Case Number: RMVC-04-30-2010

Gender: Male    Age: 61

History: No family history was available.

Occupation: He is a mechanic who works 12 hour shifts on concrete floors standing most of the time. About 20 years ago he had trauma to his leg and required surgical repair right leg. He had vein stripping in the right thigh at that time.

Symptoms: He first noticed varicose veins when he was in the army in 1969. He has had progressive leg pain, swelling, and bulging varicosities. He frequently works 4 consecutive 12 hour shifts, and at the end of those 4 days had suffered severe groin pain.

Treatment: His ultrasound findings prompted recommendation for Endovenous Laser Therapy (EVLT) of right greater saphenous vein (GSV), and 2 incompetent perforator veins (IP) in the right lower leg. EVLT of left accessory saphenous vein (ASV), and 3 IP in the left lower leg. Ligation of a medial accessory saphenous vein (MASV) with Microphlebectomy (MP) of a large varicosity in the left thigh. Re-evaluation in 1 month to assess need for MP of large varicosities in the lower leg. He required sessions of Ultrasound Guided Foam Sclerotherapy starting 1 month after his procedures were done.

Care Recommendations: Following our successful procedures we recommended the patient walk daily, wear compression stockings when standing for extended periods of time, and engage in moderate exercise.