knee and the top of the leg. The laser is then used to fuse the vein shut. The procedure takes approximately 45 minutes. Bruising along the course of the vein is expected, but the amount of bruising and also the degree of discomfort is far less than after surgical stripping. Other advantages of EVLT is that a general anaesthetic is not required, return to regular activities is much faster, and rather than surgical scars there is only one 2 3mm mark in the skin where the needle enters. Following EVLT visible varicosities often disappear, depending on their size and location. Regardless of the appearance of varicosities, symptoms are very likely to improve significantly or resolve entirely following the procedure (if the deep veins are normal). Sometimes large varicosities, or those fed by perforating veins can be persistent after

2 laser treatment. In these cases Dr. Dueck will remove them under local anaesthetic a few months after your laser treatment. Finally, very small surface veins called spider veins do not typically resolve and usually require injection treatments after laser therapy. Any discolouration in the skin present before the procedure, especially if brown, is permanent and will not change as a result of EVLT or surgical therapy. In a minority of cases, after the procedure a small brownish bruise can form over resolving veins. These bruises are temporary but can take a long time to resolve (sometime more than a year). Costs of Laser Treatment (EVLT) EndoVenous Laser Therapy (EVLT) is not covered by OHIP or other provincial health insurance plans. The cost of the procedure is $3, per leg. A pair of compression stockings is also required. These are not covered by OHIP, however the vast majority of private insurance plans cover 23 pairs per year. For your convenience these can be purchased through the office at a cost of $ plus GST. You will be issued a separate receipt for these that you can remit to your insurance provider for reimbursement.

3 Preparing for your EVLT procedure: A few days before You must have your prescription filled for your compression stockings (30 40mmHg thigh high compression), or have ordered the stockings through Dr. Dueck s office. The night before You must have your prescription filled for your compression stockings (30 40mmHg thigh high compression), or have ordered the stockings through Dr. Dueck s office. Drink plenty of water the night before the procedure Relax! Morning of procedure You may have a light breakfast. We encourage you to drink fluids (water, juice, etc.), however avoid beverages containing caffeine (e.g. coffee, tea, cola, etc.). Wear comfortable, loose fitting clothing Bring your compression stockings (3040mmHg thigh high compression) with you to Dr. Dueck s office; you do not need to do this if you have ordered the compression stockings through Dr. Dueck s office. We advise you have someone with you who can drive you home after the procedure.

4 The EVLT Procedure When you arrive you will check in, then get changed into a gown. You may leave your shirt/sweater and underwear on. Dr. Dueck will visit you and review the details of your procedure and you will be given a chance to ask any additional questions. Dr. Dueck will go through the consent process with you. Dr. Dueck will then ultrasound your leg while you are standing and a (washable) marker will be used to mark the portion of the leg where the freezing and needle will go in. You will be asked to walk around for a few minutes, then lie down on the stretcher A washable, orange cleaning solution will be applied to your leg. After injecting some freezing, the laser fiber will be advanced into the vein. Dr. Dueck will freeze along the vein using multiple injections with a very thin needle. The laser will be turned on and the vein ablated. The fiber will be removed, the leg cleaned of the orange prep solution, and we will help you apply the stocking.

5 Following the EVLT Procedure For the first 48 hours after the procedure: Continue to wear the compression stocking on the treated leg. Do not remove the compression stocking at night or to shower. Removing the compression stocking early is not dangerous to your health, however if you do so the vein that was treated by laser could reopen and you would then require a second procedure. We encourage you to walk around regularly as this will promote blood flow in your deep veins and reduce the chance of a blood clot even further You can expect to have some bruising along the thigh, as well as mild swelling. Along the inside of the thigh you may feel a cord like thickening (which is the treated vein). All of these symptoms are temporary and will resolve over time. The bruising typically lasts for a few weeks, while the thickened vein may take several months before it is completely soft again. You may have mild discomfort in the first day or two. We recommend you take one tablet of Advil in the morning and another in the evening every day for 5 days following the procedure, even if you don t have pain. This helps prevent inflammation from developing. If you can t take Advil, speak to Dr. Dueck regarding alternatives. 48 hours after the procedure (i.e. Sunday if you had your procedure on Friday): You can remove your compression stocking, have a shower or bath, and then put your compression stocking back on. You should wear the compression stocking every day until 1 month following the procedure. You do not have to wear the stockings overnight. In the morning, put the stocking on as you are getting dressed, then remove it at night before you go to bed. 48h 1 month after the procedure Wear the compression stocking every day until 1 month following the procedure. You do not have to wear the stockings overnight. In the morning, put the stocking on as you are getting dressed, then remove it at night just before you go to bed. 1 month after the procedure At the time of your procedure, you will be given a followup appointment to see Dr. Dueck in the office. After 1 month you no longer need to wear your compression stockings (unless Dr. Dueck has specifically instructed you to do so). Dr. Dueck will examine your leg and determine if any further treatment is required

