How is Venous Reflux Disease Treated ?

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Venous reflux disease can occur throughout the venous system, in the deep or superficial veins.

Superficial venous reflux disease can cause reflux of blood from the deep veins into the superficial veins in the legs - namely into the great and lesser saphenous veins. The greaer saphenous system is on the inside of the thigh and leg and starts at the ankles and drains into the deep femoral veins (common femoral vein) in the groin. he lesser (or short) saphenous system is in the backs of the legs (leg meaning below the knee).

Until now, venous reflux was treated primarily by tying off these veins (ligation) and removing the offending superficial veins (stripping). Known as ligation and stripping, millions of men and women received these operations and were bedridden for days and were unable to return to their normal activities for weeks.

The VNUS Closure procedure and its laser equivalents (EVLT, ELVes) have taken another approach to this problem. Instead of stripping the veins, a catheter is introduced into the vein and energy is delivered endovenously (i.e. in the vein) to shut the vein from the inside and as a result, channel blood into the healthier deep veins of the lower extremities.

The VNUS Closure procedure (FAST Closure) and EVLT (endovenous laser therapy) can be performed in the office by skilled surgeons using a puncture wound in the thigh and patients can walk off the table 35 minutes later and most are able to resume almost all of their activities within 24 hours.

Over 500,000 such procedures have been performed to date in the U.S. an over 1 million worldwide.

Article by
Buffalo General Surgeon