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Treatment Options
Among the successful methods we use to treat varicose and spider veins are ambulatory compression sclerotherapy, ambulatory mini-phlebectomy, and other ambulatory surgical procedures. Treatment methods may be combined to achieve the best results and are developed following a detailed clinical evaluation and ultrasound.
Ambulatory Compression Sclerotherapy
Outpatient ambulatory compression sclerotherapy (ACS) is a relatively painless treatment that can successfully treat 80 percent of varicose veins and all spider veins. ACS usually replaces many operative treatments. We are a unique resource for large vein treatment with injection therapy, which has flourished in most other countries notable several European techniques
The art of sclerotherapy involves the injection through minut size needles that gentle and intentionally inflames the lining of the diseased veins.
We treat only diseased
veins that have lost their function and thus all treatment we provide
improves normal vein circulation. Compression is then applied utilizing a
custom bandage for protruding large veins or a modern attractive and
lightweight medical compressive hosiery combined with your active daily
walking in order to activate the muscles around the veins in order to insure
the injected veins heal in a sealed fashion and are permanently eliminated.
Dr. Wasserman and his team have administered
over 5 million sclerotherapy injections at The Vein Treatment Center of New
Jersey, representing one of the largest sclerotherapy experiences available
anywhere.
Endovenous Laser Ablation
A relatively new technology with five year clinical follow-up. This method
is designed to eliminate varicosity of one of two of the straight long veins
in the leg utilizing laser energy to eliminate the vein that frequently
feeds other varicosities in the leg.
Our in-office endo-laser suite accommodates this local anesthesia fully ambulatory procedure.
A laser fiber is
introduced without an incision into the varicosed vein and under ultrasound
guidance; the laser energy is delivered during withdrawal of the fiber thus
eliminating any incisions and as with all of our methods allows for
immediate normal activity.
Dr. Wasserman and his team at The Vein Treatment Center of New Jersey has
awaited the scientific results that are now available showing equal safety
and effectiveness of this procedure after several years of refinement in
both equipment and methodology compared to traditional removal of these
straight long veins.
It should be noted that topical laser treatment of varicose veins has been sub-optimal therapy compared to sclerotherapy. These two very different applications of laser for leg veins should not be confused. We have offered topical laser upon popular demand in the past and thus were directed by our patients with the unatomous opinion that topical laser is more expensive, more uncomfortable, and less invasive than strategic, experienced, and masterful application of sclerotherapy.
Mini-phlebectomy
Mini-phlebectomy is a treatment option used to remove some types of varicose
veins. Under local anesthesia, the area of the vein that is varicosed is
removed through minute incisions, creating an optimal cosmetic result.
Ambulatory Surgery
Despite the media excitement of laser therapy, many patients benefit from the application of wisely selected veins due to their location and/or proximity to the deep veins where delicate local anesthesia removal of vein segments represents the least invasive and most effective treatment.
Although both laser and injection therapy would appear to sound preferable, the thoughtful application of local anesthesia minimally invasive surgery may indeed represent the least invasive and most successful treatment for selective situations.
Over several years period of development, Dr. Wasserman has achieved an evolution of vein removal that is unparalleled and incomparable to traditional vein surgery.
Dr. Wasserman has perfected the ability to achieve the tying off of varicose valves and removal of long straight veins under local anesthesia.
This mechanical surgery has been refined to a level of unprecedented surgical delicacy.
The procedure is performed in the surgi-center on premise which avoids the exposure of hospital environment with the patient enjoying a full breakfast and not requiring an intravenous or any systemic anesthesia.
