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Can you advise on concerns about secondary lymphedema from EVLT & phlebectomy?

Luminous343978Jan 8, 2023
I have studied this surgery for over a year and a half... And although i want to remove bad veins i also have heard the risks if this surgery are pretty big. Mostly permanent nerve damage and also secondary lymphedema! For which there is nothing they can do. The problem is i hear varicose veins come back most of the time so really these surgeries only a temporary fix. I can't see that being worth the risk?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Brian Heeringa, MD, FACS
Board Certified Phlebologist
Answered on Mar 29, 2023
Answer
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Thomas Wright, MD

Luminous, Deep Venous Insufficiency is best treated with medical grade compression stockings or garments. Superficial Venous Insufficiency [SVI ] can be effectively treated with Endovenous Vein Laser Therapy or EVLT for a insufficient Saphenous Vein and phlebectomy or US Guided Foam...

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Thomas Wright, MD

Arobins9. Thank you for your question and posting the pics. Your history and photos suggest that you have either more advance skin changes from vein disease [ Chronic Venous Insufficiency CVI] or possibly a bit secondary lymphedema. Once venous insufficiency progresses to the point of skin...

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Susan Fox, DO, RPVI

First I am sorry for your complicated course. I would recommend rescanning the leg and seeing if you have a clot, deep insufficiency or superficial insufficeincy that are present.  If you do this could be part of the reason that you still have swelling.  However, I would also consider other...

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