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Vascular Surgery/After Surgery of Saphenous Vein Ablations

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Question
I had surgery on my legs and feet which took 4 procedures to do (Bilateral greater & Lesser Saphenous Vein Ablations - for swelling in my left foot). The last procedure was 4/30/15 and I am still having terrible pains in ankles, legs and very very swollen leg, ankle and foot on the left leg. My question is, when am I expected to get results from this procedure? When will the pain go away? And when will the swelling go down? I can barely walk and I try to put my feet up but I work all day and by the time the day is through, my feet are about to explode and they feel like it too.  My ankles feel tight and I do wear compression hose but by the end of the day, my legs, and feet are burning up and when I take the hose off you can literally see them swell up.  Please help me I am desperate and I need your input.  Thanks for a quick response and looking forward to hearing from you.

Theresa

Answer
hi Theresa, I am sorry for your problems, so, I need to know, did they do a postoperative ultrasound (like 2-3 days after your procedure...and if they did what did the US show that the greater and lesser saphenous closed?

let me back up, in the first US prior to the procedure, did the test show working deep veins and superficial veins that are not working properly??

the deep veins must be competent (working) to safely close the superficial (greater and lesser saphenous) veins. if deep veins are not working, the standard would be to not do an ablation, rather to keep you in compression hose or pneumatic pump daily.

I assume since the ablation was done that the deep veins are working and the superficial veins are NOT working, is that correct?

at this point you need a diagnostic ultrasound to see if 1) ablation closed the superficial veins and did not shut down the deep veins. this US would be 48-73 hours after the procedure
the US should look at all the veins in your legs and determine what is causing the swelling and pain.

something is wrong, but I cant tell from here. I think you need an appt with a vascular surgeon, you want an objective test and reply. Please let me know how it goes, thanks, 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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