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Endoscopic Vein Surgery - Beautopedia

Endoscopic Vein Surgery

This guide provides information about endoscopic vein surgery including perforan and truncal, the associated haemorrhaging, the recovery process and scarring.

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What is Endoscopic Vein Surgery?

This is a surgical means of eliminating truncal varicose veins with the assistance of a small camera (endoscope). Truncal veins are those which have failed inside the leg usually due to poorly functioning valves. There are two types of endoscopic vein surgery; endoscopic removal of the long truncal vein and endoscopically closing the perforans veins.

What is Perforan Endoscopic Vein Surgery?

This type of surgery involves closing the perforator veins (those which connect the superficial veins located near the surface of the skin to the deeper veins in the leg). The procedure is rarely used, often being saved as a last resort in more advanced stages of varicose veins such as where the patient has developed leg ulcers or is experiencing severe pain. The surgeon makes a small incision through which he/she inserts an endoscope. This enables the surgeon to inspect the perforating vain and close it off.  In most cases the patient is able to return to normal activities within a few weeks.

What is Truncal Endoscopic Vein Surgery?

This procedure is utilized by a few clinics to ease the ligation and stripping process for the patient. It requires more technical equipment and intricate surgical skill. The technique developed from cardiovascular surgery where the great saphenous vein is detached and used as a graft for bypass surgery. Since the graft vein must be kept intact, the removal process is especially careful and gentle.

It requires the surgeon to make an incision in the inner thigh, just above the knee. The procedure usually necessitates a further tiny incision in the groin. Using the endoscope for enhanced visibility, the truncal vein is carefully separated from the surrounding connective tissue. Using electric impulses, all side branches of the vein are closed off and then severed. The vessel is removed gently (without the intense force typically required during conventional stripping).

Is Haemorrhaging Reduced with Endoscopic Vein Surgery?

During standard vein stripping procedures (without using an endoscope to debranch the truncal vein) the patient generally experiences considerable haemorrhaging or bruising because the side branches are torn off as the vessel is being removed. Comparatively, endoscopic vein surgery frees the vein so it can be remove in its entirety without force. The gentle release reduces the extent of haemorrhaging (usually there is no bruising) which makes the healing process much quicker and less painful.

Recovery After Endoscopic Vein Surgery

Since the removal of varicose veins is gentler with the endoscopic method, post-surgery recovery is easier than with conventional stripping methods. You will need to wear compression stockings for approximately three to four days. Severe haemorrhaging associated with other forms of stripping typically requires compression garments to be worn for at least 6 weeks. After endoscopic vein removal, most patients are able to return to work and to normal activities within three days.

Is there Scarring from Endoscopic Vein Surgery?

The procedure typically requires two small incisions, one in the groin area and the other inside the thigh, immediately above the knee. Since the incisions are tiny, the associated scarring is also very small and will heal over time. After several months, there should not be any remaining visible scarring. Follow your surgeon’s guidance for moisturizing your scars in order to aid healing of the scars.

How much does Endoscopic Vein Surgery Cost? Price Information

Price Range: $$ affordable $$$ moderate $$$$ high-priced

Price Indicator:$$$$

Cost of Endoscopic Vein Surgery: $6,000 to $9,000

Average Cost: $7,500

Fees Include: surgeon fees, anesthetic, operating room fees, compression stockings

Cost Variables: The prices vary depending on how many veins need to be removed and whether one or both legs are being operated on.

Health Insurance: Some of the costs of this procedure may be covered by health insurance where symptoms such as pain or ulcers are involved.

Medicare/Medicaid: If the procedure is for cosmetic purposes only then it will not be covered by Medicare or Medicaid.

Hospital Fee: Can be in addition to the cost if not performed in a day clinic.

Facility Fees: Usually included in surgeon’s quote.

Ask the clinic for the total cost including follow up visits and any required laser treatment and whether any rebates, specials or discounts apply.

How to Find the Best Endoscopic Vein Surgery Doctor/Specialist

Endoscopic Vein Surgery is a cosmetic treatment which should be administered by a qualified doctor, cosmetic or plastic surgeon specializing in varicose vein removal. When searching for an Endoscopic Vein Surgery specialist, make sure you research their qualifications, credentials, training and experience. Being board certified by the American Board of Cosmetic Surgery does not indicate that a doctor is trained and experienced in vein surgery.

Be sure to ask your doctor which procedures they specialize in, where they trained and how many treatments they’ve performed. Obtain lots of before and after photos of patients they’ve treated for the same area using this technique.

Even if a doctor has the right credentials, this does not mean they will be good at performing Endoscopic Vein Surgery. Apart from researching their formal qualifications and training, try to find customer reviews to see the overall satisfaction rate of your potential doctor. Independent recommendations are invaluable for assessing the best doctor or surgeon who is most experienced in the treatment. Don’t be tempted to opt for the cheapest cost without considering the above factors. A cheap center may not offer the experience you desire. Also, you may wish to consider whether you feel more comfortable with a female or male physician.

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