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Dr. Himanshu Verma  - Vascular Surgeon, Delhi

Dr. Himanshu Verma

88 (10 ratings)
MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellow...

Vascular Surgeon, Delhi

11 Years Experience  ·  500 at clinic  ·  ₹300 online
Dr. Himanshu Verma 88% (10 ratings) MBBS, MS - General Surgery, Fellowship in Vascular Surger... Vascular Surgeon, Delhi
11 Years Experience  ·  500 at clinic  ·  ₹300 online
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Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.<br/><br/>Dialysis aaj ...

Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.

Dialysis aaj kal bohot he common hai. Renal Failure aaj kal bohot he common hogya hai. Aur ek point pe kidneys certain damage ke beyond hojati hai to uske baad patient ko permanent dialysis ki zarurat hoti hai. Dialysis ke liye normally gale me line daal kar usse blood ko dialysis machine tak lejaya jata hai. Aur clean blood ko wapas body me daalte hai. Lekin unfortunately in lines ko bohot zada der tak body me nahi rehne dia ja sakta hai. Kyuki isse infection ka khatra rehta hai aur sath he yeh lines ander ki nerves ko block karne lagti hai. Iske liye AV Fistula surgery ki zarurat hoti hai. Ideally hume ek aisi khoon ki nass ki zarurat hoti hai jisse khoon ko body se nikal kar dialysis machine tak lejaya ja sake aur wahan se clena blood ko wapas body me daale.

Aisi koi khoon ki nass actual me exist nahi karti hai jiske lie 2 khoon ki artery or vein ko surgery karke aapas me jod dete hai. ise AV Fistula surgery kehte hai. Ek baar AV Fistula surgery karne ke baad 5-6 hafte me vein badi hojati hai size em aur usme khoon ka flow badh jata hai, tab yeh fistula taiyar hoti hai.

AV Fistula surgery baaki surgeries se isliye alag hoti hai kyuki yahan pe koi cheez bana ke dete hai apko jisk baar baar needle daal ke istemaal hota hai. Kisi bhi jagah hum bar bar needle daalte hai to wo 6 months ya saal bhar me damage hojati hai. Isliye we talk in terms of ki AV Fistula ki ek life hoti hai. Isliye agar AV Fistula agar fail hojati hai to doosri AV Fistula ki zarurat padti hai. Agar failed AV Fistula aap sahi samay pe pehchan jaae to fir usko bachaya bhi ja sakta hai. Ek chalti hui AV FSIstula me bhi kahi baar complications ho sakte hai.

AV Fistula ki wajah se kuch patients ko haath me swelling aane lag jati hai. Adhiktar humne dekha hai ki in patients ki jo chaati k ander ki jo nerves hoti hai, unme narrowing hoti hai. Un narrow nerves ki wajah se haath me swelling ane lag jati hai. Aise mareezo ke liye typically Angioplasty ki zarurat padti hai. Angioplasty ke results bohot he acche hote hai aur within 6-8 hours hath ekdam normal hojata hai.

Apne dekha hoga ki bohot baar patients ko yeh boldia jata hai ki apka Fistula nahi kia ja sakta. Hum is tarah ki expertise rakhte hai jin patients ko bata dia jata hai ki koi naya Fistula nahi kia ja sakta hai.

So, har wo patients jinhe AV Fistula ke options mana kardia jata hai, unme bhi kuch na kuch AV Fistula ke options bache hue hote hai, ye thode un common hote hai, normal fistula se thodi badi surgery hoti hai. But since AV Fistula ek Dialysis patient ki lifeline hot hai, un patients ke liye in options ko explore karna bohot he important hota hai.

Baisilic vein transposition and AV Graft, ye bohot he common procedure hai jinko in patients me kiya ja sakta hai. Agar aap in patients me se hai jisnke liye AV Fistula ke raste band ho chuke hai, aap hume contact kar sakte hai Lybrate ke through ya fir aap humare centre pe personal appointment ke liye bhi aa sakte hai.

