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The Aberdeen Clinic
The Aberdeen Clinic
Varicose Vein Removal Aberdeen

Varicose Vein Clinic


Varicose Vein Removal Aberdeen

  At the Aberdeen vein clinic we believe that everyone should get the same high standards in care and service that we would expect ourselves. This led us to our BEST practice promise i.e.

B - Best value
E - Effective care
S - Safe treatment
T - Treatment that patients want, when they want it

Let our experience with non-operative treatments and expertise in choosing the right treatment option for each patient make your varicose veins a thing of the past.

If you are thinking about treatment for your veins we would encourage you to browse through our website to better understand what exactly our BEST practice promise means. In particular we will discuss the process, and what new advances in vein care treatments can offer you without needing open surgery.

About varicose veins
Approximately 1in 3 adults in the UK have varicose veins. They are more common with certain conditions and almost half of all pregnant women will develop varicose veins.

The problems caused by varicose veins are different in everyone that has them. Some people will suffer swollen, tired or painful legs while in others the appearance of varicose veins or spider veins prevent them wearing shorts or bathing costumes. In about 10% of cases varicose veins cause problems which would be regarded as medically significant i.e. skin changes, ulcers, bleeding and other signs of chronic venous insufficiency. Our aim is to find the best solution for each individual patient with venous problems.

In order to target treatment appropriately it is important to understand what the underlying cause of each person’s vein problem is. To help achieve this we divide varicose veins into three groups i.e:

• Truncal veins – usually along the inside of the leg (the long saphenous vein) or the back of the calf
   (the short saphenous vein).

• Tributaries of truncal veins – branches off the above

• Spider veins – best regarded as superficial veins

Truncal veins and their tributaries form because there is a valve not functioning – allowing blood to flow from the deep veins into the superficial veins. This results in increased pressure in the superficial veins, which in turn become distended and then tortuous.

Varicose Vein Removal

Spider veins, sometimes known as thread veins are prominent veins close to the skin. Spider veins are often regarded as a cosmetic problem but they can also be due to increased pressure in the venous system particularly if they are associated with symptoms such as: stinging, throbbing, aching, burning or itching.

The image below shows an example of 'Spider Veins'

Spider Veins

For successful treatment of your veins it is essential that the best option for treatment is selected to give you the outcome you want. We aim to provide this in the easiest and safest way possible. Our individualised assessment process concentrates on:

• Identifying the venous problems that concern each patient.

• Determining any underlying cause for the vein problem and as such how these are best treated.

• Providing each patient with all the information they require to make an informed choice about their treatment.

The Aberdeen Clinic assessment pathway is delivered in 3 phases either at a single clinic visit or at times suitable to you

Specialist Vein Removal

About our treatments
The secret of success, as far as treatment for varicose veins is concerned, is to select the correct treatment for each individual. our assessment process ensures that treatment is matched to individual requirements and expectations. After the assessment process is completed we will provide you with an individualized treatment plan and all the necessary information you require to make the correct decision on the treatment of your veins.

Varicose Vein Removal Scotland

The options for treatment of varicose veins used to be limited to surgery or nothing. Although there is still a place for surgical removal of veins most people can have their veins dealt with without needing an operation.The advantages of non-surgical treatment include:

• Treatment delivered as an out-patient

• Minimal recovery and convalescence

• Reduced pain

• Highly effective

• No scars

In accordance with NICE (the National Institute for Health and Care Excellence) published guidelines for the management of varicose veins we would usually recommend that truncal veins are treated with radiofrequency ablation. If this is not possible ultrasound guided foam sclerotherapy is an option. The latter technique is also used to treat the branches of truncal veins.

NICE Guidelines on Varicose Veins in the legs were published in July 2013 and a Management Pathway in August 2014.
Radio Frequency Ablation
At the Aberdeen Clinic we use the Venefit™ procedure (endovenous radiofrequency ablation) to treat truncal vein disease, as recommended by NICE. We have chosen this procedure because it is clinically proven to be an effective means of treating varicose veins and their underlying cause, venous reflux. It is a minimally invasive procedure with less pain and less bruising compared to traditional vein stripping surgery and laser treatment.

Using the Venefit™ system, our surgeons close the diseased or damaged vein. This is done by inserting a catheter into a vein and using radio-frequency energy to induce collagen in the vein wall to shrink and close the vein.

