Terms of Use > Terms & Conditions This page contains information regarding the terms and conditions for the use of the website of Mr Abdusalam Abu-Own (MBChB, FRCS, PhD, CCST) and the services offered through this website. This website is owned by Mr Abdusalam Abu-Own and is provided and operated by him and his team. ​ INCLUDED IN THESE TERMS AND CONDITIONS Index INTRODUCTION LEGAL NOTICE AND DISCLAIMER USING THIS WEBSITE WEBSITE UPDATES PAYING FOR YOUR TREATMENT - MEDICAL INSURANCE PAYING FOR YOUR TREATMENT - SELF FUNDING CREDITS DATA PROTECTION AND COOKIES VIRTUAL CONSULTATIONS DURING COVID-19 Introduction INTRODUCTION Mr A. Abu-Own is a Consultant General and Vascular surgeon working in Ipswich and Colchester, United Kingdom (UK). His GMC registration number is 3380400. Mr A. Abu-Own runs his private clinic from the Nuffield Health Ipswich Hospital, Foxhall Road, Ipswich, IP4 5SW, where he works as an independent practitioner. Nuffield Health Ipswich Hospital provides private medical services to patients directly as well as taking referrals from G.Ps, external Consultants and local NHS Hospital Trusts. Nuffield Health Ipswich Hospital is one of a large national network of hospitals run by Nuffield Health. Nuffield Health is a Not-For-Profit, UK Healthcare Charity that provides clinical, fitness and wellbeing services to the general public, private organisations and the NHS. If you have any questions regarding this website, our operations or services then please contact Mr A. Abu-Own’s secretary, Vicky Handy, at: Phone: 01473 279137 Email: vicky.handy@nuffieldhealth.com Post: Nuffield Health Ipswich Hospital, Foxhall Road, Ipswich, IP4 5SW. Unless stated otherwise, references to “website ”, “site ” means Mr Abdusalam Abu-Own’s website, abu-own.co.uk , and all services and associated websites and terms which are a part of or can be accessed via this website. LEGAL NOTICE AND DISCLAIMER Mr A. Abu-Own provides a variety of private medical services which are promoted through this website. By accessing any part of the website, by submitting data online to us, or by requesting to have a consultation or receive treatment with Mr A. Abu-Own at his private clinic, you accept these Terms and Conditions in full and agree to comply and remain legally bound by these Terms.​ ​If you disagree or do not accept compliance with these legal Terms in full, you must leave the website (abu-own.co.uk) immediately, must not submit any data to us online and must not request to have a consultation or receive treatment with Mr A. Abu-Own at his private clinic. ​ The services provided and advertised on this website are for elective cases only and should NOT be used if you need urgent or life-threatening medical attention. If you have a life-threatening emergency, you should seek immediate attention by dialling 999. If you require urgent medical attention that is not life-threatening, you are advised to use the NHS 111 service (also available 24 hours a day, 7 days a week). Simply dial 111 from any landline or mobile or visit https://111.nhs.uk to access this service. Mr A. Abu-Own will NOT accept responsibility or liability for any injury, loss or damage resulting from those who misuse, or inappropriately rely on the elective services advertised in this website for the purpose of life-threatening or urgent medical needs. This website is not designed to facilitate medical emergencies and makes no such claims. This website is for informational purposes ONLY and IS NOT intended to serve as a substitute for a consultation, diagnosis, and/or medical treatment from Mr A. Abu-Own and is provided “AS IS” and without any warranties, and/or liabilities whether expressed or implied. You have full access to all pages and communication forms on this website, on the understanding that the principal purpose of this website is to seek a professional consultation and/or medical help and assistance in the form of a private consultation with Mr A. Abu-Own, a Consultant Surgeon working at Nuffield Health Ipswich Hospital. This website is NOT intended to provide medical advice. The information supplied through this website, or by any representative or agent of Mr A. Abu-Own whether by telephone, email, letter, facsimile or other form of communication, is for informational purposes only and does not constitute medical, legal or other professional advice. The information provided in the section PATIENT RESOURCES is not a substitute for a medical consultation with Mr A. Abu-Own, another healthcare professional, or medical advice, and should NOT be used for self-diagnosis or self-treatment of your health problems. The information contained in this website may NOT be presented in conclusory, shorthand or summary form and is NOT intended to supplant medical advice provided by your G.P, Mr A. Abu-Own, or any other medical professional you may have seen in person for advice and/or proper medical diagnosis of your condition. Mr A. Abu-Own and his team have used all reasonable care and skill in compiling the content of this website but make no warranty as to the accuracy of any information on this website and cannot accept liability for any errors or omissions. Please pay close attention to our Terms and Conditions relating to paying for your treatment and make sure you have read the section that applies to you carefully . These can be found in the ‘PAYING FOR YOUR TREATMENT ’ section of this page and have been