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Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhikt...

Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhiktam soojan hoti hai, or kisi samsyaaein hai jo ya to shuruaat me ignore ki jaati hai or dheere dheere problem tab he present hoti hai jab unki condition kharab ho jaati hai. Humara ek initiative hai, "hiding underneath the saree", jisme hum patients ko, specially un mahilaao ko jinko pero me soojan rehti hai. Unko hum regular consultations provide karte hai patients ko, aur free health tips dete hai ki kese pero ki soojan ko sahi samay se pehchana ja sakta hai.

Varicose vein pero ki soojan ka ek aam kaaram hai. pero me 2 prakar ki khoon ki nass hoti hai, jisme ek hoti h artery aur vein. Artery heart se khoon ko pero me lekar aata hai or vein se khoon wapas pero se heart tak jata hai.Varicose vein, veins ki problem hai. Isme khoon pero se wapas heart ki taraf nahi ja pata hai, or isme kuch leakage points develop hojate hai, jisse ki khoon pero me he leak kar jata hai or ek closed loop form hojata hai.

Agar kisko is prakar ki problem hai, jese pero me dikhti hui veins hai, ya fir koi ghaav jo bohot dino se nahi bhar raha hai. Me un patients ko pero k ultrasound ki salah dunga jisko hum duplex ultrasound kehte hai. Isme jisko pero me leakage aata hai use Great saphenous Veins, GSV kehte h.

Great Saphenous Veins mein agar koi leakage aata hai to use bina kisi surgery ke, injection dwara treat kiya jata hai. Is method ko hum Radio ablation ya Radio frequency ablation bhi kehte hai. Is process me hum khoon ki nass ko hum injection dwara garam kardete hai or band kar dete hai. Iska koi side effect nahi hota hai. Khoon ki nass band karne se koi problem bhi nahi hoti hai. Is surgery k lie patients same day surgery ke bad he discharge hojate hai. But patients ko 6 weeks tak stokines pehenni zaruri hoti hai. 6 hafte k bad hum fir se ek ultrasound karte hai leakag check karne k lie. Aur leakage band hote he aap ek normal life jee sakte hai.

Har varicose vein ko laser ya radiofrequency surgery ki zarurat nahi hoti hai. pero me agar swelling hai, specially agr dono pero me swelling hai to varicose diagnose ki jagah liver, heart ya kidney ka cheup hone zaruri hota hai. Kyuki agar koi bhi major organ me problem aati hai to starting condition me pero me soojan kar sakta hai.

Agar apke ghar parivar me kisiko is prakaar ki samasya hai. Ya pero me hari ya neeli veins dikhti hai to uske lie aap varicose vein ka check up karwa sakte hai.

Aap mujhe lybrate k through contact kar sakte hai. Nahi to aap humare clinic pe appointment book kar sakte h

Thank you.

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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Himanshu Verma
He has had many happy patients in his 10 years of journey as a General Surgeon in Gulabi Bagh, Delhi. He has completed MBBS, MS - General Surgery. Save your time and book an appointment online with Dr. Himanshu Verma on Lybrate.com.

Find numerous General Surgeons in India from the comfort of your home on Lybrate.com. You will find General Surgeons with more than 32 years of experience on Lybrate.com. Find the best General Surgeons online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - IMS BHU - Varanasi - 2006
MS - General Surgery - IMS BHU - Varanasi - 2011
Fellowship in Vascular Surgery - Rajiv Gandhi University of Health Sciences - Bangalore - 2013
...more
Ted Rogers Fellowship - Mayo Clinic - USA - 2016
Past Experience
Worked at Sir Sunderlal Hospital
Worked at Narayana Hrudayalaya - Bangalore
Worked at Medanta The Medicity - Gurgaon
...more
Worked at Max Hospital - Saket & Gurgaon
Worked at Max Smart - Saket
Worked at Mayo Clinic - USA
Professional Memberships
Vascular Society Of India
Association of Surgeons of India
ISUS