6 Exercise after the EVLT procedure: For the first 48 hours following the procedure: We encourage you to walk. It s best to walk around at least every few hours during the day while you are awake. You do NOT need to wake yourself up at night to walk. For 48h 2 weeks following the procedure: Light exercise such as long walks and gentle upper body exercises are encouraged. Always wear your compression stockings while exercising. For 2 4 weeks following the procedure: Moderate exercise such as jogging, yoga or gentle weights are safe. Always wear your compression stockings while exercising (even if you are only doing weight training). After 1 month: You can return to all normal exercise without limitations. You no longer need to wear the compression stocking while exercising unless Dr. Dueck specifically instructed you to do so. What should I do if I have concerns after the EVLT procedure? If you have a concern after the EVLT procedure you can contact our office by telephone ( ) or If you have a concern and feel you need to be assessed after hours or on the weekend, please go to the Sunnybrook Hospital Emergency Room and instruct the staff you are here to see Dr. Dueck.

7 EVLT Deposit Invoice Name Date of Deposit / / Date of Procedure Deposit amount: $ Paid by VISA/MC Cheque Deposit terms: If you cannot attend your procedure date, please let our office know as soon as possible. Because a time has been reserved specifically for you, late cancellations will result in a penalty as outlined below: Cancellation >7 days before procedure Cancellation within 7 days Cancellation within 48h Refund full deposit $ penalty ($ refunded) $ penalty ($ refunded) I understand and agree to the terms listed above, X Print Name: Date:

8 EVLT Procedure Invoice Name: Date: EVLT Procedure Fee (per leg) Less Deposit Total: $ ($ ) $ Paid: VISA/MC Cheque Cash

Endovenous Laser Therapy

Endovenous Laser Therapy Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about

More information

X-Plain Varicose Veins Reference Summary

X-Plain Varicose Veins Reference Summary X-Plain Varicose Veins Reference Summary Introduction Varicose veins are very common, in both women and men. Varicose veins can be painful and unattractive. Vein doctors use non-invasive ultrasound imaging

More information

VARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital

VARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital VARICOSE VEINS Information Leaflet Your Health. Our Priority. Page 2 of 7 Varicose Veins There are no accurate figures for the number of people with varicose veins. Some studies suggest that 3 in 100 people

More information

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM

Beaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Beaumont Hospital Varicose Veins and their TREATMENT Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Department of Surgery Beaumont Hospital and Royal College of Surgeons in Ireland

More information

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency

Spotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency Spotlight Series: Interventional Radiology Varicose Veins and Venous Insufficiency What is venous insufficiency? Spectrum of Disease Spider veins and telangiectasias Small reddish and purple veins near

More information

Varicose Veins Operation. Patient information Leaflet

Varicose Veins Operation. Patient information Leaflet Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the

More information

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins

THE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins THE VEIN CENTER State-of-the-Art Treatment for Varicose Veins and Spider Veins Vein Disorders Nearly 50 percent of the adult population suffers from undesirable, sometimes painful vein disease. The most

More information

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care

treatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care treatment of varicose and spider veins patient information a publication by advancing vein care Since most veins lie deep to the skin s surface, vein disorders are not always visible to the naked eye.

