Finder

Outcomes (self-reported)

I have carried out more than 1200 varicose vein procedures at the Ramsay Duchy Hospital since 2008. All of these have been endovenous procedures undertaken under local anaesthesia, with the exception of 2 patients who required to have treatment under general anaesthesia for medical reasons.
27% of procedures were undertaken in patients who had undergone previous surgery for their varicose veins.

NATURE OF TREATMENTS
93% of patients were treated with endothermal ablation (with phlebectomies or foam injections in addition where indicated)
3% were treated with foam injections alone
3% were treated with mechanico-chemical ablation (Clarivein procedure)
1% were treated with cyanoacrylate glue occlusion (Venaseal procedure)

COMPLICATIONS
Overall 7.7% of patients required a second procedure to complete their treatment. Patients undergoing treatment for recurrent veins were twice as likely to require a second treatment (12%) when compared with patients with no previous treatment (6%)
8 cases (0.7%) had persistent saphenous nerve injury post-treatment, manifest as ankle numbness
4 cases (0.4%) were diagnosed with post-procedure heat-induced junctional thrombosis or DVT
1 case (0.1%) developed a significant post-procedure infection