Location

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NKS Hospital

219/220, Gulabi BaghDelhi Get Directions
500 at clinic
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Bhagat Chandra Hospital

Mahavir Enclave, RZ-F-1/1, under Dwarka Airport flyover,, Palam Dabri Marg, Mahavir Enclave Part 2, Palam Colony, New Delhi Get Directions
500 at clinic
...more
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Renal Dialysis

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Play video

Hi, my name is Dr Hmanshu Verma. I am a Vascular and endovascular surgeon.

Dialysis aaj kal bohot he common hai. Renal Failure aaj kal bohot he common hogya hai. Aur ek point pe kidneys certain damage ke beyond hojati hai to uske baad patient ko permanent dialysis ki zarurat hoti hai. Dialysis ke liye normally gale me line daal kar usse blood ko dialysis machine tak lejaya jata hai. Aur clean blood ko wapas body me daalte hai. Lekin unfortunately in lines ko bohot zada der tak body me nahi rehne dia ja sakta hai. Kyuki isse infection ka khatra rehta hai aur sath he yeh lines ander ki nerves ko block karne lagti hai. Iske liye AV Fistula surgery ki zarurat hoti hai. Ideally hume ek aisi khoon ki nass ki zarurat hoti hai jisse khoon ko body se nikal kar dialysis machine tak lejaya ja sake aur wahan se clena blood ko wapas body me daale.

Aisi koi khoon ki nass actual me exist nahi karti hai jiske lie 2 khoon ki artery or vein ko surgery karke aapas me jod dete hai. ise AV Fistula surgery kehte hai. Ek baar AV Fistula surgery karne ke baad 5-6 hafte me vein badi hojati hai size em aur usme khoon ka flow badh jata hai, tab yeh fistula taiyar hoti hai.

AV Fistula surgery baaki surgeries se isliye alag hoti hai kyuki yahan pe koi cheez bana ke dete hai apko jisk baar baar needle daal ke istemaal hota hai. Kisi bhi jagah hum bar bar needle daalte hai to wo 6 months ya saal bhar me damage hojati hai. Isliye we talk in terms of ki AV Fistula ki ek life hoti hai. Isliye agar AV Fistula agar fail hojati hai to doosri AV Fistula ki zarurat padti hai. Agar failed AV Fistula aap sahi samay pe pehchan jaae to fir usko bachaya bhi ja sakta hai. Ek chalti hui AV FSIstula me bhi kahi baar complications ho sakte hai.

AV Fistula ki wajah se kuch patients ko haath me swelling aane lag jati hai. Adhiktar humne dekha hai ki in patients ki jo chaati k ander ki jo nerves hoti hai, unme narrowing hoti hai. Un narrow nerves ki wajah se haath me swelling ane lag jati hai. Aise mareezo ke liye typically Angioplasty ki zarurat padti hai. Angioplasty ke results bohot he acche hote hai aur within 6-8 hours hath ekdam normal hojata hai.

Apne dekha hoga ki bohot baar patients ko yeh boldia jata hai ki apka Fistula nahi kia ja sakta. Hum is tarah ki expertise rakhte hai jin patients ko bata dia jata hai ki koi naya Fistula nahi kia ja sakta hai.

So, har wo patients jinhe AV Fistula ke options mana kardia jata hai, unme bhi kuch na kuch AV Fistula ke options bache hue hote hai, ye thode un common hote hai, normal fistula se thodi badi surgery hoti hai. But since AV Fistula ek Dialysis patient ki lifeline hot hai, un patients ke liye in options ko explore karna bohot he important hota hai.

Baisilic vein transposition and AV Graft, ye bohot he common procedure hai jinko in patients me kiya ja sakta hai. Agar aap in patients me se hai jisnke liye AV Fistula ke raste band ho chuke hai, aap hume contact kar sakte hai Lybrate ke through ya fir aap humare centre pe personal appointment ke liye bhi aa sakte hai.