More information

Patient Information Understanding Varicose Veins

Patient Information Understanding Varicose Veins Patient Information Understanding Varicose Veins The Circulatory System Arteries carry oxygenated blood to your legs and the veins carry de-oxygenated blood away from your legs. The blood returns to the

More information

LASER TREATMENT FOR VARICOSE VEINS

LASER TREATMENT FOR VARICOSE VEINS LASER TREATMENT FOR VARICOSE VEINS How can varicose veins be treated by laser? Laser treatment of varicose veins, Endovascular Laser Ablation (known as EVLA), is a minimally invasive procedure for treating

More information

Recurrent Varicose Veins

Recurrent Varicose Veins Information for patients Recurrent Varicose Veins Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Varicose Veins that have recurred (come back). This leaflet explains

More information

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE

CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Introduction CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Original authors: Niren Angle, John J. Bergan, Joshua I. Greenberg, and J. Leonel Villavicencio Abstracted by Teresa L. Carman New technology has

More information

The Treatment of Varicose Veins and Spider Veins

The Treatment of Varicose Veins and Spider Veins The Treatment of Varicose Veins and Spider Veins St. Joseph Vein Center Surgical Specialists of St. Joseph, P.C. Glen H. Hastings, M.D., F.A.C.S. 820 Lester Ave., Suite 105 St. Joseph, MI 49085 (269) 983-3368

More information

V03 Varicose Veins Surgery

V03 Varicose Veins Surgery V03 Varicose Veins Surgery What are varicose veins? Varicose veins are enlarged and twisted veins in the leg. They are common and affect up to 3 in 10 people. More women than men ask for treatment, with

More information

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info

TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more

More information

SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS)

SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS) SCRIPT NUMBER 122 VARICOSE VEINS - 2 (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: VARICOSE VEINS - 2 PROGRAM NUMBER: 122 SUBJECT: SYMPTOMS, CAUSES, TREATMENT, PREVENTION OF VARICOSE VEINS

More information

Varicose veins - 1 -

Varicose veins - 1 - Varicose veins - 1 - Varicose Veins About 3 in 10 adults develop varicose veins at some time in their life. Most people with varicose veins do not have an underlying disease and they usually occur for

More information

Varicose Vein Information Pack

Varicose Vein Information Pack Varicose Vein Information Pack What are Varicose Veins? Varicose veins are veins under the skin of the legs which have become widened, bulging and tortuous. They are very common and do not cause medical

More information

Venefit treatment for varicose veins

Venefit treatment for varicose veins Oxford University Hospitals NHS Trust Venefit treatment for varicose veins Information for patients Your consultant has recommended that we treat your varicose veins with a procedure known as Venefit radio

More information

Varicose Vein Treatment (Endovenous Ablation of Varicose Veins)

Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Scan for mobile link. Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Varicose vein treatment, also known as endovenous ablation, uses radiofrequency or laser energy to cauterize and close

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 17 SURGICAL THERAPY FOR DEEP VALVE INCOMPETENCE Original author: Seshadri Raju Abstracted by Gary W. Lemmon Introduction Deep vein valvular incompetence happens when the valves in the veins (tubes

More information

SEDICO Newsletter Issue 8. Varicose veins

SEDICO Newsletter Issue 8. Varicose veins SEDICO Newsletter Issue 8 Definition: Varicose veins Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, although varicose veins occur elsewhere.

More information

What to Expect While Receiving Radiation Therapy for Prostate Cancer

What to Expect While Receiving Radiation Therapy for Prostate Cancer What to Expect While Receiving Radiation Therapy for Prostate Cancer Princess Margaret Information for patients who are having radiation therapy Read this pamphlet to learn about: The main steps in planning

More information

Treatment for Varicose Veins

Treatment for Varicose Veins Treatment for Varicose Veins Your blood vessels are made up of arteries and veins. Arteries bring blood rich in oxygen from the heart to all parts of your body. Veins carry blood back to the heart where

More information

Modern Varicose Vein Treatments: What Every Patient Should Know

Modern Varicose Vein Treatments: What Every Patient Should Know The Skin and Vein Center Oneonta Laser Derm & Day Spa Natural Good Looks and Leg Veins Our Specialty Dr Eric Dohner, MD 41-45 Dietz St Oneonta, NY 13820 607/431-2525 www.oneontalaserderm.com Modern Varicose

