Pages

Wednesday 25 March 2009

Stripping varicose veins - who would have it done?

In the last week I have seen many patients who have re-grown their varicose veins after having had them stripped. It is unbelievable that in this day and age, surgeons still strip veins and patients still let them - and what shocked me more is that a recent study showed that despite our research, about 80% of surgeons still perform this barbaric (and often useless) procedure Click here for paper.

Tying of varicose veins was invented in the 1890's by Trendelenberg - and stripping the veins away was added the the procedure to make it more complete. Unfortunately, although it would seem logical to "remove the vein" to stop it coming back, this isn't what happens.

Unlike organs, such as the gallbladder, which you can remove permanently, veins are part of the body's connective tissue. This means that they are involved in the healing process. Thus when you injure yourself, the skin and connective tissue heals.

When a vein is stripped away, the body doesn't know it has been taken away by a surgeon - it thinks that the body has been damaged - and so it tries to grow the vein back again.

Prize winning research by us at The Whiteley Clinic, which was published in 2007 Click here for paper, shows that almost a quarter of people start growing the stripped veins back again within one year - and we are just about to present our latest research showing that well over three-quarters of people have grown the whole vein back again 5 years after stripping!!!

Put against this, we have already shown that 5 years after closing the same veins with heat using Whiteley Clinic procedures, NONE of the treated veins have re-opened.

With such a huge difference at 5 years between stripping (over 75% veins regrowing) and closing the veins with heat using Whiteley Clinic protocols (0% reopening), it would probably be unethical to perform a randomised study to re-prove the obvious - and which patients if told about the difference, would ever let anyone perform a stripping procedure on them?

It is very hard to understand why so many surgeons still offer stripping. Presumably most have not learnt how to perform the new techniques such as EVLA (endovenous laser ablation), VNUS Closure FAST, RFiTT etc.

It is even harder to understand why patients, with such ready access to information on the Internet, both through simple sites such as veinstripping.co.uk and veins.co.uk as well as scientific papers Click here for paper allow surgeons to offer such damaging surgery with such poor long term results.

Of course there is no law against this, nor is the doctor doing wrong, provided each patient has been fully informed of the alternatives to their stripping - even if the surgeon does not offer the alternatives themselves - and they are satisfied that stripping is really the best for them.

For my part, we have produced proof that stripping causes regrowth of the veins, and our alternatives have much smaller scars, allow return to work quicker, are under local anaesthetic and so allow walk-in walk-out procedures AND stop the treated vein opening up again in the future.

Certainly the patients that seek us out at The Whiteley Clinic having got their varicose veins back again having had stripping elsewhere have seen the problems that stripping can cause.

Monday 16 March 2009

BBC Online today - and an Italian article .....

Today the video of the first LSA - Laser Sweat Ablation - was put up on BBC online. You can view it on the link http://news.bbc.co.uk/1/hi/health/7939141.stm .

There was also an article that appeared about me in the Italian press:
http://www.repubblica.it/2009/03/sezioni/scienze/sudore/sudore/sudore.html?ref=hpspr1 although my Italian is unfortunately somewhat limited!!!

I put all of my research publications, prizes and lectures on http://www.markwhiteley.co.uk/ but haven't managed to complete the laser sweating website - I had some questions e-mailed to me and I would like to have the answers to them up on the site before I publish it.

Sunday 15 March 2009

Working Sunday

After a very lazy Saturday, today (Sunday) is another work day.

Our banner advert was in the Mail on Sunday today (see picture) in the Health Section. Unfortunately I have only just noticed the mis-spelling of Venus Closure - rather than VNUS Closure!!!!

However, it is good to have reinforcement out their about our pioneering varicose veins surgery and laser sweat ablation surgery.

Tomorrow, the BBC Online is meant to be publishing a video on our Laser Sweat Ablation video - so the rest of today is going to be updating my personal site - www.MarkWhiteley.co.uk and www.laser-sweat-ablation.co.uk.

However, I will have to stop at 14:30 for the Rugby ....... I hope we play better this week!!!!!

Friday 13 March 2009

Article in Surrey Advertiser

Today the Surrey Advertiser ran an article on our first LSA (Laser Sweat Ablation) operation.

The reporter, Vita Millers, had come to theatre and had watched the operation, speaking to Richard (the patient) before and during the procedure.

I have been updating the websites http://www.sweating.co.uk/ and http://www.armpit-sweating.co.uk/ and am trying to get a new one written, specific to this procedure. It will be called http://www.laser-sweat-ablation.co.uk/. I hope it will be live within a few hours.

However - after such a busy week - it might be a glass of wine and web site tomorrow - we shall see.....

Thursday 12 March 2009

Interview for BBC online

This morning, Richard returned the The Whiteley Clinic, 2 and a half days after his LSA (Laser Sweat Ablation) operation.

He is returning to work at lunchtime today, having had a shower and removing his dressings.


There is a little bruising of the underarms - and he will wear his compression top (like a small waistcoat) for the next week or so.

However, his arms are fully mobile and with his normal clothes on, you would not be able to tell that he had had the surgery.

BBC Online came to film him on his return to the clinic today. I was asked to give a description of the surgery (see picture) and Richard was interviewed about his views and his recovery.