categorised according to payment method as follows: Medical Insurance Terms and Conditions Self-Funding Terms and Conditions By accessing professional services from Mr A. Abu-Own you agree to these Terms and Conditions in full and agree to comply and remain legally bound by these Terms. Mr A. Abu-Own works as an independent practitioner for Nuffield Health. While Mr A. Abu-Own abides by the rules and regulations of Nuffield Health, there are instances where the contract between you and Mr A. Abu-Own is different from and separate, to the contract that you have with Nuffield Health. For instance: Initial outpatient consultations, or follow-up outpatient consultations not covered by the procedure package, or any tests or investigations performed during these consultations are managed by Mr A. Abu-Own. If you access these services then you are bound by our terms & conditions. The all-inclusive procedure package is managed by Nuffield Health and therefore if you enter into this contract then you are bound by their terms & conditions. Under Mr A. Abu-Own’s independent contract, he is free to choose which professional services he provides and the prices charged for his services are at his discretion. Any prices he sets for his own personal fees for procedures may subsequently be incorporated by Nuffield Health into their procedure price package. If you would like to know more about how these contracts work, then please ask . Unless otherwise specified, the materials on this website are directed solely at those who access this website from the United Kingdom mainland. Mr A. Abu-Own makes no representation that any information or service referred to in the materials on this website are appropriate for use, or available, in other locations. Those who choose to access this website from other locations are responsible for compliance with local laws if and to the extent local laws are applicable. ​ These terms and conditions were last updated on 28th August 2020. We keep these terms and conditions under regular review and may amend them from time to time. Every time you wish to use our website or access private services from Mr A. Abu-Own, please check to ensure you understand the terms that apply at that time because it is binding on you. ​ USING THIS WEBSITE This website provides visitors’ with information about Mr Abu-Own’s medical background as a consultant surgeon, the scope of surgical treatments offered by Mr Abu-Own through his private practice at the Nuffield Health Ipswich Hospital and the opportunity to be referred to him by your G.P. for assessment and/or treatment or; to self-refer for a consultation and medical investigation of your condition, to obtain a medical diagnosis and receive treatment if necessary based on the medical investigation of your condition. The website provides website visitors with the communication tools to make enquiries, book appointments and provide feedback on the services they have received from Mr A. Abu-Own. This website does NOT provide a membership subscription or restricted access to parts of the site. This website does NOT process or take online payments for appointments, treatment or other services. This website does NOT offer you the opportunity to subscribe to any mailing lists, so you will NOT receive marketing or promotional emails from this website or from Mr A. Abu-Own. Access to and use of this website is permitted and licensed subject to the terms and conditions set out in this page. We reserve the right to withdraw or amend these terms and conditions, including any service we provide, without notice at any time. It is your responsibility to regularly check and to ensure compliance with these terms as they are legally binding. We will not be liable if for any reason our site is unavailable at any time or for any period. ​ WEBSITE UPDATES We aim to update our site regularly and may change the content at any time to reflect changes to our services, our patients' needs and our business priorities. If the need arises, we may suspend access to any services, or close them indefinitely. Any of the material on our site may be out of date at any given time, and we are under no obligation to update such material. ​ PAYING FOR YOUR TREATMENT Option One – Medical Insurance Terms and Conditions This section covers the terms that apply if you are paying for services from Mr A. Abu-Own by medical insurance. ​ You are advised to read the terms and conditions of your insurance policy in full before requesting professional services from Mr A. Abu-Own and to liaise closely with your insurance company throughout the process. It is your responsibility to confirm with your insurer that your care is covered by your insurance policy and it is your responsibility to find out if and what limitations exist in your policy. While we may offer to provide guidance in helping you obtain this information yourself, we are not obligated to obtain such confirmation on your behalf and Mr A. Abu-Own will not be liable for any misunderstandings or disagreements between you and your insurer in relation to insurance cover for any services received. In some cases, it may be that your insurer chooses not to pay for all or parts of the services that you receive. In such cases, any balance outstanding is your responsibility and must be paid by you in full. Should you disagree with any shortfalls made by your insurer then you should take this up with them