1- Local anesthesia by tumescence permit to,operate varicose veins without bleeding which avoids hematomas and pains.

2- Thanks, a precise preoprative cartography, the incisions will be puntiformes micro-incisions

3- The great experience of soft surgery with little trauma allows to have the best aesthetic result.

The micro-incisions will no longer be visible two to three months after the operation Only very fine, deep absorbable threads will be used and no threads will be placed on the skin of the steristrips alone to ensure that there is no mark. The skin spots are exceptional because there is no hematoma. This excellent aesthetic result also makes it possible to operate varicose veins under local anesthesia at:

         • Of the face
         • Around the eye
         • Hands
         • Feet
         • Of the chest.

The experience of Dr. Gabriel Lasry in the cosmetic surgery of varicose veins around the eye of the face is the best guarantee of a good aesthetic result on the varicose veins of the legs.

- endo-venous laser (ambulatory surgery without hospitalization with immediate walk without pain).This modern surgery is quite different from the "old stripping" (now abandoned).Indeed the vein is treated without touching the tissue around the vein. A precise procedure is always applied which gives maximum security.A Doppler ultrasound detection the day before the operation will always be practiced in the operation of varicose veins. It will identify (by a drawing on the skin) all varicose veins to be treated and any anomalies.Dr. Gabriel LASRY will take the time to answer all your questions. This Doppler ultrasound scouting is fundamental for:- know the position and size of varicose veins,- to detect the frequent anomalies of position of the veins.Thanks to the precision of the identification of micro incisions of 1 mm will be possible and will no longer be visible. This Doppler ultrasound scouting should be performed by a specialized angiologist and not by the surgeon himself. A detailed estimate will be given to you during this consultation.The operation of varicose veins will be practiced:

       - without hospitalization,

       - under local anesthesia,

       - walking is immediate and painless.

The anesthesiologist will be present when operating and a local anesthetic will always practiced for operating of varicose veins with calm and serenatmosphere . A simple hypnosis is sometimes possible.
In the operating room of varicose veins, soft music will calm the potential stress of the patient.This surgery will respect all the classic rules of cosmetic surgery (micro incision, no thread on the skin).

This is a technique that only allows a “traumatic” surgery. This is a surgery that, although complete, in our experience, it has systematically replaced general anesthesia or spinal anesthesia.

Indeed, spinal or general anesthesia, apart from these specific technical risks always causes dilation of varicose veins which increases the bleeding during the operation and often results in hospitalization for a few days.

This bleeding often causes a hematoma that is a source of pain and work stoppage or long social disability. Recurrences are much larger (30 to 50% in five years). Do not confuse the massive local anesthesia (epidural or spinal anesthesia) with this tumescent local anesthesia that is performed only along the veins. It allows anesthetizing only the varix operated with this anesthetic around the vein which is highly localized

 

- The goal is:Take off the vein that we will not need to be pulled off,

- Closing the varix which contains at this time, no blood,

- Hematomas are exceptional and only some “blue areas” may appear.

The tumescent local anesthesia facilitates the intussusception; which involves removing the vein in the back (such as a sock or a glove finger)

This is achieved by a yarn which has passed within the vein and allowing the return inside its light.

This is quite different from the stripping that passes it outside of the vein and damages most often fat peri-nerve or nerves satellites of the vein.

In stripping, hematoma and pain are common types of neuralgia.

This surgery is minimally invasive because it is interested only in diseased veins and always respects healthy veins or shortly inflated. In fact, these healthy veins may possibly one day be used as arterial substitute (bypass) .

Patients come in the morning and go out at night (the same day) which performs outpatient surgery.

The leg has no bruising; only a few “blue areas” or bruising may occur.

It is not necessary to wear strips varix at the output of the clinic the evening. The patient will come out in the evening with stockings that will allow him to wear normal shoes and, of course, walk right out.

Professional interruption is reduced from three to eight days in our experience (more than fifteen thousand varicose operated outpatient under local tumescent anesthesia).

The number of recurrence is low (less than 5% in 10 years), provided that the gesture is controlled by an ultrasound on the fifteenth day, and, of course, that the complementary sclerotherapy is performed by the angiologist.

This surgery varicose respects the rules of plastic surgery (no wire on the skin, only steristrips, absorbable).

Finally, we are one of the few teams to achieve it regularly. The operation is controlled by a Doppler between the fifteenth and thirtieth day ensures that all diseased veins have been removed and will be the starting point of the postoperative follow-up by the patient’s angiologist (postoperative sclerotherapy).

This whole procedure will alone ensure that no additional fees (excluding that of the intervention) will be asked if a very rare recurrence occurs during long term.

Only this Doppler is able to measure the size of varicose veins, to clarify the meaning of movement and locate the leakage points which confirms, the incontinence of the varicose vein,

The indication of a thoughtful and appropriate treatment can be performed after the doppler-ultrasound,

This treatment will be adapted on the mapping of varicose veins that will be displayed on a diagram. This card will show the direction of flow in the veins (up or down and, of course, the precise location of leakage points)

This mapping or tracking is essential and must be done at all stages:

– Before treatment choice to locate the leak points and guide treatment (sclerosis, endovenous laser, or varicose vein surgery.)

– It will be practiced before or the morning of the endovenous laser or varicose vein surgery to guide the surgeon’s by venous mapping (just as plans for an architect).

This Doppler ultrasound tracking will show the positional anomalies of varicose veins that are very common and can lead to relapse if they are not localized.

– It will guide the surgical procedure, not to forget because varicose veins are not all visible to the naked eye; of course it can practice aesthetic scars puntiformes (as they have been well guided by locating)

– It will also be performed after the operation of varicose veins, to control the surgical procedure, that is to say, check that all the veins have been removed.