More information

VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne

VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne VARICOSE VEIN ADVICE SHEET PRIVATE DAY CASE Mr Paul O Byrne What are Varicose Veins Varicose veins are enlarged swollen veins. Most varicose veins are found in the legs. They are generally caused by a

More information

Venous Reflux Disease and Current Treatments VN20-87-A 01/06

Venous Reflux Disease and Current Treatments VN20-87-A 01/06 Venous Reflux Disease and Current Treatments Leg Vein Anatomy Your legs are made up of a network of veins and vessels that carry blood back to the heart The venous system is comprised of: Deep veins Veins

More information

Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD)

Treatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Understanding Varicose veins and Treatment by LASER Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Orange city Hospital & Research Institute 19, Pandey Lay out, Veer Sawarkar Square, Nagpur 440015

More information

Information for patients who require Foam Sclerotherapy for Varicose Veins

Information for patients who require Foam Sclerotherapy for Varicose Veins Information for patients who require Foam Sclerotherapy for Varicose Veins Why do I need treatment for varicose veins? Deep veins Everybody has 2 sets of veins in their legs. These are called the superficial

More information

Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins. Managing leg health during pregnancy

Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins. Managing leg health during pregnancy Baby Your Legs! Get relief for: Heavy, tired or aching legs Swollen ankles and feet Varicose or spider veins Managing leg health during pregnancy Common leg health problems during pregnancy Venous disorders

More information

Information for patients who require Foam Sclerotherapy for Varicose Veins.

Information for patients who require Foam Sclerotherapy for Varicose Veins. Information for patients who require Foam Sclerotherapy for Varicose Veins. Why do I need this procedure? Everybody has two sets of veins in the legs. These include the superficial and deep veins. Their

More information

Spider and Varicose Veins

Spider and Varicose Veins KRAMES. PATIENT EDUCATION Procedures for Spider and Varicose Veins How Vein Problems Develop Easing Symptoms with Self-Care Minimally Invasive and Surgical Treatment Options , J ;Yf 'i Understanding Problem

More information

Cardiac Catheter Lab Information for patients having a Coronary Angiogram

Cardiac Catheter Lab Information for patients having a Coronary Angiogram Cardiac Catheter Lab Information for patients having a Coronary Angiogram Page 1 of 5 What is a Coronary Angiogram? This is a test that uses dye and special x-rays to show the inside of your coronary arteries.

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins?

Tired, Aching Legs? Swollen Ankles? Varicose Veins? Tired, Aching Legs? Swollen Ankles? Varicose Veins? Healthy Legs 2006 http://healthylegs.com Page 1 Venous disorders are widespread Leg problems are widespread throughout the world, but what most people

More information

What are spider veins? What is the best treatment for spider veins?

What are spider veins? What is the best treatment for spider veins? Laser Spider/Leg Vein Q & A What are spider veins? Millions of women and men are bothered by unsightly spider veins on their faces and legs. Spider veins or telangiectasias are those small red, blue and

More information

CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE

CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE Endovenous Laser Ablation is a minimally invasive option for treating great saphenous vein incompetence (leaky valves). The first stage of your surgery

More information

Varicose veins and spider veins

Varicose veins and spider veins Varicose veins and spider veins Summary Varicose veins are knobbly, twisted and darkish-blue in appearance, and are most commonly found on people s legs. Varicose veins are caused by faulty valves within

More information

Varicose Veins and Spider Veins

Varicose Veins and Spider Veins page 1 Varicose Veins and Spider Veins Q: What are varicose veins and spider A: Varicose (VAR-i-kos) veins are enlarged veins that can be blue, red, or fleshcolored. They often look like cords and appear

More information

F REQUENTLY A SKED Q UESTIONS. and Spider Veins

F REQUENTLY A SKED Q UESTIONS. and Spider Veins page 1 Varicose Veins moves up the legs. If the one-way valves become weak, blood can leak back into the vein and collect there. This problem is called venous insufficiency. Pooled blood enlarges the vein

More information

Surgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart

Surgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Surgical Options for Venous Disease Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Chronic Venous Disease Approximately 23% of adults in the US have varicose veins Estimated 22 million women

More information

INFORMATION DOCUMENT. Minimal Invasive Therapy of Leg Veins. Types of Veins. What is the mechanism by which veins develop?

