Get your Health question answered in 3 easy steps

148 Doctors Online
Owl Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can laser surgery for varicose veins cause lot of pain?

Answered by
Owl Image
Dr. Ashish Verma

General Surgeon

Practicing since :2008

Answered : 1290 Questions

Question
I am diagnosed with vericose veins by Dr Kamerkar at XXXXXXX Hall Clinic in XXXXXXX

He recommended me to undergo a laser surgery (Right SSV Laser Ablation) which will solve the problem.

Recently I understand from one of my relatives that she also underwent a laser surgery couple of years back for vercose veins and faced a lot of pain post the surgery for few days. I am worried if that is a general case.

Please advise if it is uncommon or not.

Also please let me know what will be the issues that I might face if do not undergo this surgery and continue to live with this problem.
Tue, 5 Aug 2014 in Lump
 
 
Answered by Dr. Ashish Verma 1 hour later
Brief Answer:
pain can be managed with painkillers

Detailed Answer:
Hi XXXXXXX

Welcome to HealthcareMagic.

I have read your query and understand your concern.

First thing, surgery is advised for you. As if you leave this as it is, it will increase in size and will lead to pain and swelling and blackening of the lower leg. Then ulcers may develop around the ankle region which will be difficult to heal. Also these dilated veins have very thin wall and the skin over it is also thinned out due to stretching. And even minor trauma to it can lead to profuse bleeding.

So to prevent all these, its better to go for surgery.

Now about the surgery. All surgery, conventional or laser, will cause pain for a few days. But pain can easily be managed with painkillers - NSAIDs or opoids or a combination of them, depending upon your sensitivity. That is not at all an issue.

Laser surgery has a shorter recovery time compared to the conventional.

But, as i have seen in your reports, there is perforator incompetence in the LSV also. And you are going for the SSV only. So after some time, you will have to get the LSV operated too. So don't be under the impression that this SSV surgery will cure your whole of the leg.

Its just that the SSV is affected more as compared to thr LSV, the SSV is being operated first.

Hope i have been helpful.

Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by
 
Follow-up: Can laser surgery for varicose veins cause lot of pain? 14 hours later
Dear Dr XXXXXXX

Thank you very much for a detailed response on the query. Highly appreciated.

I have some more questions, I hope you would not mind :)

1. Is LSV and GSV the same, i mean the report talks about SSV and GSV and doesnt talk about LSV anywhere; wanted to confirm there is no typo here :)

2. Can I not get both the veins operated in one go? So that I dont have to go thru the surgery trauma twice and it will cure my whole leg in one go

3. Any advice on how much does the laser surgery cost? Cost for just SSV ablation and cost for both veins SSV and LSV? The current estimate given to me is approx 70,000 for the SSV ablation and one day of hospitalization.


-Thanks
XXXXXXX
 
 
Answered by Dr. Ashish Verma 5 hours later
Brief Answer:
yes they are same

Detailed Answer:
Hi XXXXXXX

Yes LSV (Long saphenous vein) and GSV ( Great saphenous vein) are one and the same.

And yes, both GSV and SSV can be operated in the same sitting. You need to discuss that with your operating surgeon.

And the cost would esclate by about 30000-50000 Rs. if you are going for both, and the hospital stay usually remains one day only, but may extend for one day more in some cases, depending upon intraoperative and postoperative events.


Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by
 
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Medical Procedures ,  
Medical Topics

Recent questions on Laser ablation

doctor1 MD

Hello: I am a 58 yr.old female who is generally in good health. I am 5'4 and 145 lbs. My weight has been stable for my adult life. For the last several years (5) I have had pain and localized swelling beginning with a small quarter sized swelling...

doctor1 MD

Hello. I was diagnosed with sebborheic keratosis on my right nipple, and the dermatologist sprayed liquid nitrogen on two occasions and it improved, but the tissue of the nipple is a little thick and darker now, so maybe it's returned. Is the...

doctor1 MD

I have warts on my hands and my feet and they are multiplying. I have used salicylate on my hands to remove them and they reappeared. Is there a more aggresive and permanent way to remove them?

doctor1 MD

Hi, I have a lump in the back of my throat and swallowing is uncomfortable.. this came on very suddenly this afternoon. I do have HPV with cervical dysplasia, and had laser ablation surgery last year to remove abnormal cells.. I worry that the two are connected.

doctor1 MD

I have a couple of lumps around my anus that have little white tips. I went to the doctor to have them looked at and he said they were warts. I forgot to mention to him that I have sometimes been bleeding and the blood is bright red is this warts or something else.

doctor1 MD

Hi. For quite sometime I have developed a random blister on my calves. It occurs on both legs either on the side or back of the calves about the size of a pencil eraser in diameter. There is no pain associate d. They are blood filled. I have picked at them in the past and they refill quickly. They disappear as quickly as I notice they occur but do leave little sold bump and scar . I have noticed a few re occur. Any idea what could be causing this? I haven t noticed one for quite sometime, but did notice one today. Thank you, Kim

doctor1 MD

Dear Dr. Charles S Narasi, I have also suffering with hemorrhoids, while passing stool I am having light pain. After that in morning office hours I have lot of pain.(My job is sitting in front of system). one week before I went to General doctor at the time I have bleeding while passing stool, he has given Sitcom oinment, Lactitol Monohydrate - Encelax syrub and 2 type of tablets . Doctor suggest its a internal hemorrhoids and his advice is Lazer ablation. After three days taking of medicine bleeding has stopped. some guys are suggest take Aloe vera in MT stomech. Now i have taking this in morning with MT stomech. Now I stopped the medicines. Kindly Advice...

Regards,

K. Balaji