Leg Swelling

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Play video

Pero me soojan ek aam samasya hai. Hindustan me mahilaayo me, saree pehenne ki wajah se to adhiktam soojan hoti hai, or kisi samsyaaein hai jo ya to shuruaat me ignore ki jaati hai or dheere dheere problem tab he present hoti hai jab unki condition kharab ho jaati hai. Humara ek initiative hai, "hiding underneath the saree", jisme hum patients ko, specially un mahilaao ko jinko pero me soojan rehti hai. Unko hum regular consultations provide karte hai patients ko, aur free health tips dete hai ki kese pero ki soojan ko sahi samay se pehchana ja sakta hai.

Varicose vein pero ki soojan ka ek aam kaaram hai. pero me 2 prakar ki khoon ki nass hoti hai, jisme ek hoti h artery aur vein. Artery heart se khoon ko pero me lekar aata hai or vein se khoon wapas pero se heart tak jata hai.Varicose vein, veins ki problem hai. Isme khoon pero se wapas heart ki taraf nahi ja pata hai, or isme kuch leakage points develop hojate hai, jisse ki khoon pero me he leak kar jata hai or ek closed loop form hojata hai.

Agar kisko is prakar ki problem hai, jese pero me dikhti hui veins hai, ya fir koi ghaav jo bohot dino se nahi bhar raha hai. Me un patients ko pero k ultrasound ki salah dunga jisko hum duplex ultrasound kehte hai. Isme jisko pero me leakage aata hai use Great saphenous Veins, GSV kehte h.

Great Saphenous Veins mein agar koi leakage aata hai to use bina kisi surgery ke, injection dwara treat kiya jata hai. Is method ko hum Radio ablation ya Radio frequency ablation bhi kehte hai. Is process me hum khoon ki nass ko hum injection dwara garam kardete hai or band kar dete hai. Iska koi side effect nahi hota hai. Khoon ki nass band karne se koi problem bhi nahi hoti hai. Is surgery k lie patients same day surgery ke bad he discharge hojate hai. But patients ko 6 weeks tak stokines pehenni zaruri hoti hai. 6 hafte k bad hum fir se ek ultrasound karte hai leakag check karne k lie. Aur leakage band hote he aap ek normal life jee sakte hai.

Har varicose vein ko laser ya radiofrequency surgery ki zarurat nahi hoti hai. pero me agar swelling hai, specially agr dono pero me swelling hai to varicose diagnose ki jagah liver, heart ya kidney ka cheup hone zaruri hota hai. Kyuki agar koi bhi major organ me problem aati hai to starting condition me pero me soojan kar sakta hai.

Agar apke ghar parivar me kisiko is prakaar ki samasya hai. Ya pero me hari ya neeli veins dikhti hai to uske lie aap varicose vein ka check up karwa sakte hai.

Aap mujhe lybrate k through contact kar sakte hai. Nahi to aap humare clinic pe appointment book kar sakte h

Thank you.

1 person found this helpful

Diabetic Foot - How It Can Be Prevented & Treated?

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Diabetic Foot - How It Can Be Prevented & Treated?

Diabetes alters the metabolism and functioning of almost entire body system. The most important targets are the circulatory and nervous system, leading to peripheral vascular disease and neuropathy. Diabetic foot is the result of a combination of these two factors in the feet – altered/reduced blood flow to the feet combined with reduced sensation.

  1. Neuropathy: When the sugar levels are poorly controlled, then the nerves in the legs are damaged, leading to reduced or absence of sensation. The patient cannot feel pain/heat/cold. Sensory neuropathy causes loss of protective sennsation leaving the foot at risk to repetative unnoticed trauma.
  2. Peripheral vascular disease: The blood vessels which are away from the heart are affected, leading to poor blood flow from the legs to the heart. Proper blood flow is essential for overall health, and when this is affected, the peripheral foot health is affected.