INFORMATION DOCUMENT. Minimal Invasive Therapy of Leg Veins. Types of Veins. What is the mechanism by which veins develop? INFORMATION DOCUMENT Minimal Invasive Therapy of Leg Veins (Injection Microsclerotherapy / Ultrasound Guided Sclerotherapy / Endovenous Laser Therapy-EVLA and Modified Ambulatory Phlebectomy). This document

More information

Understanding Varicose Veins

Understanding Varicose Veins Understanding Varicose Veins Professor Bruce Campbell Published by Family Doctor Publications Limited in association with the British Medical Association IMPORTANT NOTICE This book is intended not as a

More information

Provided by the American Venous Forum: veinforum.org

Provided by the American Venous Forum: veinforum.org CHAPTER 1 NORMAL VENOUS CIRCULATION Original author: Frank Padberg Abstracted by Teresa L.Carman Introduction The circulatory system is responsible for circulating (moving) blood throughout the body. The

More information

The following document includes information about:

The following document includes information about: Patient information WHAT TO EXPECT WHILE RECEIVING RADIATION THERAPY FOR PROSTATE CANCER Oncology Vitalité Zone : 1B 4 5 6 Facility : Dr. Léon-Richard Oncology Centre The following document includes information

More information

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients

Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Tired, Aching Legs? Swollen Ankles? Varicose Veins? An informative guide for patients Are You at Risk? Leg problems are widespread throughout the world, but what most people don t know is that approximately

More information

Varicose Vein Surgery

Varicose Vein Surgery Information for patients Varicose Vein Surgery Northern General Hospital You have been diagnosed as having varicose veins and your specialist has recommended varicose vein surgery. This leaflet explains

More information

What to Do When Receiving Radiation Therapy to the Pelvis

What to Do When Receiving Radiation Therapy to the Pelvis What to Do When Receiving Radiation Therapy to the Pelvis UHN For patients with gynecological cancer Learn the main steps in planning radiation treatment and how to manage side effects during radiation

More information

Patients First. Varicose Veins: Treatment Options. Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart.

Patients First. Varicose Veins: Treatment Options. Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart. Patient Education About your surgery Varicose Veins: Treatment Options Deep veins, enclosed by muscle, lie deep in the legs and carry the most blood to the heart. This handbook will help you understand

More information

Total knee replacement: The enhanced recovery programme

Total knee replacement: The enhanced recovery programme INFORMATION FOR PATIENTS Total knee replacement: The enhanced recovery programme Aim This leaflet aims to explain the enhanced recovery programme after total knee replacement surgery, and outline what

More information

Peripherally Inserted Central Catheter (PICC) for Outpatient

Peripherally Inserted Central Catheter (PICC) for Outpatient Peripherally Inserted Central Catheter (PICC) for Outpatient Introduction A Peripherally Inserted Central Catheter, or PICC line, is a thin, long, soft plastic tube inserted into a vein of the arm. It

More information

Graduated compression hosiery (stockings)

Graduated compression hosiery (stockings) What is compression hosiery? Compression hosiery are elasticated stockings which give support to your legs. In graduated compression hosiery, the pressure given by the stockings is greater at the ankle

More information

Femoral artery bypass graft (Including femoral crossover graft)

Femoral artery bypass graft (Including femoral crossover graft) Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to

More information

NORTHWESTERN VEIN CENTER

NORTHWESTERN VEIN CENTER NORTHWESTERN VEIN CENTER 312-695-VEIN (8346) Northwestern Vein Center Chicago Division 675 N. St. Clair Street, Suite 19-150 Chicago, Illinois 60611 Northwestern Vein Center Lake Forest Division 800 Westmoreland

More information

Varicose Veins & Pregnancy

Varicose Veins & Pregnancy A Guide to Varicose Veins & Pregnancy What are varicose veins? Varicose veins are bulging and unsightly blue veins that occur on the legs. They can occur at any age in both men and women, but are very

More information

Total Hip Replacement

Total Hip Replacement NOTES Total Hip Replacement QUESTIONS DATES PHONE NOS. Compiled by Mr John F Nolan FRCS for The British Hip Society 2009. A patient s information booklet 16 1 Introduction This booklet has been produced

More information

Tired legs, varicose veins

Tired legs, varicose veins Tired legs, varicose veins Everything you need to know What are varicose veins? Varicose veins are swollen, enlarged and twisted veins in the deep or superficial venous system of the legs, due to loss

More information

Low Back Surgery. Remember to bring this handout to the hospital with you.