after having settled the outstanding amount in full yourself. ​ Unless stated otherwise in your insurance policy, and where any such exemptions are communicated and agreed with Mr A. Abu-Own’s team in advance , Mr A. Abu-Own may not agree to see you as part of a consultation unless you have provided us with a signed claim form from your GP (and if required also signed by your insurer). The insurance providers that Mr A. Abu-Own works with require that a claim form has been signed by your GP before they will agree to pay for any services received. Please note that we may also need you to provide accurate dates for when your symptoms first developed and for when you subsequently visited your GP in order to satisfy some insurance claims. Failure to do so may affect whether the services you receive are covered by your insurer. If you do have a consultation with Mr A. Abu-Own without having provided all of the required insurance documentation then you may be asked to settle your account in full before leaving. ​ It is possible that you may have an excess on your policy or some charges may not be settled by your insurer. For this reason, it is Nuffield Health’s policy to ask you for your card details as part of the booking process. Your credit/debit card details will only be used to secure payment in the event of any shortfall by your Insurer and you will be notified of the shortfall amount by the hospital. Mr A. Abu-Own is compliant with the schedule of fees of all major insurance companies. This means that you will not be charged any excess fees on account of Mr Abu-Own . Mr A. Abu-Own cannot be held responsible for fees for services provided by independent medical practitioners, general practitioners or anaesthetists that are not in compliance with the insurance fee structure. For procedures requiring anaesthesia, Mr A. Abu-Own requests a fee-compliant anaesthetist, however, this cannot be guaranteed. Mr A. Abu-Own cannot be held responsible for any additional charges made by Nuffield Health for any extras received that are not covered by the insurance fee structure (e.g. telephone calls, newspapers, magazines and visitor meals). You should consult your insurance providers terms and conditions to confirm what is and what is not covered by your insurance policy. ​ Option Two – Self Funding Terms and Conditions This section covers the terms that apply if you are paying for services from Mr A. Abu-Own by yourself. Initial consultation(s), tests and investigations required to reach a diagnosis and/or to determine the treatment required are each charged separately to Nuffield Health’s procedure price package. Any tests carried out or requested during the initial consultation (e.g. doppler test, duplex ultrasound) are not included in the consultation price and are charged for separately. Some patients may require more than one consultation or further investigations to reach the diagnosis and/or to determine the treatment that you require. These will be charged separately. ​ Nuffield Health’s all-inclusive procedure price includes 1) pre-assessment 2) main treatment and 3) post-discharge care. For more information, you should consult Nuffield Health’s Paying for Yourself: Terms & Conditions Pre-assessment refers to an appointment and tests required to assess general health and fitness to make sure you are fit for the procedure and/or to prepare you for the procedure. These take place after you have already agreed to have the procedure and are included in Nuffield's procedure price. This is not the same as appointments or tests conducted during the initial consultation stage in order to reach a diagnosis or to determine the most suitable treatment, which are not included in the procedure price. Mr A. Abu-Own includes one follow up consultation for all patients who have undergone a procedure with him as part of the all-inclusive procedure price package . It is up to the discretion of Mr A. Abu-Own if he chooses to include more than one (“additional”) follow up consultation as part of the all-inclusive procedure price package i.e. with no added charge. This will depend on whether he deems "additional" outpatient follow-up consultation to be clinically required as a direct result of the procedure you had with him under the all-inclusive procedure package. You should also be aware that failure to adhere to post-procedural advice set out by Mr A. Abu-Own may result in you being charged separately for any "additional" follow up consultations deemed to have been required as a result of non-adherence (see below). You are advised to adhere to all instructions and professional advice provided by Mr A. Abu-Own. Failure to do so may result in you being charged seperately for post-discharge care that would otherwise be included in the all-inclusive procedure price package. If you fail to follow post-procedural recommendations set out by Mr A. Abu-Own then any further monitoring or revision procedures required due to a complication of the original procedure (including "additional" follow up appointments, admission to ward or to the operating theatre) may no longer be covered by the procedure package price and you will be charged seperately for these. Mr A. Abu-Own will not be held liable for any delays in your recovery or complications arising as a result of failure to follow his post-procedural advice. If an outpatient follow up consultation does not form part of Nuffield’s procedure