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Vascular Surgery/vnus closure aftercare

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Question
Had vnus closure of my L.Great Saphenous Vein yesterday. I wasn't given an aftercare sheet and of course it's the weekend and office is closed. Called my Dr's partner, who was the Dr. on call,to ask him if I should take my routine 81mg aspirin. He advised me to take 325mg aspirin for 5 days then continue with baby aspirin regimen. Nothing that I've read suggests aspirin afterwards. In fact, a few websites suggested not taking aspirin or anything that might thin the blood. My concern is that aspirin might loosen formed clot and allow it to travel upward. Could I please have your opinion on this? Thanks so much!

Answer
teresa, in our aftercare we do not advise additional aspirin as we want the vein to clot, just like you say. the 81 mg is usually resumed but no additional aspiring is given.
here is a portion of our after care sheet

Pain experienced after ClosureŽ is usually reported as mild.  It is rare for a patient to require pain medication for more than a couple of days.  Of course, worsening pain or new pain in the operative leg should be reported to us.   Patients who have ClosureŽ frequently require no prescription pain medication.  Over the counter Tylenol may be taken as needed.  
After ClosureŽ, you may resume almost all your usual activities the day of the procedure.  You should walk as soon as possible after ClosureŽ.   You may climb stairs and resume other activities as tolerated.  No aerobic exercise for 3 days, no horseback, snow mobile or motorcycle riding for 3 days after closure. You should avoid sitting with your legs hanging for long periods or standing in one place.  When sitting, it is best to elevate your legs on a footstool. For a few weeks following the treatment, we recommend a regular walking regimen and suggest you refrain from very strenuous activities (heavy lifting, for example) or prolonged periods of standing.
Lumps along the greater saphenous vein (inner thigh) are commonly felt after this procedure.  These and any bruising disappears over the next few weeks to months.  You may try Arnica cream or gel to help the bruising to go away faster. You can get Arnica Cream at a health store without a prescription.

hope this helps, lauri

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Lauri Ordway

Expertise

I can answer your questions related to your circulation, your peripheral vascular system. This includes all arteries and veins except those inside the head and inside the heart. For example, neck (carotid), arms (carotid subclavian bypasses to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Arterial Bypass, Reynaud’s, Buerger's disease (thromboangiitis obliterans), Thoracic Outlet and other circulation disorders. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wounds from diagnosis to treatments. I have worked extensively with VNUS Closure and EVLT (Laser) for varicose veins and can describe pre and post procedure expectations and describe the procedures themselves. I can't help with spider veins or cosmetic vein treatment, we don't do it. I have 15 years of wound care experience, arterial, venous, trauma and diabetic wounds for example. **I CANNOT answer questions about STENTS or STENTING, heart disease, blood pressure, brain aneurysm although I can help with questions about the arteries that go to and from those organs.

Experience

I am a nurse, I worked for 15 years with two terrific peripheral vascular surgeons, and one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage the clinic website and field questions from patients all over the world. I am now working with another vascular surgeon and wound care expert, which has given me an opportunity to widen my horizons as I learn another excellent physician's preferences and benefit from his experiences in this amazing specialty.

Education/Credentials
I am an LPN, licensed in Minnesota

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