Low Back Surgery. Remember to bring this handout to the hospital with you. Remember to bring this handout to the hospital with you. Table of contents Page Why do I need low back surgery?... 1 What kinds of low back surgeries are there?... 2 Before your surgery... 3 After your

More information

Medicare C/D Medical Coverage Policy

Medicare C/D Medical Coverage Policy Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: September 16, 2015 Next Review: September, 2017 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins

More information

Cardiac Catheterization

Cardiac Catheterization Page 1 Cardiac Catheterization What Other Terms Are Used To Describe Cardiac Catheterization? Heart Cath (catheter) Angiogram What Is Cardiac Catheterization? This procedure is nonsurgical and is performed

More information

Total hip replacement

Total hip replacement Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvic

More information

patient information Venous Disease & Varicose Veins valley medical INC

patient information Venous Disease & Varicose Veins valley medical INC patient information Venous Disease & Varicose Veins valley medical INC Table of Contents Chapter 1 Chronic Venous Insufficiency (CVI) What is CVI? 2 Conditions that may lead to or worsen CVI 2 Management

More information

Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information

Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information The Purpose of this Information Sheet This information sheet has been written by patients, members of the public and

More information

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral

Peninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral NHS Devon NHS Plymouth Torbay Care Trust Peninsula Commissioning Priorities Group Commissioning Policy Varicose Vein Referral Varicose Vein Referral Guidelines 1. Description of service/treatment Most

More information

You will be having surgery to remove a tumour(s) from your liver.

You will be having surgery to remove a tumour(s) from your liver. Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be

More information

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency

Suffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency Suffering from varicose veins? Patient Information ELVeS Radial Minimally invasive laser therapy of venous insufficiency Do you suffer from heavy legs or visible veins? This makes diseases of the veins

More information

Elective Laparoscopic Cholecystectomy

Elective Laparoscopic Cholecystectomy General Surgery Elective Laparoscopic Cholecystectomy This information aims to explain what will happen before, during and after your surgery to remove your gallbladder. It includes information about the

More information

Total knee replacement

Total knee replacement Patient Information to be retained by patient What is a total knee replacement? In a total knee replacement the cartilage surfaces of the thigh bone (femur) and leg bone (tibia) are replaced. The cartilage

More information

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy

OPERATION:... Proximal tibial osteotomy Distal femoral osteotomy AFFIX PATIENT DETAIL STICKER HERE Forename.. Surname NHS Organisation. Responsible surgeon. Job Title Hospital Number... D.O.B.././ No special requirements OPERATION:..... Proximal tibial osteotomy Distal

More information

A Patient s Guide to Arthritis of the Big Toe (Hallux Rigidus) With Discussion on Cheilectomy and Fusion

A Patient s Guide to Arthritis of the Big Toe (Hallux Rigidus) With Discussion on Cheilectomy and Fusion A Patient s Guide to Arthritis of the Big Toe (Hallux Rigidus) With Discussion on Cheilectomy and Fusion The foot and ankle unit at the Royal National Orthopaedic Hospital (RNOH) is a multi-disciplinary

More information

Treating varicose veins with foam injections using ultrasound guidance

Treating varicose veins with foam injections using ultrasound guidance Issue date February 2013 Information for the public NICE interventional procedures guidance advises the NHS on when and how new procedures can be used in clinical practice. Treating varicose veins with

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES SCLEROTHERAPY TREATMENT OF SUPERFICIAL VARICOSE VEINS OF THE LEGS The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance

More information

Information for patients receiving short-term hormone treatment and radiotherapy for prostate cancer

Information for patients receiving short-term hormone treatment and radiotherapy for prostate cancer Information for patients receiving short-term hormone treatment and radiotherapy for prostate cancer Northern Centre for Cancer Care (NCCC) Freeman Hospital Introduction This leaflet has been written to

