treating varicose veins
A mother who suffers a severe phobia from veins, in particular varicose veins, has pleaded with doctors for them to amputate
As haemorrhoids are usually treated by bowel surgeons with little research or interest in venous surgery, traditionally haemorrhoids have just been chopped out - not only a very painful operation but also leading to recurrence in a large proportion of cases.
I suspect that as with many things in life, when a problem is found, the simple opposite of the cause of the problem is not always the solution. Sometimes common sense and understanding of the problem can lead to a far better solution which does not have increased economic and organisational costs.
This week sees the 15th anniversary of the first minimally invasive varicose vein operation in the UK and what a massive difference has occurred.
I personally do not believe in the distinction between medicine and "alternative medicine". I would simply say, if something works to cure or alleviate a medical condition it is medicine and if it does not, it is not medicine.
To the experienced vein surgeon, Varithena is old news. Starting off its product life as 'Varisolve', the formulation has been in development for well over 10 years and is essentially a type of foam sclerotherapy in branded packaging.
Despite being only 12 years old, his veins responded exactly the same as any adults to treatment. The biggest difference came when I phoned up the day following surgery to check he was all right, to find he was already out playing football with his friends!
It is amazing how many people claim to have had "phlebitis". The term seems to be used by the general public and many doctors and nurses to mean any pain or inflammation in the lower legs. In fact, it is a term so commonly used that many people think they know what they mean by "phlebitis" when they clearly don't.
When a patient has been referred by a family practitioner or private medical insurance company to a specialist, and a substandard result occurs, who takes the blame?
Over the last decade there has been a gradual shift away from traditional 'open' vein surgery (the so called 'tie and strip' operation) towards the newer operations that use lasers and other heat-based techniques. These are safer, less invasive, and quicker - patients can leave the hospital on the same day, an hour after the procedure.