Are Leaky Leg Valves Fixable By Surgery And If So

Posted on Thu, 18 Apr 2019

Question: are leaky leg valves fixable by surgery and if so what is the surgery called

Answered by Dr. Bhagyesh V. Patel (32 minutes later)

Brief Answer:
type of procedure depends upon type and severity of varicose veins.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query thoroughly.

* As per my surgical experience, the management of varicose veins ( leaky leg valves )
depends upon many parameters as
severity of the dilated veins ( perforater incompetency in doppler report )
current symptoms
age and other health related conditions
concern of yours and consultant regarding the situation

* Depending upon above factors, consultant decides to go for various options available
to control the condition which can be
sclerotherapy
laser therapy
endovenous ablation
endoscopic vein surgery
ambulatory phlebectomy
stripping and ligation of varicose veins

* As there is mentioning of ablation procedure in your history, kindly provide me further
details so that I can answer your query more precisely.

1. When was the ablation procedure done ?
2. What are the current symptoms ?
3. If available, latest doppler report (after the ablation procedure) will help great if
provided in follow up conversation.

Awaiting for your response.
Regards.

Dr Bhagyesh

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhagyesh V. Patel (4 hours later)

had several starting may of 2017 they were trying to fix ulcers on side of foot wound clinic finally got them to heal went back to work sept 2018 ulcer came back two months later then became worse about a third of the side of my foot excessive swelling in foot that was not present before all this work was done it is deep veins that are leaking

Answered by Dr. Bhagyesh V. Patel (2 hours later)

Brief Answer:
endoscopic surgery of incompetent veins cures in many cases.

Detailed Answer:
Hi,
Thanks for the relevant details.

* In case of deep vein incompetence and varicose veins, once the ulcer healing is
achieved the curative role of endoscopic surgery has to be evaluated via doppler study of
incompetent levels (though there are still some chances of reappearance after the
procedure in highly equipped centers as well ).

* Control of blood sugar, body weight, and postural adaptations are of immense
importance in this case.

* If you can share a photo picture of current ulcer and visible veins of the lower limb, I may get back to you with a bit more specific pieces of information. You can simply upload/attach the pictures at the 'Reports section' of this web page only

Thanks

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Arnab Banerjee