A one-stop centre for diagnosis and treatment of:

• Varicose veins
• Spider veins
• Facial & Hand veins
• Venous Ulcers

Understanding the condition

Spider veins and Varicose veins are abnormally swollen or enlarged blood vessels in the leg caused by the weakening in the vein's wall. Apart from being cosmetically unpleasant, varicose veins in their advance stages can be harmful to a patient's health, because they may be associated with the development of one or more of the following conditions: inflamed tender vein, blood clot in the vein, and skin ulcers.

Treatment: A simple outpatient procedure

The Vein Clinic is a one-stop medical service centre that caters to the management of all stages of vein disorder; from diagnosis to laser elimination of spider veins to non-surgical treatment of the more serious varicose veins. Our services include:

• Ultrasound conducted by surgeon
• Endovenous Laser (EVLT) Technique
• Ultrasound Guided Sclerotherapy
• Micro-Sclerotherapy with Vein-lite
• Mini-Ambulatory Phlebectomy
• Intense Pulse Light
• Polaris Laser
• Veinwave
• Duplex Ultrasound
• Mini-Ambulatory Phlebectomy

Endovenous Laser (EVLT)

The use of lasers has become an accepted alternative to surgical stripping to remove varicose veins. The procedure, termed the Endovenous Laser Technique (EVLT), is performed under local anesthesia. A tiny laser fiber is first inserted into the diseased vein through a tiny opening in the skin. Laser energy is then delivered through the fiber, which causes the vein to close as the fiber is gradually removed.

Advantages

• Office procedure
• Minimal discomfort/ pain
• No downtime. Patient can return to normal activity immediately
• No anesthesia or hospitalization needed
• No incision/ scar mark

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Ultrasound Guided Foam Sclerotherapy

Sclerotherapy is a technique that involves the use of a very fine needle to inject a solution, called a sclerosant, directly into the veins. The solution causes the lining of the vein wall to swell, which eventually seals off the blood vessel. Ultrasound Guided Sclerotherapy uses hi-tech ultrasound machines to provide a visual window, so that medication can be administered onto precise locations in the vein. This method is effective only for smaller veins and branching veins.

Micro-Sclerotherapy with Vein-Lite

Vein-lite is a special imaging device that uses Advanced Transillumination Technology to visualize veins. The Vein Clinic utilizes Vein-lite to find those hard-to-locate spider veins during Micro-Sclerotherapy, in order to achieve accurate elimination of these veins.

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Light, Laser & Microwave

For even smaller and finer thread veins, The Vein Clinic has three advance machines that can effectively treat such conditions. Each of the three machines uses a different medium to heat up and coagulate the thread vein and ultimately eliminate these unsightly veins.

These three machines enable the clinic to treat patients of all skin types.

• INTENSE PULSE LIGHT - engages pulse light energy

• POLARIS LASER - uses a combination of Bi-Polar Radio Frequency and high power Diode LASER

• VEINWAVE - refers to the use of high frequency microwave energy

Duplex Ultrasound

Duplex ultrasound scanning is first used to evaluate the condition of the varicose veins. As varicose veins result from the incompetence of leg valves, leading to abnormal blood flow, the use of Duplex ultrasound is therefore one of the most accurate methods for determining the location of the leaking valves. Once the incompetent valve is localized, a suitable treatment method can then be selected. This procedure is conducted by a trained surgeon.
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Mini-Ambulatory Phlebectomy

Ambulatory phlebectomy is a method of removing varicose veins on the surface of the legs. It is done in the office under local anaesthesia.
This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required. Veins are very collapsible such that even larger veins may be removed through the tiny incisions used in this technique. The patient is able to walk following the procedure. After treatment, a compression bandage and/or compression stocking are worn to reduce pressure in the veins to increase flow in the veins and reduce the chances of forming a blood clot.
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Dr. John Tan Consultant General & Vascular Surgeon M.B.B.S.(Sing), M.Med.(Surg),F.R.C.S.(Ed), F.A.M.S.(General Surgery) Member of The American College of Phlebology Committe Member, Vascular Surgery Society of Singapore Tel : (65) 6238 2966 24 Hr hotline: (65) 535 8833 or email at jtan@md-sh.com Web: www.theveinclinic.com.sg

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