More information

VARICOSE VEINS AND TREATMENTS INFORMATION FOR PATIENTS BOOKLET 2. ISRCTN51995477 EudraCT 2008-001069-26

VARICOSE VEINS AND TREATMENTS INFORMATION FOR PATIENTS BOOKLET 2. ISRCTN51995477 EudraCT 2008-001069-26 VARICOSE VEINS AND TREATMENTS INFORMATION FOR PATIENTS BOOKLET 2 ISRCTN51995477 EudraCT 2008-001069-26 Varicose veins & treatment (surgery/laser/foam) Version 5, October 2011 We are performing a research

More information

There are different types of lasers that according the wavelength of their beams have different indications; the most common ones used on skin are:

There are different types of lasers that according the wavelength of their beams have different indications; the most common ones used on skin are: What is Laser Surgery? Laser (Light Amplification by Stimulated Emission of Radiation) surgery uses a very hot, focused beam of light to remove or cauterise a skin lesion and control bleeding without affecting

More information

Information About Your Retinal Detachment Operation

Information About Your Retinal Detachment Operation Information for patients Information About Your Retinal Detachment Operation Please read this booklet carefully. It contains important information to help you plan for your forthcoming operation. Please

More information

Image-guided abdominal drain insertion Information for patients

Image-guided abdominal drain insertion Information for patients Oxford University Hospitals NHS Trust Image-guided abdominal drain insertion Information for patients What is an image-guided abdominal drain insertion? A drain is a thin plastic tube which is inserted

More information

Lumbar Spine Surgery What to Expect

Lumbar Spine Surgery What to Expect Lumbar Spine Surgery What to Expect You have been scheduled for lumbar spine surgery and are probably wondering what to expect with your surgical journey. We will discuss pre- operative tasks, the day

More information

Varicose Veins. An information guide

Varicose Veins. An information guide TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Varicose Veins An information guide Varicose Veins Introduction This leaflet tells you about varicose veins and the various treatment options

More information

What Patients are Saying

What Patients are Saying What Patients are Saying The day after my VenaCure procedure, I was active all day and felt fine. My outcome has been terrific! The bruising was gone, the veins were also gone and my legs looked wonderful.

More information

Preparing for your Surgery:

Preparing for your Surgery: Preparing for your Surgery: Information for Patients Undergoing a: UHN Minimally Invasive Radical Hysterectomy Possible removal of one or both ovaries and tubes Possible removal of pelvic lymph nodes Patient

More information

Presence and extent of fatty liver or other metabolic liver diseases

Presence and extent of fatty liver or other metabolic liver diseases UC San Diego Health System Patient Information Sheet: Liver Biopsy What is a Liver Biopsy? A liver biopsy is a procedure where a qualified doctor (typically a hepatologist, radiologist or gastroenterologist)

More information

MEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required.

MEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required. Page 1 of 5 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based upon the terms of your

More information

The injection contains a local anesthetic for pain control and a steroid to reduce inflammation.

The injection contains a local anesthetic for pain control and a steroid to reduce inflammation. Caudal Steroid Injection A Caudal Steroid Injection is done to provide pain relief. The injection provides pain relief by reducing swelling and irritation around nerve roots at the base of the spine or

More information

PATIENT HANDBOOK AND JOURNAL DAY OF SURGERY

PATIENT HANDBOOK AND JOURNAL DAY OF SURGERY PATIENT HANDBOOK AND JOURNAL DAY OF SURGERY PREPARING YOUR SKIN BEFORE SURGERY PRE-OP HIBICLENS BATHING INSTRUCTIONS: General Information: Because the skin is not sterile, it is important to make sure

More information

Atrioventricular (AV) node ablation

Atrioventricular (AV) node ablation Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

Laser Treatment for Diabetic Retinopathy

Laser Treatment for Diabetic Retinopathy Laser Treatment for Diabetic Retinopathy Your Questions Answered Patient Information Leaflet Diabetic Retinopathy and Laser An examination of your eyes has shown that your diabetes is affecting the back

