Robert G Ellison Jr

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Robert G. Ellison, Jr.
Dr.
MD, F.A.C.S
Jacksonville
Vascular Surgery
Ellison Vein Institute
836 Prudential Drive, Suite #1405
Jacksonville,
FL
32207

I have had gradually worsening Varicose Veins over the past few years.  Is it necessary for me to have medical treatment for my Varicose Veins?

Varicose Veins are not a life or limb threatening problem; therefore, treatment is not “absolutely” required.  I explain to my patients the potential associated problems such as discomfort, itching, rashes, discoloration, swelling, skin sores, and bleeding.  If a patient elects not to have a procedure, I advise that they diligently wear compression hose and call me if they should develop one of the above mentioned complications.  I recommend at least annual routine follow up.

I have Varicose Veins and my primary care physician suggested that I may need an ultrasound.  Why is that?

A venous ultrasound is a painless, non-invasive method to thoroughly assess the venous circulation of the legs.  The study does more than simply rule out a “blood clot”.  It will reveal the source of the varicose veins.  It is essential that the study be done by experienced personnel who understand what to look for.  The ultrasound allows the vein specialist to formulate a customized treatment plan for your veins.  Varicose Veins are caused by non-functioning valves in the veins.  Ultrasound is the easiest and most accurate test to study valves in leg veins.

A friend of mine has been told she needs an Ambulatory Phlebectomy.  Is this the same as a “vein stripping”?

Ambulatory Phlebectomy (AP) refers to the removal of bulging leg veins through tiny needle incisions without sutures.  This is a totally different procedure from the traditional vein stripping which refers to surgical removal of the greater saphenous vein (a vein not visible on the skin surface).  A vein stripping involves a hospital setting with anesthesia and is associated with significant discomfort and postoperative disability.  An AP is usually done in the office under local anesthesia, and most patients return to work the next day with very little discomfort.  Endovenous procedures have made vein stripping almost obsolete in the United States though still commonly done in other countries.

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