Renato B. Berroya, M.D., FACS, FACPh
The Vein Center at Port Washington
639 Port Washington Blvd
Port Washington, NY 11050
Phone: (516) 883-2212
Fax: (516) 767-7064
Email us at email@example.com
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Mon - Thurs: 9 AM - 5 PM*
Fri: 9 AM - 4 PM*
*Though the office is open, testing and procedure appointment times vary.
All procedures are performed with local, topical anesthesia. Intravenous sedation is available in special cases. Please do not hesistate to contact us if you have any questions. Thank you for trusting us to care for your legs.
To see before and after pictures of patients who have had vein procedures, click here.
ENDOVENOUS LASER TREATMENT (EVLT)
This is a minimally invasive procedure that uses laser-generated heat to close damaged or diseased veins which are causing pain, swelling, throbbing, skin thickening, achiness, blood clots, and/or skin ulcers. EVLT has replaced the old fashioned vein ligation and stripping, which normally required hospitalization, general anesthesia, and multiple skin incisions. This procedure has been successfully performed since 2002 with a long-term success rate of greater than 95%.
In EVLT, the skin above the diseased vein is anesthetized and then punctured with a needle. The needle is removed and replaced with a catheter and then a thin laser fiber is introduced into the vein through the catheter. An ultrasound probe is used to properly position the laser inside the vein and then the laser is turned on and then slowly withdrawn through the catheter, closing the vein behind it. The closed vein will be safely absorbed and incorporated into the body tissues after approximately 2 to 3 weeks. The laser treatment itself normally takes 3 to 4 minutes, but the whole process which includes sterile preparation of the site and application of compression dressings may take 45-60 minutes. Patients may engage in moderate physical activities immediately after the procedure and may resume normal work activities the following day. Over-the-counter pain medication, antibiotics, and anti-inflammatory medication are usually needed to assist with a patient’s recovery from EVLT.
The term “phlebectomy” means removal of veins. The varicose veins are removed through small skin incisions after local anesthesia is injected. The incisions are made by needles or small puncturing instrument. A segment of the vein is painlessly and gently removed through the small incision using specifically designed hooks for this procedure. Several veins are typically removed in each session. After the procedure is completed, the incision may be closed using a narrow strip of sterile surgical tape or a single dissolvable stitch. Walking is encouraged after the procedure and patients can return to work within 24 to 48 hours. Although this is a minimally invasive procedure, patients are advised to avoid eating a big meal 6 hours prior to the procedure and to arrange for someone to drive them home after the procedure has been completed. Some pain medication and antibiotics may be necessary to aid in the recovery. The treated leg should be covered with a clean and dry compression leg dressing for about a week. Patients should also avoid air travel for at least one week following this procedure.
A procedure in which an FDA-approved solution is injected into the diseased veins using very fine needles. The solution or reconstituted foam solution causes irritation of the inner lining of the veins that are injected, which makes the wall of the vein stick together and collapse. Several days later, the vein is shriveled and a few weeks afterwards it will be safely absorbed into the body tissue.
Sclerotherapy is an ideal treatment for spider veins, reticular veins, small tortuous varicose veins, and also malfunctioning perforating veins. A topical, local anesthesia is applied to the injection site at the start of the procedure, so patients do not typically report pain during or after the injections. There may be very mild stinging, burning, or itching, which immediately subsides. There may be minor bruising, which usually disappears in 12 to 14 days. Multiple treatment sessions may be required to completely eliminate the spider veins. Each session lasts approximately 20-30 minutes.