MANUAL THERMOCOAGULATION - EVRF
Date
Page 15 of 34 Revision N° : 18
3.6 Contra Indications
For all types of treatment
- People with heart disease including pace maker.
- Pregnant patients, including breastfeeding.
- Patients younger than 18 years.
- Contraindication to local anesthetic.
For spider vein treatment
- Allergy to nickel.
For varicose vein treatment
- Deep venous insufficiency.
- Obstructed deep venous system.
- Deep vein thrombosis.
- Allergic to substances in tumescence.
For hemorrhoid treatment
- Cutaneous infection.
- Anal fissures.
- Infective anal pathologies like cryptitis & proctitis.
- Allergic to substances in tumescence.
- Presence of stitches from previous Longo treatment and patients with bleeding disorders.
3.7 Caution
The following precautions need to be taken for each type of treatment:
- Patient may not be grounded or connected to any other radio frequency device.
- Care and vigilance must be exercised when treating patients who are on aspirin or
anticoagulant therapy, due to the possibility of increased bleeding.
- Care and vigilance must be exercised when treating patients who suffer from hyper
coagulopathy.
For treatment of varicose veins precautions need to be taken when treating patients with
following conditions:
- Congenital vasculopathies.
- Thrombophilia.
- Sciatic vein reflux.
- Occlusive peripheral arterial disease.
For treatment of hemorrhoids the following precautions are additional:
- Always work above the dentate line.
- Patients who have had Longo treatment require a radioscopy to detect remaining stitches.