On Monday, we had one of our varicose veins treatments filmed for TV. The patient had varicose veins on both legs.
Although she looked like she had simple varicose veins, venous duplex ultrasound showed this was not the case.
Tim Fernandez-Hart, a The Whiteley Clinic trained clinical vascular scientist, scanned her with high resolution venous duplex. He found that her varicose veins were more complex than appeared on the surface. This is often the case in varicose veins patients, and missing the complexity is a major reason that patients get varicose veins back again.
On the right side, Tim found that she had 2 incompetent perforating veins feeding her varicose veins (see: www.ncbi.nlm.nih.gov/pubmed/25132056). In addition, he also found that varicose veins were coming from her pelvis. she had varicose veins in her pelvis causing her leg varicose veins.
The patient then underwent a special pelvic scan by Lyn Davies, another The Whiteley Clinic trained clinical vascular scientist, trained in TVS (see: TVS Scanning). This showed that the patient had varicose veins in her pelvis causing her leg varicose veins.
Missing either of these problems can result in a higher risk of recurrence of her varicose veins in the future (see: perforators and recurrences and pelvic veins and recurrences).
The patient had her veins treated under local anaesthetic. The whole process was filmed and will be on TV later this year.
She had her perforators closed by TRLOP (an operation invented by Mark Whiteley and Judy Holdstock in 2001), phlebectomies and foam sclerotherapy.
This treatment was tailored to her individual pattern of varicose veins by The Whiteley Protocol. By following this protocol, the patient will have the lowest possible risk of recurrence in the future.
Look out for the case from The Whiteley Clinic to be shown on TV later this year.
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