Some of the common foot problems encountered in diabetics are listed below:

  1. Fungal infections: Whether a person wears shoes regularly or not, they become more prone to fungal infections. The nails become discoloured, brittle, and break off. They are difficult to treat and may require oral medications.
  2. Ulcers: Diabetic ulcers are very common. The combined effect of reduced sensation and reduced blood flow leads to ulcers, which are not painful (due to lack of sensation) and therefore are ignored and not treated promptly. They can progress and become severe, even sometimes leading to amputation. Fungal ulcer are most common in between toes and in creases of a diabetic patients
  3. Corns: Diabetics are more prone to develop corns which are thick masses of skin near the bony area of a toe. This could be in areas where the shoes rub against the toes or between the toes where there is a lot of friction. Home care includes smoothing it with a pumice stone. The person should not try to remove them on their own.  Warts, bunions, ingrown toenails, hammertoes, etc., are also very common in diabetics.

Prevention/Treatment:

  1. The first and most important step is to monitor and regulate the blood sugar levels within ranges ideal for you.
  2. Warm water to be used for washing feet, and then to be dried well, to not leave a moist area between toes
  3. Regular feet care to check for blisters, ulcers, wounds, etc.
  4. Check toenails for overall health
  5. Preferably wear closed toe shoes
  6. Wear stockings or socks and shoes that fit well
  7. Moisturise the skin well to avoid drying
  8. Avoid exposing feet to extreme weather
  9. Quit smoking
  10. Ensure blood flow is maintained by not standing or sitting for prolonged periods and with regular exercise

If you wish to discuss about any specific problem, you can consult a doctor.

2847 people found this helpful

Is their any after effect after laser treatment for varicose vein in legs viz. From thigh to knee./or any bad effect.

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
No really .of performed well laser treatment virtually has no side effects.<3 %patients get some paresthesia, numbness in inner side of legs, that also resolves in few weeks. Risk of DVT in this treatment is<1%
2 people found this helpful
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5 Common Vascular Disorders

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
5 Common Vascular Disorders

Vascular disorders are disorders of the vessels in your body that carry either blood or waste products. The vascular system consists of the arteries (that carry blood away from the heart), veins (that carry blood to the heart) and lymph vessels (that carry waste products to be excreted from the body). The various diseases of the vascular or circulatory system are:

  1. Peripheral Artery Disease: Peripheral arteries carry blood to the various organs and tissues in the body. Accumulation of cholesterol and fat in the vessels narrow the pathway for the blood to flow. This can impair blood flow to the tissues in the body and cause complications. Various medications used to lower cholesterol and blood pressure can also be used for peripheral artery disease.
  2. Buerger's Disease: This disease causes obstructions in the veins and arteries in the legs. This can hamper blood supply in the toes and the feet. It causes pain and may require amputation in severe cases. Treatments for this disease include smoking cessation and medications to dilute blood vessels.
  3. Aneurysm: An aneurysm is swelling in the blood vessel walls; it usually occurs in the aorta. The artery walls become fragile and are placed under a lot of stress; this may lead to a sudden rupture of the aortic vessels. This disorder is usually treated by surgical procedures.
  4. Peripheral Venous Disease: Peripheral venous disease is characterized by damage to the valves that allows blood to flow in a single direction. Damaged valves can cause blood to flow backwards and therefore, accumulate. Treatments for this disorder are incorporating certain lifestyle habits such as quitting smoking and alcohol.
  5. Blood clots in the veins: Blood clots may occur in the veins present inside the muscles of the thighs and lower legs which lead to deep vein thrombosis. You may be prescribed anti-coagulants, also known as blood thinners, to treat this disorder.

