Why would a vein reopen?

Question

I can't help but feel apprehensive about this procedure. I read a lot of people saying thee vein reopened now there leg swells and there in all kinds of pain that they weren't in before. I need treatment but I also need phelebectomy. Which again I'm highly concerned about. I don't want to have to lose my ability to work after a procedure. Why do the vein reopen and why is pain worse after?

Vincent Gardner, MD · Answer

Hi Luminous34978,
I understand your apprehension regarding the procedure "failing" and having to have it redone. Having said that the failure rate for modern endovenous thermal ablation procedures is very low....in the 1-2% range. It is no different than someone having a hernia repaired and having the repair fail...and then having to have it repaired again. And for a vein procedure there is no reason that if the procedure fails it should cause more pain and symptoms. That has certainly not been my experience. With regards to phlebectomy I have performed thousands of these procedures. Most patients will experience some pain and discomfort as well as bruising.....but after they heal the majority of patients say they are glad they did it and would do it again. I hope this helps.

Brian Heeringa, MD, FACS · Answer

Varicose veins and venous insufficiency are chronic conditions. The treatments that we do have high success rates but you have millions of veins in your legs and other veins can go bad in the future. I do phlebectomies through needle holes (no incisions) and most patients are back to work the following day and occasionally patients will go to work right after the procedure. In my experience people feel better after vein treatments and are happy they had them done.

Why would a vein reopen?

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Why would a vein reopen?

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