Varicose Veins: from cosmetic blemish to limb threatening ulceration

On the 22^nd September the Spire Cambridge Lea Hospital organised a GP educational meeting in the wonderful surroundings of the Duxford Air Museum. As chairman of the Consultant’s Committee it was my pleasure to welcome over 150 General Practitioners to hear lectures from Cambridge experts on a wide range of medical conditions. I chaired the morning session which included presentations on cardiology, orthopaedics and gastroenterology. The title of my own lecture was ‘Varicose Veins: from cosmetic blemish to limb threatening ulceration’. This provided a valuable opportunity to explain why varicose veins must not underestimated and dispel some of the common myths and misunderstanding surrounding the condition. I described the latest minimally invasive techniques for the treatment of varicose veins and thread-veins which stimulated a lot of interesting questions. The GPs were particularly interested in the way these techniques have totally changed the treatment of varicose veins to a local anaesthetic walk-in, walk-out technique with almost immediate return to normal activities.

Annual scientific meeting between Cambridge and Yale Universities

On the 9th to the 11th September I took part in the annual scientific meeting between Cambridge and Yale Universities at Trinity Hall College, Cambridge. As usual, the meeting provides a fascinating and highly enjoyable opportunity to hear the latest research findings from both centres. It also provides an opportunity to reinforce academic and social links with colleagues from across the Atlantic. One such link is with my good friend Alan Dardik, Associate Professor of Surgery at Yale. Earlier this year Alan and I collaborated to write a textbook for higher surgical trainee surgeons entitled ‘Outpatient Surgery’ which has been very well received. As part of the meeting we presented a signed copy of the book to the joint organisers Dr John Bradley (Cambridge) and Professor Jordan Porber (Yale) as a vote of thanks for all their hard work.

There’s more to veins than vanity

Varicose veins can effect up to 20% of the UK’s adult population. They are unsightly and painful but, worse still, can also lead to serious health problems. Mr Michael Gaunt a Consultant Vascular Surgeon who specialises in the minimally invasive treatment of varicose veins and threadveins, looks the options available to sufferers.

“Varicose veins occur when small valves inside the veins stop working properly so that rather than blood flowing smoothly back towards the heart, the blood stagnates within the veins causing aching, tiredness and discomfort,” explains Mr Gaunt.

“The veins are usually blue or dark purple and may also be lumpy or twisted in appearance and while any vein in the body can be affected, they most commonly develop in the legs and feet . This is because standing and walking puts extra pressure on the veins in the lower body.

“Initially, problem veins may not be visible but the symptoms still occur. Patches of blue threadveins may sometimes be the first signs of an underlying problem and eventually, the abnormal veins become swollen, enlarged and varicose.

“In the early stages varicose veins and threadveins may be mainly a cosmetic problem, however, if ignored, the condition can deteriorate and various complications can occur such as leg swelling, pigmentation of the skin around the ankles and ulcers.
“Sometimes veins can burst causing bleeding, or the blood within the veins can clot leading to the painful condition of phlebitis or even deep vein thrombosis. People who use air travel for work or holidays may be at increased risk particular if those flights are long haul.

“Fortunately, modern minimally-invasive treatments can now often be performed under local anaesthetic as a walk-in walk-out procedure, with minimal post-operative pain and almost immediate return to normal activity.

“I have treated over 4,000 patients with the Endovenous laser and Clarivein techniques – both are associated with considerably less pain, bruising and scarring than traditional stripping techniques and both offer very good longterm results.”

FREE 15-minute mini consultations
Mr. Gaunt offers FREE 15-minute mini consultations for patients to visit him and be initially assessed. He will then offer them a diagnosis and discuss potential treatment and steps forward. These no-obligation consultations are offered at the BMI Hospital, Bury St Edmunds, Spire Cambridge Lea Hospital, Spire Norwich Hospital and Cambridge Nuffield Hospital. For more information or to make a booking, contact his private secretary on 01223 305858 or visit www.michaelgaunt.com.

Vascular Society of GB & Ireland

I gave evidence on minimally invasive treatments of varicose veins and in particularly the 'Clarivein' technique to the government body NICE on behalf of the Vascular Society of GB & Ireland. As a UK surgeon who has performed several hundred of these techniques the committee where keen to hear of my experience and assessment of Clarivein (mechanochemical ablation) compared to other techniques such as radiofrequency and endovenous laser.

Research Advisory Committee meeting at Addenbrookes

I attended the Research Advisory Committee meeting at Addenbrookes (Cambridge University Hospitals NHSFT). This body is responsible for funding and monitoring research carried out at the hospital.

Leicester University, external examiner

It was really good to return to my own 'alma mater' at Leicester University to act an external examiner. I was also able to meet up with my old supervisor Professor Ross Naylor who is currently president of the Vascular Society of Great Britain and Ireland.

Spire Cambridge Lea Hospital's 25th Anniversary Ball

As the Medical Advisory Committee Chairman, I was required to give one of the after dinner speeches at the Spire Cambridge Lea Hospital's 25th Anniversary Ball. My wife and I thoroughly enjoyed the evening and the event was a very good way for the hospital to thank all the staff who work so hard during the year. I would like to add my heartfelt thanks to the staff in the hospital who look after my patients so well. It is very reassuring to know that my patients are treated in such a safe and professional environment.

Photo credit: Liquid Photo