package (as defined in their terms) or if a procedure has not yet been decided then outpatient follow up consultations will be charged at the normal rate unless otherwise specified by Mr Abu-Own. ​ We do not currently display prices for consultations, tests/investigations or treatments on this website. To obtain more information about pricing, we recommend the avenues listed below. For prices relating to consultations (or tests/investigations performed by Mr Abu-Own): Submit an online enquiry through this website and a member of Mr Abu-Own's team will get back to you via your preferred contact method (phone or email). Call Vicky Handy (Mr Abu-Own's secretary) on 01473 279137 . For prices relating to any procedures (or tests/investigations not performed by Mr Abu-Own): Submit an online enquiry through the Nuffield Ipswich Hospital website and a member of their team will get back to you. Call the Nuffield Health Ipswich Reception on 01473 279100 and ask to speak to the Self-Pay Team. Review the guide prices for different treatments and investigations listed at Nuffield Ipswich Hospital's dedicated pricing page . ​ Please note that these prices are guidelines only. The final price may vary according to Mr Abu-Own's fees, prosthesis or drugs used and any pre-existing medical conditions which may alter your care pathway. Nuffield Health will provide you with a final, personalised, fixed all-inclusive price for treatment once the procedure required has been confirmed by Mr A. Abu-Own through initial consultation(s) and associated tests and investigations. This is by no means an exhaustive list of the different services offered and you may very well find that your treatment or investigation is not listed on this page. If a treatment is listed in Mr Abu-Own's website then it is most likely offered by Nuffield Health Ipswich Hospital, even if not displayed on the guide prices page. Please speak to the Self-Pay Team to obtain a quote for the services that you require. ​ Interest rates listed on this website relating to Chrysalis Finance are correct at time of publication: March 2020. Details of interest rates and services provided by Chrysalis Finance may be out of date at any given time, and we are under no obligation to update such material on this website. Users are advised to consult Crysalis Finance’s terms and conditions for complete, up-to-date information about their services. Mr A. Abu-Own has no affiliation with Chrysalis Finance does not receive any commission for introducing new clients to credit. For more information about paying for your own treatment and the terms of the procedure package, you should consult Nuffield Health’s Paying for Yourself: Terms & Conditions CREDITS All content on this website is copyright ©A.Abu-Own or used under license. This website is protected by copyright. It is published by A. Abu-Own and may not be reproduced other than when downloaded and viewed on a single device for private use only. It is not to be otherwise reproduced or transmitted or made available on a network without the prior written consent of Mr A. Abu-Own. All other rights reserved. DATA PROTECTION AND COOKIES The confidentiality of your information is of paramount concern to Mr A. Abu-Own and his team. Mr A. Abu-Own and his team are fully compliant with Data Protection Legislation and their confidentiality obligations. Information submitted to Mr A. Abu-Own and his team through this website may be unprotected until it reaches us. You agree that your personal data and certain other information about you will be processed in accordance with our Privacy Policy . For more information, please see our full privacy policy at www.abu-own.co.uk/privacy-policy . We also use "cookies" which are alphanumeric identifiers that are stored by your web browser on your digital device and enable our system to recognise you when you visit the site. Full details surrounding cookies is provided in our Privacy Policy along with a list of what cookies we use, why we use them and how you can manage or delete them. ​ Paying for your treatment Legal notice Using this website Website updates Payment: Insurance Payment: Self Credits Data protection Virtual consults

Appointments > Contact Us > Appointments Fast track your treatment today. Call us on 01473 279180 Or send an appointment request below and we'll get back to you. Please Note The following service is for elective cases only and should not be used if you need urgent or life threatening care. If you have a life threatening emergency, please dial 999 immediately. If you require urgent medical attention that is not life threatening, please use NHS 111 (also available 24 hours a day). Simply dial 111 or visit 111.nhs.uk to access this service. Privacy Disclaimer We are committed to protecting and respecting your privacy. We assure you that we take all necessary steps to maintain the security of your personal information at all times. For more information, see our privacy policy . Because general internet communication is inherently not secure, we recommend that information considered confidential or private in nature not be submitted in these online forms. How can we help you? (optional) Preferred payment method How would you like us to contact you? Email Phone I agree to the Terms & Conditions I agree to the Privacy Policy Submit Appointment Request Thank you for request. We will contact you shortly via your preferred method.

