Minimally Invasive & Advanced Laparoscopic Surgery  
  Andrew Dobradin, M.D., PhD., F.A.C.S.  
  Winter Park, Florida  
     
 
 
 
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Vein Clinic


Consultation

More than 25% of adult American population is affected by varicose veins. They are most frequently the manifestation of underlying pathological changes with the blood  backflow increasing the pressure on the wall of the vein. The malfunction of the venous valves is the major cause of such dysfunction.

The initial evaluation of the patient includes assessments of general patient medical condition and focuses on the origin and severity of the venous disease. Varicose veins may appear as bulging, twisted rope like subcuticular structures frequently associated with well recognized symptoms of generalized, dull leg pain after prolonged period of standing, leading to swelling, edema and even hyperpigmentation or ulceration.  In rare situation the venous disease can be manifested by inflammation, blood clots or bleeding.

For more information about Consultation, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient vein clinic forms, fill out and bring to appointment.

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Duplex Ultrasonography

Ultrasound examination of the venous system is also called “vein mapping”. Duplex system allows the real time evaluation of the anatomy and function of the venous system. Based on the research on the normal valve function, backflow greater than 0.5 second is recognized to be pathological. If the prolonged time of  reflux is associated with the varicose veins than the condition might warrant therapy. Our equipment, Accuson X150, ensures the best quality of the ultrasound examination.

We offer Duplex study to all our patients during initial consultation.

For more information about Duplex Ultasonography, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient vein clinic forms, fill out and bring to appointment.

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Compression Stockings

Compression therapy benefits the patients with venous disease. The medical compression stockings provide gradually decreasing pressures (30-40 mmHg) that create gradient promoting return of the blood and reducing venous reflux. Compression stockings are worn daily and they are used frequently as the supplemental treatment with EVLT, phlebectomy and sclerotherapy. Additional intervention in form of lower extremities exercises with emphasis on ankle flexions, avoidance of high heels and leg elevation at rest have benefits and improve patients’ condition.

For more information about Compression Stockings, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient vein clinic forms, fill out and bring to appointment.

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Endovenous Laser Therapy

EVLT over last few years gained opinion of the standard treatment for varicose veins. The procedure can be performed in the physician office under local analgesia  in less than 60 minutes. During procedure a small laser fiber is introduced through the needle access site and positioned under ultrasound guidance in the affected vein. The light energy is delivered gradually over the length of affected vein causing it to close.

For more information about Endovenous Laser Therapy, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient vein clinic forms, fill out and bring to appointment.

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Sclerotherapy

Obliteration of the abnormal vein through the process of vascular fibrosis can be triggered by injection of the sclerosant. This technique is mainly used for treatment of  the small and spider veins.

For more information about Sclerotherapy, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient vein clinic forms, fill out and bring to appointment.

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Ambulatory Phlebectomy

Superficial varicose veins can be removed via small incisions (less than 4 mm) placed a few centimeters apart with good aesthetic result. This procedure can be performed in the physician office under local analgesia.

For more information about Ambulatory Phlebectomy, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient vein clinic forms, fill out and bring to appointment.

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Venous Access Surgery

Chemotherapy requires dependable venous access, which we insert when needed.

For more information about Venous Access Surgery, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient forms, fill out and bring to appointment.

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Veinwave

Veinwave™ is a revolutionary technique used by Doctors around the world to eliminate spider veins on the legs and fine thread veins, known as telangiectasia. Utilising the principle of thermocoagulation, Veinwave is the only treatment of its kind having received 510k clearance to market by the FDA. Veinwave has become the treatment of choice for practitioners and patients alike, many having been failed by lasers and other light based systems.

Nose Teleangiectasia Before
Nose Teleangiectasia After

For more information about Veinwave treatment, please visit:

To make an appointment, please call us at 407-647-3460. If you are a first time patient, please download the patient forms, fill out and bring to appointment.

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