Showing posts with label post-surgery treatment. Show all posts
Showing posts with label post-surgery treatment. Show all posts

Tuesday, April 24, 2018

Good post-EVLA care can prevent complications


Endovenous laser ablation, or EVLA, is a minimally invasive treatment used to address specific large varicose veins in the legs. It is considered the gold standard in treatment of venous symptoms, and has largely replaced previous, more invasive standards of care, such as vein stripping. 

EVLA has opened the door for many patients with venous disorders to eliminate symptoms and improve their appearance with minimal time investment and minimal pain, but there are some things to be aware of after EVLA treatment.

As the leg heals, there may be bruising and swelling of the treated area, however, both are self-limited and usually resolve within the first two weeks after the EVLA procedure. 

Phlebitis is another common adverse complication -- one that commonly occurs with any IV stick, or even spontaneously from varicose veins. It is more common with EVLA because with this procedure, we are intentionally "irritating" the vein. The national incidence for resulting phlebitis is recorded at ~30%, however, at my office, we instruct patients who experience any post-procedure pain to use elevation, heat and non-steroidal anti-inflammatory medications, essentially treating pain prophylactically (as a preventative measure). Thus, we tend to have a much lower incidence of post-procedure phlebitis at VHC.

We also guide our patients in their post-EVLA care so that they can experience effective healing and a quick recovery.

If you'd like to learn more about EVLA and other vein treatments, contact us. We're happy to answer your questions or schedule an evaluation of your vein health.

Tuesday, January 23, 2018

Are graduated compression stockings the same as TED hose?

In a word: no. TED hose are not the same as graduated compression stockings. There are many people who do not realize there is a difference.

T.E.D. is an acronym for Thrombo Embolic Deterrent, so T.E.D. hose are "anti-embolic" stockings. They are often worn after surgery to help prevent Deep Vein Thrombosis -- also known as DVT. They work well for this purpose, but they are only 8-15mmHg of compression. As soon as someone is out of bed post surgery and is able to stand, there is more pressure on the veins and the TED hose become much less effective. 

TED hose do not help with the symptoms of venous disease, nor do they halt the progression of venous disease.   

A graduated compression stocking prescribed for chronic superficial venous insufficiency is generally 20-30 mmHg, which means there is approximately 30mmHg of pressure at the ankle, 25 mmHg in the mid-calf, 20 around the knee, 15mmHg in the lower thigh, 10 mmHg in the mid thigh, and 5 mmHg in the upper thigh. This graduation encourages good venous return. Another difference is that, in general, compression stockings are much more tolerable to wear on a daily basis. 

Though compression stockings are much easier to put on than TED hose, they can still be difficult to put on. So if you are prescribed to wear either compression stockings or TED hose, ask your provider for tips -- or even coaching -- for how to put them on and take them off. (That's called "donning" and "doffing" in the compression business.) There are lots of online resources to guide you.

If you have any questions about compression therapy or T.E.D. hose, contact us at the Vein Healthcare Center. We're here to help!