After the vein is sealed shut, blood naturally reroutes to healthy veins and the body dissolves the closed vein over time. The procedure is done at our specialist vein clinic, takes about 30 - 45 minutes, and patients walk away. Most patients typically return to their normal activities within a day.

We adhere to the highest quality and standards in vein care treatment and surgery and, for this reason we do not reprocess catheters or use reprocessed catheters like others do in some vein care practices, clinics, and institutes.

Traditional Sclerotherapy
Sclerotherapy has been used to treat veins for more than 100 years. A very small needle is used to inject a solution (called a ‘sclerosant’) into the vein. The sclerosant irritates the lining of the vein, causing it to close. In some cases, patients may need more than one treatment to eliminate all unwanted veins.

In the past, a saline solution was most commonly used. Today, more effective solutions are available, and the newer agents do not sting or burn and have fewer side effects. Patients can resume most normal activities right away. For optimal results, patients should wear compression stockings for up to 14 days after the procedure. Patients are also advised to avoid the sun, swimming pools, and tanning beds for about 3 weeks. Avoid sunbathing initially after treatment, for 4 weeks after microsclerotherapy and for 4 months after foam sclerotherapy.

Foam Sclerotherapy

Foam sclerotherapy is used for longer, larger veins. The sclerosant solution is mixed with air or CO2 to create a foam. Foams have a greater surface area than liquids, so a lower concentration covers more of the damaged vein while adhering to the vein wall more effectively, causing faster shrinkage of the vein.

Ultrasound is used as a guide when treating larger veins with foam sclerotherapy. It allows the surgeon to find the exact location of the diseased vein to inject the sclerosant solution.

Meet our team
When you decide to have treatment for your varicose veins you need to be confident in the team you choose. NICE guidelines clearly state "A team of healthcare professionals who have the skills to undertake a full clinical and duplex ultrasound assessment and provide a full range of treatment."

The Aberdeen Clinic provides a Vascular Service, with our team encompassing experienced consultant vascular surgeons, fully trained vascular technologists (who perform and interpret the detailed ultrasound scans) and nurses within the outpatient and operating theatre setting. Such a service is not common in the UK outwith the NHS.

The Vascular Surgeons and staff at The Varicose Vein Clinic offer individualised treatment for each patients needs. All our varicose vein treatments are performed on a walk in/walk out basis.

We offer up to date, evidence based minimally invasive treatments for varicose veins. The treatment is provided by an experienced team with expertise in venous disease, working alongside the professional and dedicated staff at The Aberdeen Clinic:

2 vascular surgeons with special interest in endovenous vein treatments and experienced sonographers for ultrasound imaging. We follow UK national best practice guidelines based on the recently published National Institute for Health and Care Excellence (NICE) guidelines

You can be confident we offer you the most up to date, individualised treatment for your varicose and thread/spider veins.

Our Vascular Team
  Stuart Suttie - Consultant Vascular Surgeon   Alasdair Wilson - Consultant Vascular Surgeon   Rose Ross - Radiographer  
Stuart Suttie
Consultant Vascular Surgeon
Alasdair Wilson
Consultant Vascular Surgeon
Rose Ross
  Paul Bachoo   Tam Siddiqui      
  Paul Bachoo
Consultant Vascular Surgeon
  Tam Siddiqui
Consultant Vascular Surgeon
Does the Aberdeen Clinic adhere to best practice guidelines?
The Aberdeen Clinics BEST practice promise ensures that all our patient receive the very best treatment available.

NICE (the National Institute for Health and Care Excellence) published guidelines for the management of varicose veins in 2013 and thereafter a management pathway. All of the services we provide at The Aberdeen Clinic comply with these recommendations. Some of the key NICE recommendations are as follows:

• “Truncal veins should be treated by endovenous thermal ablation (i.e radiofrequency ablation as used by The Aberdeen Clinic) and if this not possible or required Foam Sclerotherapy. Surgery should only be undertaken if both these fail.” This is the exact pathway followed by the Aberdeen Clinic.

• “Treatment and care should take into account individual needs and preferences. Patients should have the opportunity to make informed decisions about their care and treatment, in partnership with their healthcare professionals". We offer individualised treatment plans for each patient. Each treatment option is discussed and information leaflets on differing treatments are provided to every patient.

• “The management of varicose veins should be undertaken by a team of healthcare professionals who have the skills to undertake a full clinical and duplex ultrasound assessment and provide a full range of treatment."

