• Wed

  12:30 PM - 02:30 PM

Dr.Roy Varghese is internationally reputed and a leading Vascular surgeon in India.His main field of interest is vein diseases. He has done more than 25,000 Endovenous procedures(Laser,foam sclemo therapy, Radio frequency,stenting plasty etc). Click here to know more

Roy varghese has won many international awards.Recent one being Mohandas memorial oration of association of India Kerala chapter. He has been invited to the international union of phlebology(vein) conference at BOSTON USA 2013 He is the founder member of various association of India. He is the only person in Kerala to have all modern treatment modality for vein disease ie, Compressiion therapy Ultra sound guided Foam Sclemo therapy, Laser Ablation , Radio Frequency and Cath lab for vein Angiography and Stenting etc.

Varicose veins are veins that have become enlarged and tortuous. The term commonly refers to the veins on the leg, although varicose veins can occur elsewhere. Veins have leaflet valves to prevent blood from flowing backwards (retrograde flow or reflux). Leg muscles pump the veins to return blood to the heart (the calf muscle pump mechanism), against the effects of gravity. When veins become varicose, the leaflets of the valves no longer meet properly, and the valves do not work (valvular incompetence). This allows blood to flow backwards and they enlarge even more. Varicose veins are most common in the superficial veins of the legs, which are subject to high pressure when standing. Besides being a cosmetic problem, varicose veins can be painful, especially when standing. Severe long-standing varicose veins can lead to leg swelling, venous eczema, skin thickening (lipodermatosclerosis) and ulceration. Life-threatening complications are uncommon.

Non-surgical treatments include sclerotherapy, elastic stockings, elevating the legs, and exercise. The traditional surgical treatment has been vein stripping to remove the affected veins. Newer, less invasive treatments which seal the main leaking vein are available. Alternative techniques, such as ultrasound-guided foam sclerotherapy, radiofrequency ablation and endovenous laser treatment, are available as well. Because most of the blood in the legs is returned by the deep veins, the superficial veins, which return only about 10 per cent of the total blood of the legs, can usually be removed or ablated without serious harm.

Secondary varicose veins are those developing as collateral pathways, typically after stenosis or occlusion of the deep veins, a common sequel of extensive deep venous thrombosis (DVT). Treatment options are usually support stockings, occasionally sclerotherapy, and rarely limited surgery.

Varicose veins are distinguished from reticular veins (blue veins) and telangiectasias (spider veins), which also involve valvular insufficiency,by the size and location of the veins. Many patients who suffer with varicose veins seek out the assistance of physicians who specialize in vein care or peripheral vascular disease. These physicians are called vascular surgeons, phlebologists or interventional radiologists.