MDNews - Tennessee Valley

placement of an intraluminal sheath is confirmed and a laser or radiofrequency fiber is safely positioned within the vein. Using ultrasound guidance, the pathologic vein is sealed by laser energy or radiofrequency energy. Upon vein ablation, venous flow though the incompetent vein is rerouted through collateral pathways resulting in decreased superficial venous hypertension. Superficial varicosities regress as well as associ- ated symptoms. Results are often seen within the first week following ablation. Recent research indicates an approximate 5% failure rate in patients who undergo endovenous ablation for venous incompetency. Venous stasis ulceration can profoundly affect a patient's quality of life, causing pain and requiring multiple physician appointments, dressing changes, wound care and wound healing resources. The presence of venous stasis ulcers can interfere with daily activities. Many patients live with venous stasis ulcers, thinking that the condition is incurable, without realizing that the ulcers are the direct result of underlying venous hypertension. "In the past, venous stasis ulcers were regarded as an incurable medical condition," adds Dr. Gardner. "Essentially, we were trying to correct a symptom rather than address the underlying disease process that causes the symptom, which prevented patients from experiencing an optimal outcome — resolution of the chronic ulceration." The surgeons at Advanced Surgical Concepts are experts in the field of phlebology, having treated more than 12,000 patients with venous disease. More than 7,500 endovenous ablation procedures have been performed since 2002. With the change to an office-based surgery practice, Dr. White and Dr. Gardner have been able to make medical/surgical mission trips to Mexico and Haiti. They have been able to participate in medical missions with the International Medical Assistance (IMA-missions.org). "Minimally invasive treatment of venous disease is one of our primary focal points at ASC," says Dr. White. "We have developed specialized expertise in the area of state-of-the-art care for venous disease. Having on our team surgeons who have specialized in general surgery, phlebology and cosmetic surgery presents a distinct advantage for us. It enables us to enhance patient selection and best match a patient's disease process with the most appropriate advanced treatment modality." Dr. Gardner and Dr. White have authored multiple scientific publications. They are accomplished instructors for physicians who wish to become experts in phlebology. Patient convenience and comfort is also a priority of physicians at Advanced Surgical Concepts. Two state-of-the-art office surgery suites are available with high-definition ultrasound. Both laser and radiofrequency techniques for vein ablation are used along with microphlebec- tomy techniques and sclerotherapy to manage complex venous disease. Dr. White and Dr. Gardner strive to work closely with referring doctors to quickly accommodate all referrals and follow-up with patients several months after completion of Before (left) and after (right) images of the posterior lower extremities post-endovenous ablation for superficial venous hypertension. Before (left) and after (right) venous stasis changes with venous aneurysm of the left greater saphenous circuit. Dramatic improvement post-endovenous laser ablation with microphlebectomy of the venous aneurysm. Before (left) and after (right) superficial venous telangiectasias of the face post-photothermolysis. procedures to ensure successful venous closure before returning them to the care of their primary care provider. "At Advanced Surgical Concepts, we have spent much time fine-tuning our techniques so patients benefit from the best vein care," says Dr. Gardner. "From initial consultation to postsurgical follow-up, we strive to provide superior outcome and a favorable, pleasant patient experience in a Christian atmosphere." For more information, call (423) 648-4011, 1-888-423-VEIN or visit www.advsurgical.com. n

• Cover