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Tuesday 24 July 2012

Leg ulcer recurring over 19 years curable by Whiteley Protocol

Leg ulcer recurred over 19 years due to inadequate assessment.
Found to be completely curable under local anaesthetic by The Whiteley Protocol
This 58 year old lady came to The Whiteley Clinic. She had developed a right leg ulcer in 1993 and ever since then, the leg ulcer has kept recurring despite all treatment.

Her local surgeons had "operated" on her varicose veins on 2 different occasions and had told her that nothing more could be done for her surgically.

She has spent the last 19 years in tight compression bandages which slowly allow the ulcer to "heal" - only to recur shortly after the bandages are removed.

Desperate to be cured, she even went privately to a local "expert" surgeon who told her that the best thing to do was to give up work and stay at home with her leg up!

Her son heard about the high success rate of curing venous leg ulcers at The Whiteley Clinic and suggested she come to our Whiteley Clinic in London for assessment.

Her tests, performed by the Specialists at The Whiteley Clinic, showed that the previous 2 operations had completely missed the relevant vein - so in efffect she had never had any surgical treatment at all!

She is easily curable under local anaesthetic using The Whiteley Protocol -  in her case a combination of radial firing EVLA (endovenous laser), TRLOP (closure of perforators) phlebectomies and Foam scerotherapy.

Had she been referred to, and fully investigated by, a vein specialist earlier - rather than her doctors and nurses just assuming that the previous surgery had been successful in dealing with the underlying veins - then she wouldn't have had to suffer so much pain and inconvenience over the last 19 years.

www.legulcers.co.uk

OK Magazine - Mark Whiteley featured this week


Mark Whiteley is featured in OK Magazine
this week - Number 838

"You're so vein"
This week, Mark Whiteley is featured in OK Magazine in an article about the latest advances in Vein Treatments.

Mark discusses Radiofrequency Ablation, Endovenous Laser and the new Venaseal glue treatments for Varicose Veins.

Please see OK Magazine - Number 838 - "You're so vein"

Saturday 14 July 2012

Curable venous ulcer delayed by inappropriate referral

This patient came to The Whiteley Clinic with a leg ulcer on the right leg, with brown skin staining around the lower leg and visible varicose veins on standing.

Despite having a classic venous leg ulcer, he was referred to a plastic surgeon who charged him to say that the ulcer wasn't malignant - and despite several hundreds of pounds, no treatment was suggested or offered!!
Venous Ulcer of Left lateral (outer) ankle - brown stains typical of venous disease clearly seen on leg
Also varicose veins clearly seen - although not always present in venous ulcers
Purple pen mark above ulcer marking site of Incompetent Perforator Vein
When he came to The Whiteley Clinic, a consultation and examination revealed a previous vein operation about 10 years ago using the old "Stripping" method which we now know allows veins to grow back again - causing the same problem to recur (www.veinsstripping.co.uk).

Duplex Ultrasound report - The Great Saphenous vein has been stripped before - but has regrown in the mid portion.
The Small Saphenous Vein is huge (14mm) and there is reflux in Anterior Accessory Saphenous Vein and multiple incompetent perforators.
Patient can be cured by EVLA and TRLOP under local anaesthetic. 
The combination of brown discolouration of the skin at the ankle, a little swelling o the ankle and a leg ulcer made it virtually creating the problem was a venous leg ulcer - and therefore curable in most cases using The Whiteley Protocol(TM).

A venous duplex ultrasound showed that the Great Saphenous Vein had partially grown back again causing problems, and further venous reflux in the Small Saphenous Vein, Anterior Accessory Saphenous Veins and 4 incompetent Perforating Veins were causing the leg ulcer (see "Understanding Venous Reflux - The Cause of Varicose Veins and Venous Leg Ulcers").

All of these veins can be cured under local anaesthetic with a combination of Radial Firing EVLA for the long veins and TRLOP of the incompetent perforating veins.

Thursday 12 July 2012

Venaseal "superglue" for Varicose Veins now available at Whiteley Clinic

The Venaseal or "Superglue" Sapheon procdure performed by
Mark Whiteley at The Whiteley Clinic

The new Venaseal or "superglue" treatment for varicose veins is now available for private patients at The Whiteley Clinic in Guildford and London.

For more information please follow the link:

http://www.thewhiteleyclinic.co.uk/venaseal-sapheon-superglue-for-varicose-veins.html

Thursday 5 July 2012

Endovenous Training Videos on College of Phlebology


Mark Whiteley demonstrates how to perform ultrasound guided Seldinger access of the Great Saphenous Vein for "Keyhole Vein Surgery" - Medically known as "Endovenous Surgery". This technique is performed under local anaesthetic.

It is an essential part of endovenous surgery - whether it is for Endovenous Laser Ablation (EVLA), Radiofrequency Ablation (RFA) or for one of the newer techniques such as Venaseal Glue closure of the veins.


This is one of the educational videos available to members of The College of Phlebology (www.CollegeofPhlebology.com).
 

Wednesday 4 July 2012

Selected highlights from the European Venous Forum

www.CollegeofPhlebology.com

Report of the selected highlights from The European Venous Forum (EVF) held in Florence, Italy on 28-30 June 2012 are now available in the members area of The College of Phlebology (www.CollegeofPhlebology.com).

This includes some very interesting research into a novel way of improving the results of Foam Sclerotherapy.