What is all the excitement about?No more Surgery! The Endovenous Laser Procedure has replaced Traditional Vein Stripping as the most effective, least invasive method of treatment for patients who suffer from Saphenous Vein Disease, the leading cause of varicose veins. These instructions are to prepare you for the saphenous vein laser ablation procedure to treat the cause of varicose veins and many other vein problems. Please read the instructions carefully. If there is anything you do not understand, please ask your doctor and his staff. Our purpose is to provide for you a comfortable procedure which will give you the very best results possible DIET: The day of the procedure you should eat normally before coming to the office. After the procedure, you can eat or drink anything you desire. Take any medications that are part of your normal routine. Coumadin and Pradaxa are sometimes stopped before the procedure and will be restarted by the next day. We will make arrangements to check your INR prior to the procedure if indicated. Aspirin, Plavix, Aggrenox and Pletal are all okay to continue. COMPRESSION STOCKINGS: Today you will be given compression stockings that should be worn beginning 48 hours after the procedure during waking hours every day until you see us in the office for your first follow-up visit. We would like you to try this stocking on and wear it for several hours before coming in for your procedure so that we can be sure it’s a good fit. If you’ve never worn compression stockings, you may struggle a little bit the first time you put them on. Wearing rubber gloves while putting on the stocking is helpful and allows you to grip the stocking a little easier. Please bring the stocking with you the day of your appointment. We will assist you in putting it on following the procedure. When will I go home? The procedure itself takes about 60 minutes and you will be asked to rest with your legs elevated for 15 minutes afterward. While you are resting with your feet up, we will review these instructions with you and confirm your follow-up date. After that, you will get dressed and you will be discharged home. Upon leaving our office, we do require you to have someone drive you home. Please wear shorts or loose clothing to go over the leg dressings at discharge. ACTIVITIES: You should take the rest of the day off from work after your procedure. Remove all dressings (except Steri-Strips) 48 hours after the procedure and shower regularly with soap. No hot baths or hot tubs until seen back in the office – usually 6-8 days post-procedure. The morning after your procedure you may resume driving and return to work. Vigorous exercise, aerobics or running are discouraged until you return to the office for your first follow-up appointment.
Please call our office about any questions. Phone 813-374-9002. After hours and on weekend, call Dr. Dworkin at the same number and choose the option to call Dr. Dworkin on his cell phone.
- Ultrasound is performed throughout the operation to identify the anatomy and to determine what and how to treat the abnormalities. The room lights will be dimmed for some of the procedure.
- A diluted local anesthetic is infused around the saphenous vein to protect you from the laser heat and to be sure you do not feel the laser energy. If you feel discomfort during the operation, simply advise the assistant watching over you and we shall add additional medication.
- The laser fiber is inserted into the saphenous vein by needle access, and the vein destroyed with laser energy. The vein is not removed from your leg, but will dry up and become an invisible fibrous cord in the future.
- The small wounds are closed with absorbable sutures or steri-strips, a sterile dressing is applied, and your leg is wrapped with elastic bandages.