More information

Yes when meets criteria below

Yes when meets criteria below Vein Disease Treatment MP9241 Covered Service: Prior Authorization Required: Additional Information: Medicare Policy: BadgerCare Plus Policy: Yes when meets criteria below Yes None Dean Health Plan covers

More information

Interstitial Breast Brachytherapy

Interstitial Breast Brachytherapy Patient Education Questions? Your questions are important. Call your doctor or health care provider if you have questions or concerns. UWMC clinic staff are also available to help at any time. During normal

More information

Modern Management of Varicose Veins

Modern Management of Varicose Veins Modern Management of Varicose Veins GPCME 2008 David Ferrar Vascular and Endovascular Surgeon Vascular Ultrasound Specialist Multimodality treatment Compression stockings Sclerotherapy Ultrasound guided

More information

ANTERIOR CERVICAL DECOMPRESSION AND FUSION

ANTERIOR CERVICAL DECOMPRESSION AND FUSION ANTERIOR CERVICAL DECOMPRESSION AND FUSION NOTE: PLEASE DO NOT TAKE ANY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs like Advil, Celebrex, Ibuprofen, Motrin, Vioxx, etc) OR ASPIRIN PRODUCTS FOR 2 WEEKS

More information

Lumbar or Thoracic Decompression and Fusion

Lumbar or Thoracic Decompression and Fusion Lumbar or Thoracic Decompression and Fusion DO NOT TAKE ANY ASPIRIN PRODUCTS OR NON-STEROIDAL ANTI- INFLAMMATORY DRUGS (ie NSAIDs, Advil, Celebrex, Ibuprofen, Motrin, Naprosyn, Aleve, etc) FOR 2 WEEKS

More information

Removal of Haemorrhoids (Haemorrhoidectomy) Information for patients

Removal of Haemorrhoids (Haemorrhoidectomy) Information for patients Removal of Haemorrhoids (Haemorrhoidectomy) Information for patients What are Haemorrhoids? Haemorrhoids (piles) are enlarged blood vessels around the anus (back passage). There are two types of haemorrhoids:

More information

GreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH)

GreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH) GreenLight Laser Therapy for Treating Benign Prostatic Hyperplasia (BPH) To learn about this procedure it helps to know these words: The prostate is the sexual gland that makes a fluid which helps sperm

More information

Surgery for Stress Incontinence

Surgery for Stress Incontinence Directorate of Women s Services Surgery for Stress Incontinence Tension Free Vaginal Tape Information for Patients Direct dial number Ward 40 0191 282 5640 Stress Incontinence Stress incontinence is a

More information

Laparoscopic Cholecystectomy

Laparoscopic Cholecystectomy Laparoscopic Cholecystectomy Removal of Gall Bladder Page 12 Patient Information Further Information We endeavour to provide an excellent service at all times, but should you have any concerns please,

More information

Hip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107

Hip Replacement. Department of Orthopaedic Surgery Tel: 01473 702107 Information for Patients Hip Replacement Department of Orthopaedic Surgery Tel: 01473 702107 DMI ref: 0134-08.indd(RP) Issue 3: February 2008 The Ipswich Hospital NHS Trust, 2005-2008. All rights reserved.

More information

RENAL ANGIOMYOLIPOMA EMBOLIZATION

RENAL ANGIOMYOLIPOMA EMBOLIZATION RENAL ANGIOMYOLIPOMA EMBOLIZATION The information about renal angiomyolipomas on the next several pages includes questions commonly asked about the embolization procedure. Please take a few moments to

More information

Inferior Vena Cava filter and removal

Inferior Vena Cava filter and removal Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)

More information

A PATIENT S GUIDE TO CARDIAC CATHETERIZATION

A PATIENT S GUIDE TO CARDIAC CATHETERIZATION A PATIENT S GUIDE TO CARDIAC CATHETERIZATION The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to cardiac catheterization. In the following pages, we will

More information

Excision or Open Biopsy of a Breast Lump Your Operation Explained

Excision or Open Biopsy of a Breast Lump Your Operation Explained Excision or Open Biopsy of a Breast Lump Your Operation Explained Patient Information Introduction This leaflet tells you about the procedure known as excision or open biopsy of a breast lump. It explains

More information