The Aberdeen Clinic provides a specialist team of nurses, vascular technologists and surgeons with experience in the assessment and treatment of all aspects of venous disease

Why not laser treatment?
Laser Treatment (Endovenous Laser Therapy, EVLT) is similar to radiofrequency in that it closes the vein using heat (endothermal ablation). With RF ablation the RF machine will adjust the power it delivers to the inside of the vein to maintain a set temperature, whilst the Laser machine will deliver a set power to the vein, irrespective of the temperature this will generate. As such, RF ablation has been shown to cause significantly less pain, bruising and complications when compared to laser therapy. The average patient typically resumes normal activities within a few days.

Do I need referred by a GP?

You can self refer to the clinic at any time or even just walk in off the street. If you happen to walk in off the street, you will be seen by one of the trained clinic nurses. The clinic nurse will take a brief history and examination, following which they will give you all the information regarding the treatments we offer. Should you then wish to proceed, the clinic nurse will book you in for a consultation with one of the vascular surgeons.

What will happen at my first consultation?
You will see one of the consultant vascular surgeons for an initial consultation. The surgeon will take your full medical history and he will then examine your legs. Following this you will undergo an ultrasound sound scan by a trained vascular sonographer with extensive experience in venous and arterial imaging to assess your deep venous system and of course your varicose veins. Upon completion of the ultrasound, you will see the consultant vascular surgeon to discuss the results of the ultrasound and to plan an individual treatment strategy for you. The initial consultation, the initial ultrasound scan and a single follow up appointment (including follow up ultrasound scan) are all included in the price of the initial consultation.

Will you inform my GP of any treatment or venous assessment results?
We will only inform your GP should you wish but we do recommend that it is a good idea to keep your own doctor informed about any treatments as he or she will be seeing you for other conditions. As such we would usually send copies of all correspondence to our GP unless you requested otherwise.

What is the cost to have my veins treated?
The team will advise on a treatment plan based on your personal circumstances. There are no hidden costs and we will not charge for 'treatment packages' - you will only pay for what you need. All costs will be discussed with you before any treatment begins and our specialist office based approach to treatment ensures that costs are kept down compared to other institutions.

Will I need much time off work following treatment?
Immediately following the procedure once your compression stocking is applied, you will be required to go for a brisk 15 min walk and then twice daily for 2 weeks.

Avoid hard physical activity (aerobics and weight lifting) for the first 48 hours.

Following foam sclerotherapy you are able to return to work almost immediately.

Following radio frequency ablation most patients resume normal activities within a few days.

Can I fly before and after treatment?
If you are flying or have major surgery planned for within 6 weeks of your treatment, it is very important that you notify your doctor before the procedure. We recommend no flying 4 weeks prior to treatment and for 4 weeks after treatment.

Is it safe to take the oral contraceptive pill if I am having treatment for my veins?
If you are taking an oestrogen based contraceptive pill, we would advise stopping this 4-6 weeks prior to treatment to reduce the risk of deep vein thrombosis (DVT).

Can I drive following treatment?
Yes, as long as you are on no sedative painkillers.

Once you have had a brisk 15 minute walk, you are able to drive immediately following foam sclerotherapy. a brisk walk. Following radio frequency ablation we advise that you arrange for some one to pick you up. You should be able to return to driving within 48hrs of the treatment.

We recommend that if the car journey is in excess of 1 hour, to take regular breaks and have brisk walks.

Please see below words from one of our vein patients

Hi, It's John from Elgin here. I had my varicose veins treated on October 10th.
I had very unsightly veins on the inside of my knees and a prominent one that ran from my ankle up my calf muscle. As a runner, I was very self-conscious about them so I contacted the Aberdeen Clinic.
I had a consultation with Mr Suttie and he explained all the procedures that would be suitable for me. I had the treatment a few weeks later; radio frequency ablation on my knees and foam sclerotherapy on my calf. Apart from a few injections (which admittedly nipped a bit!) there was no pain and everything was finished in just over an hour.
Mr Suttie and Mr Wilson were extremely professional and friendly, explaining everything they were doing. I had to wear surgical stockings for three weeks but I didn't experience any pain at all. I was back running after a week.
I am overjoyed with the results. All the unsightly veins have gone and I no longer feel self-conscious wearing shorts.
I would recommend the Aberdeen Clinic to anyone who has vein problems. The treatment is pain-free, the staff, from the receptionists to the consultants, are very knowledgeable and friendly and you are able to choose appointment times to suit yourself rather than being told when to attend. I would have no hesitation in using you again if I ever develop unsightly veins again.
John, Elgin
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