Causes
People with diseases such diabetes, high blood pressure, or kidney failure can be more likely to have vessel problems. Working with vibrating tools, being in cold temperatures, and smoking can worsen vascular problems. Causes of vascular disorders usually fit into one of 5 groups:

  1. Traumatic, which occur after injury
  2. Compressive, which occur when the pipes flatten
  3. Occlusive, which occur when pipes are blocked
  4. Tumors (growths) or malformations (deformed, tangled pipes), which may or may not be present at birth
  5. Vessel spasms, which occur when abnormal control of vessels causes them to narrow

Symptoms
Symptoms of vascular disorders can include:

  1. Pain
  2. Abnormal color changes in the fingertips
  3. Ulcers or wounds that do not heal
  4. Hand problems when in cold temperatures or locations
  5. Numbness or tingling of the fingertips
  6. Swelling
  7. Cool or cold fingers and/or hands 

    If you wish to discuss about any specific problem, you can consult a doctor.

2916 people found this helpful

Weakening of Blood Vessels - Understanding the Types!

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Weakening of Blood Vessels - Understanding the Types!

What is Aortic aneurysm?
The heart is the most important muscle in your body, and its primary job is to pump the blood across. The aorta is the largest blood vessel of the human body and is used by the heart to push the blood along. The Aorta is also one of the strongest vessels, but in some cases, due to the wear and tear condition the walls can weaken and bulge in what is called an aortic aneurysm. This can cause a rupture of the vessels as a result of which, blood gets leaked into the body.

Types of Aortic aneurysm:
There are two known types of aortic aneurysms. One of which is located in the chest and is known as the thoracic aortic aneurysm, and the one which forms in the abdomen is called an abdominal aortic aneurysm.

Thoracic aortic aneurysm
There are many causes of the Thoracic aortic aneurysm. Genes play a significant role in increasing the chances. The other factors can include high blood pressure, high cholesterol, infections and blockages in the arteries. Sometimes a traumatic injury due to an accident can also lead to the condition. The biggest disadvantage of the disease is that the symptoms do not occur in the early stages and only in their chronic stages they appear. Some of the symptoms include chest or back pain, difficulty in breathing, shortness of a breath and persistent cough. Diagnosis can be made by an X-ray, CT scan, and ultrasound. Medications can help to an extent in relieving the pain and symptoms but however, in some extreme cases surgery is required. During the surgery, a synthetic tube replaces the damaged artery- as a result of which the blood gets channelled without any hindrances.

Abdominal aortic aneurysm
In the case of an abdominal aortic aneurysm, the aorta that passes through your abdomen gets damaged. As in the event of the Thoracic aortic aneurysm, there are no visible symptoms initially. Symptoms if they appear can include a deep back pain and persistent pain the side of the abdomen. Dizziness and weightlessness can also be other factors. Once again as in the case of the Thoracic aortic aneurysm, high blood pressure and cholesterol levels can be the risk factors. The problem also gets aggravated when the person is a frequent smoker and drinker. The diagnosis can happen through an X-ray, CT scan or an ultrasound. Once diagnosed, medications can heal the symptoms to an extent. Routine checkups are usually done to check the condition. In the cases where the bulge is bigger, surgeries are done to relieve the damaged part.

As with many cases, a good lifestyle change and healthy habits can keep many of the conditions in check. The same goes for an aortic aneurysm too. If you wish to discuss about any specific problem, you can consult a doctor.

2837 people found this helpful

My problem is varicose vein .please varicose vein ka treatment btao. My both leg problem of swelling and pain and heavy.

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Varicose veins are one of the easiest condition to be fixed. First we get a doppler of both legs (ultrasound of legs) to see the leaking points in veins. Often main leaking point responsible for varicose vein in in upper thigh. If Leaking point identified properly, a injection based approach can treat the problem- its called radiofrequency / laser ablation of varicose veins. Its a minimal risk procedure and almost required no bed rest either. No cuts/ surgery is involved. Few subset of patients do not have leaking points, rather have blockage of veins, they have to be identified by angiogram, and fixed accordingly.
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