Depending on the severity of your varicose veins, there are several treatment options that you can consider. If you’re looking for a treatment that will be long-lasting and painless, there are also surgical procedures that can help. These procedures can include ambulatory phlebectomy and microphlebectomy.

Mechanochemical ablation

Using mechanochemical ablation as a varicose vein treatment method can be a cost-effective alternative to thermal and endovenous laser ablation. This treatment is currently in use in the UK and is a relatively new treatment approach.

The MOCA(tm) study is a randomised controlled trial to compare mechanochemical endovenous ablation with cyanoacrylate adhesive injection (CAE). The study aims to assess the clinical success and post-procedure pain of mechanochemical endovenous ablation (MOCA) with CAE.

A catheter is inserted into the vein during the MOCA(tm) procedure. A special wire tip protrudes from the catheter. It is used to guide the catheter into the vein. A high-frequency alternating electrical current is delivered through the thin needle. It causes damage to the vein wall.

After the procedure, a cold anesthetic saline mixture is injected into the vein. It reduces pain. The patient wears compression stockings for a week after the procedure.

Mechanochemical ablation involves using a special device called ClariVein(r). The device is placed in the vein. A hollow wire is then guided into the vein. The device uses a chemical to destroy the vein wall sclerotherapeutically.

This OdysseyVeinClinic Varicose Vein Treatment Adelaide is less painful than the heat method. However, there are not enough clinical trials to show that mechanochemical ablation is superior to thermal ablation. In the MOCA(tm) trial, pain scores were low. There were no major complications.

Patients were asked to quantify their satisfaction with the treatment on a 10-point scale. Pain scores during the procedure were low and were not measured. The results of the study are expected to be available in 2020.

The study will be performed at several participating centres. Patients will be allocated a study number and randomised to either mechanochemical endovenous ablation or CAE, and they will be given information about the study during an outpatient visit. They will be asked to sign a study consent form at this time.

Endovenous laser therapy

Using a special device, endovenous laser therapy can safely and effectively treat varicose veins. It is a less invasive outpatient procedure. A vascular specialist or nurse practitioner performs this.

The procedure is performed in the doctor’s office and usually takes less than an hour. Patients can return home the same day. The doctor will advise patients to wear compression socks to decrease swelling and bruising. Patients should avoid strenuous leg exercises for the first two weeks after treatment.

The doctor will make a small incision in the skin near the varicose vein. They will then inject a local anaesthetic and perform ultrasound guidance. The ultrasound helps the doctor locate the vein and determine if it is a viable candidate for treatment. The doctor will then use a catheter to guide it into the vein. The vein is then closed.

After the procedure, a bandage will be applied around the wound. Patients should wear compression socks for at least 24 hours. It is a precautionary measure to help prevent further venous disease.

The vein will be closed during the procedure, and patients may experience mild discomfort. The swelling will decrease with time, and some patients may experience discolouration or nerve damage. These side effects may last for two to four weeks. The doctor may prescribe compression socks for some time to decrease swelling.

Microphlebectomy

Having a large varicose vein can cause pain and fatigue. There are several varicose vein treatment options available, and some of these options include microphlebectomy and sclerotherapy.

Microphlebectomy is a vein removal procedure that works on veins near the skin’s surface. It is performed with small incisions, usually no more than two millimetres in length. This procedure requires no sutures and leaves virtually no scarring.

Microphlebectomy is often performed as an outpatient procedure. Most patients can return to work within one to four days. However, patients should avoid strenuous exercise for a couple of weeks.

Most patients will have very little pain following the procedure. However, some patients may experience mild skin pigmentation at the treatment site. It usually disappears after a few days.

Microphlebectomy is an effective method for treating varicose veins. It is also less painful than some of the other options. This treatment can be used in combination with other vein treatments.

Microphlebectomy is an effective treatment option for patients with larger varicose veins. It also helps to reduce the risk of infection. This procedure is done in a sterile facility.

During microphlebectomy, a hooked instrument is used to expose the varicose vein. A local anesthetic is injected to reduce the pain. The varicose vein is then removed, segment by segment.

Ambulatory phlebectomy is also a type of microphlebectomy. It uses tiny incisions to remove varicose veins. This technique is often used in combination with CoolTouch laser and ClosureFast technology. This procedure is performed with ultrasound guidance.

Ambulatory phlebectomy requires a comprehensive consultation with a vein specialist. The procedure usually takes 30 minutes to one hour. After the procedure, the leg is cleaned and bandaged. Patients are usually able to drive themselves home.