Get back to your best self faster Fast access to quality, personalised treatment to help you get back to the life you love. ENQUIRE ABOUT TREATMENT PATIENT RESOURCES Varicose Veins Hernia Repair Deep Vein Thrombosis Paying For Your Treatment AVOID THE WAIT Fast track your treatment now by requesting an appointment with Mr. Abu-Own today. BOOK AN APPOINTMENT RECEPTION HOURS Mon - Thurs ​ ​ ​​Friday ​ ​ ​Saturday 6.45am - 8pm ​ ​ 7am - 6pm ​ ​ 9am - 2pm Areas of Practice The services provided and advertised on this website are for elective cases only and should NOT be used if you need urgent or life-threatening medical attention. Varicose Veins Clinical assessment & Doppler/ Duplex Ultrasound​ Radiofrequency Ablation (day case)​ Foam Sclerotherapy (outpatient)​ Inversion PIN Stripping Surgery (day case) ​ ​ Leg Ulcers Assessment, Investigation and Treatment of Venous Leg Ulcers​ Assessment & Advice for Other Leg Ulcers Deep Vein Thrombosis (DVT) Clinical assessment Arrange for investigations including Venous Duplex Scan Advice on anticoagulant treatment ​ ​ Abdominal Aortic Aneurysm (AAA) I no longer undertake Arterial Surgery (including AAA repair), but happy to see for advice ​ ​ Carotid Artery Disease I no longer undertake Carotid Surgery, but happy to see non urgent cases for advice Peripheral Arterial Disease (PAD) I no longer undertake Arterial Surgery, but happy to see non urgent cases for advice Clinical assessment & Doppler test​ Advice on treatments and lifestyle modifications ​ Hernia Repair Clinical assessment & advice Groin Hernia Repair (day case) ​​Abdominal Wall Hernia Repair (day case in most cases) ​ Gall Bladder Disease [Discontinued] I no longer see patients with gallbladder disease Lumps & Bumps Assessment & advice regarding nature of lump​ Proceed with excision if considered appropriate (day case in most cases) ​ Patient Resources Resources Varicose Veins FIND OUT MORE Hernia Repair FIND OUT MORE DVT FIND OUT MORE About Mr. Abu-Own Mr A. Abu-Own Consultant General & Vascular Surgeon Mr Abdusalam Abu-Own (MBChB, FRCS, PhD, CCST) is a Consultant General and Vascular Surgeon at the Nuffield Health Hospital Ipswich. ​ He is a council member, of the Venous Forum of the Royal Society of Medicine and a referee for the British Journal of Surgery & International Journal of Surgery. He has helped develop guidelines and protocols used in ESNEFT and Nuffield Health Ipswich and is the responsible officer for several of these guidelines related to thrombosis and venous disease. He is a faculty member of ICENI and course leader for the Basic Surgical Skills (BSS) course at the ICENI Centre - a course for surgical trainees held by the Royal College of Surgeons in different parts of the country. ​ Mr Abu-Own has an established background in research and has authored 50+ publications between peer-reviewed papers, book chapters and published abstracts. Many of these have been presented to societies at national and international level. VIEW BIOGRAPHY VIEW RESEARCH Why Choose Us? What are the benefits of getting treatment with Mr Abu-Own at Nuffield Health Ipswich Hospital? Rapid access to the best private healthcare Highly trained, experienced consultant surgeon Full cover for insured patients Greater peace of mind for self-funding patients Award winning service provided by our partners at Nuffield Health FIND OUT MORE

Enquiries > Contact Us > Enquiries Have a question? We're here to help. Call us on 01473 279137 Or send your question below and we'll get back to you. Please Note The following service is for elective cases only and should not be used if you need urgent or life threatening care. If you have a life threatening emergency, please dial 999 immediately. If you require urgent medical attention that is not life threatening, please use NHS 111 (also available 24 hours a day). Simply dial 111 or visit 111.nhs.uk to access this service. Privacy Disclaimer We are committed to protecting and respecting your privacy. We assure you that we take all necessary steps to maintain the security of your personal information at all times. For more information, see our privacy policy ​ . Because general internet communication is inherently not secure, we recommend that information considered confidential or private in nature not be submitted in these online forms. How would you like us to contact you? Email Phone I agree to the Terms & Conditions I agree to the Privacy Policy Submit Enquiry Thank you for enquiry. We will contact you shortly via your preferred method.