The full video will be on BBC online under health - probably being released next Monday.

Richard's fast recovery shows that LSA (Laser Sweat Ablation) is a true walk-in walk-out procedure.

10 year celebrations of new varicose veins surgery

Last night, The Whiteley Clinic hosted a surprise party for me and Judy Holdstock, to celebrate our 10 year anniversary of performing the first keyhole operation for varicose veins in the UK. From that operation has sprung the whole revolution of the new walk-in walk-out vein surgery in the UK.


The whole of The Whiteley Clinic team were there - including Mr Barrie Price, consultant vascular surgeon and Mrs Charmaine Harrison, vascular technologist, and Vicki Smith(http://www.absoluteaesthetics.co.uk/).

They were joined by many guests including:

Steph Cook MBE, olympic gold medalist in Sydney in the modern pentathalon - who used to be a research fellow at The Whiteley Clinic (see picture below)
Professor Brian Allyson and his wife
Mr Bryn Edwards and his wife
Miss Sovra Whitcroft - consultant gynaecologist of The Surrey Park Clinic (http://www.thesurreyparkclinic.co.uk/)
Dr Tony Lopez - consultant radiologist of The Imaging Clinic (http://www.theimagingclinic.co.uk/)
and many other friends.

I was also most touched that my brothers and sister travelled many miles to join me - Kim Jago, David Whiteley and Dr Andrew Whiteley.

Lastly my 3 beautiful daughters also took time away from their exams to join us for our celebrations - Emily, Alice and Lucy.

The evening was a splendid affair with a fine address by Mr Barrie Price, and very funny speech by Dr Tony Lopez and a heartfelt talk from Judy Holdstock who has spent 10 years of her life working with me to perfect our techniques.

The clinic staff put on some wonderful arrangements including a montage of all the press articles about me and The Whiteley Clinic over the last 10 years - and fantastic food was provided by the Michelin Star restaurant - Drakes on the Pond (http://www.drakesonthepond.com/).

A lovely evening finished early enough for me to get ready for a day of operating today and a video for the BBC online this morning about our new Laser Sweat Ablation operation.

To see more photos please click on link:
>http://www.facebook.com/album.php?aid=94751&id=630710451&l=47b47

Tuesday 10 March 2009

10 year Anniversary of Keyhole Surgery for Varicose Veins in the UK

On the 12th March 1999, Judy Holdstock (chief vascular technologist at The Whiteley Clinic) and I performed the first VNUS Closure operation in the UK.

It was the first pinhole surgery operation for varicose veins in the UK - although the media have now started calling these sorts of operations "Keyhole" surgery operations for varicose veins. By doing this operation, we introduced this new sort of surgery into the UK.

So on Thursday, it will be our 10 year anniversary. In the last 10 years, we have developed the procedures and invented new techniques - such as our TRLOP technique - TRans-Luminal Occlusion of Perforating veins, won prizes and published our research.

Some of our work that should have changed the way veins are treated includes our research - published in July 2007 - that shows that the old "tie and stripping" of veins allows veins to grow back again. When compared to our results using VNUS (radiofrequency) or EVLA (Laser), none of the veins treated over the last 10 years has grown back and only one in 5,000 has opened again. in this one case, we did not stick to our Whiteley Clinic protocol and too little energy was used to close the vein.

Last year, several reports appeared in the press including some videos on TV, sowing some new keyhole surgery being "pioneered" at a London teaching hospital - your can still find one of these videos on the Internet. They show a surgeon using a technique called VNUS Closure FAST to treat a patient with varicose veins under local anaesthetic.
Unfortunately - they did not mention that the first VNUS Closure FAST in the UK was performed by Mark Whiteley and that the surgeon featured had previously undergone training at The Whiteley Clinic and had worked in a Whiteley Clinic franchise in Harley Street in 2008. The "pioneering" surgery had been going on at The Whiteley Clinic (as it still is) rather than the featured teaching hospital.

So today we took an advertorial in The Daily Mail in celebration of our 10 years - and to help people understand that not only were we the first to introduce these techniques to the UK - but we have continued to develop these techniques and introduce others, to make sure we offer our patients the very best results available from vein surgery.

Laser Sweat Ablation - LSA

Yesterday (9th March 2009) I performed the first Laser Sweat Ablation (LSA) operation in the UK at The Whiteley Clinic, Guildford.

The procedure had been announced in The Mail on Sunday on 8th March followed by the Telegraph website and in the Daily Star on Monday 9th March.

The laser sweat ablation procedure was invented by a brilliant plastic surgeon in Buenos Aires, Argentina called Dr Guillermo Blugerman who pioneered it in 2002. Guillermo is on the left of this picture.

He runs the B&S Clinica (http://www.clinicabys.com/) and he trained me in his procedure when I visited his clinic in 2008.

The operation went very well and the patient, Richard, walked home shortly after it.

The procedure was filmed and a reporter from the Surrey Advertiser was present throughout it.

Richard is going back to work on Thursday - 2 and a half days after the operation.

I explained about the operation live on BBC radio Essex this morning and was on Radio Southern Counties on Drive-Time today.