Privacy Policy > Privacy Policy This website is owned by Mr Abdusalam Abu-Own (MBChB, FRCS, PhD, CCST) and is provided and operated by him and his team. Mr Abdusalam Abu-Own and his team (“we”, “us, “our”) are committed to safeguarding the privacy of website visitors and service users. This Privacy Policy relates to how we collect, store and use the information you provide when using the website, www.abu-own.co.uk (“our website”, “this website”). When you first visit our website, you will be asked to consent to the use of cookies, in accordance with the terms of this privacy policy. A full listing of the cookies used, why we use them and how you can manage or delete them is provided in the cookies section of this policy. ​​ ​ INCLUDED IN THIS PRIVACY POLICY Index INTRODUCTION DISCLAIMER WEBSITE SECURITY THE DATA WE COLLECT WHEN DO WE COLLECT DATA ABOUT YOU WHY WE NEED YOUR DATA DATA SHARING DATA RETENTION MARKETING CUSTOMER SERVICES COOKIE POLICY WHAT ARE COOKIES WHAT COOKIES DO WE USE HOW TO MANAGE AND DELETE COOKIES CHANGES TO THIS POLICY YOUR DATA RIGHTS DATA PROTECTION OFFICER Intro INTRODUCTION Mr A. Abu-Own is a Consultant General and Vascular surgeon working in Nuffield Health Hospital Ipswich, United Kingdom (UK). His GMC registration number is 3380400. Mr A. Abu-Own bases his operations within the UK and as such, our website and its services are targeted towards residents of the UK. Therefore, we use the UK as our guiding law, as well as ensuring we incorporate GDPR 2016 into this privacy policy. If you reside from elsewhere in the world and wish to browse the website, make contact, have a consultation or receive treatment then you should be aware that our laws (including those relating to privacy) may differ with the laws of your country of residence. Those who choose to access this website from other locations are responsible for compliance with local laws if and to the extent local laws are applicable. Mr A. Abu-Own runs his private clinic from the Nuffield Health Ipswich Hospital, Foxhall Road, Ipswich, IP4 5SW, where he works as an independent practitioner. Nuffield Health Ipswich Hospital provides private medical services to patients directly as well as taking referrals from G.Ps, external Consultants and local NHS Hospital Trusts. Nuffield Health Ipswich Hospital is one of a large national network of hospitals run by Nuffield Health. Nuffield Health is a Not-For-Profit, Healthcare Charity that provides clinical, fitness and wellbeing services to the general public, private organisations and the NHS. DISCLAIMER As Mr A. Abu-Own works closely with Nuffield Health Ipswich Hospital we have ensured that this Privacy Policy dovetails with that of Nuffield Health Ipswich Hospital. You can read Nuffield Health’s Privacy Policy in full here . Because Mr Abu-Own runs his clinic and provides treatments at Nuffield Health Ipswich Hospital, it is best to assume that unless otherwise stated, any data collected through this website will be by default accessible to Nuffield Health. In this document, we have focused on how we use data that you provide via our website. Therefore, to understand the full extent of the journey of your data, you should also consult Nuffield Health’s Privacy Policy . You will find several references to Nuffield Health’s privacy policy throughout this privacy policy for this reason. For your convenience, due to the considerable overlap described above, there are some occasions in this privacy policy where some very basic references regarding the handling of data by Nuffield Health are made. These references were made with reasonable care and skill, are correct at the time of August 2020 to the best of our knowledge and are based on 1) content from Nuffield Health’s Privacy policy and 2) our experience with dealings with Nuffield Health. Wherever references to Nuffield data handling are made, or wherever there is any overlap, you will always be provided with links to Nuffield Health’s Privacy Policy for further information and clarification. We make it very clear that we do not speak on behalf of Nuffield Health and any basic information provided in this privacy policy about Nuffield Health is merely intended as a helpful general guide and should by no means be relied upon alone to obtain a full understanding of how Nuffield Health uses data about its patients. If you disagree with anything in this policy, or believe that there are any inaccuracies, then we would encourage you to get into contact with us and to let us know as soon as possible. ​ ​ WEBSITE SECURITY We assure you that we have taken all the necessary steps to ensure high levels of internet security for this website, for example, we use Secure Socket Layer (SSL) on this website – this means that any communication between your digital device’s web browser and our website is encrypted as part of our front line website security. However, it is important to be aware that the internet can be insecure, we, therefore, recommend that you do not use the online forms provided to relay Sensitive or Confidential information about yourself to us. In the interests of respecting your privacy and information security, we prefer that Sensitive or Confidential information (where necessary) be provided to Mr A. Abu-Own during your private consultation. The Data We Collect You have three Form-Based options provided to you on this website. Two-forms provide you with the opportunity to contact Mr A. Abu-Own’s team. The third form is for feedback. We have also published the email address and phone number of the Hospital giving you total control on how you contact Mr A. Abu-Own, through the Hospital and his team. Please note : When communicating with Mr A. Abu-Own through this website, by email or by phone, your messages and communications will be received by Mr Abu-Owns’ team or a member of the Hospitals Staff in the first instance – these messages and communications will then be passed to him as necessary. When using the Appointment Request Form, we will collect Your Name in Full The Nature of your condition, through a drop-down menu. Your Phone Number Your Email Address We have provided a Comments area where you can elaborate on your condition. This webform will prompt you not to relay Confidential or Sensitive Information in the comment section. This is because there is a risk that the internet might be insecure despite the steps we have taken to ensure the highest levels of security. Your Preferred Payment Method A choice of how you would like to receive a response, which includes Phone or Email. The legitimate reason for collecting this information is so that we can respond to you when arranging an appointment date and time and any other information you might require efficiently and effectively; it also allows us to manage and maintain quality care standards. ​ When using the Enquiries Form we will collect Your name in Full Your Email Address Your Phone Number The content of your question, enquiry or message. This webform will prompt you not to relay Confidential or Sensitive Information, in the comment section. This is because there is a risk that the internet might be insecure despite the steps we have taken to ensure the highest levels of security. Again, you will be given a choice regarding your preferred contact method so that we can effectively respond to your enquiry. The choices are Email or Phone. Our legitimate reason for collecting this information is so that we can respond to you with answers to any questions you may have asked when using this form and any other information you might require efficiently and effectively; it also allows us to manage and maintain quality care standards. ​ When using the Feedback Form The Feedback form is intended to collect information Anonymously . You will not be asked to provide your name or any other personally identifiable information. We do this because we wish to encourage patients to speak their minds as freely as possible. You will be presented with a check-box list of options to choose from. This allows you to share your experience of the treatment you have received the quality of care the hospital you attended for your treatment, the nature of your condition. You will also have the opportunity to provide additional comments in your own words. This webform will prompt you not to relay Confidential or Sensitive Information, in the comments sections. This is because there is a risk that the internet might be insecure despite the steps we have taken to ensure the highest levels of security. In the interests of keeping the form anonymous, a prompt is also included to ask patients not to include any personally identifiable information. When we collect the Feedback Form Data, we will use it to analyse our performance create a proof-based record of our Quality Care, and service if in this analysis we find criticism we use the criticism to learn and improve our service as part of our commitment to the continuous improvement of patient care. When Emailing Mr Abu-Own’s Clinic, we will collect Your Name – as provided by you. Your email address The content of your email – questions, requests, advice, etc. Any other information which you freely provide to Mr Abu-Own Team, through the content of your email. While we can assure you that our Clinic and Hospital systems have high levels of security systems in place, we can not be responsible for unauthorised data breaches and so again we ask you not to provide sensitive or confidential information in your email . As your primary out-reach to Mr Abu-Owns’ clinic and team has been made by direct email, we will usually respond to your email by email, unless you ask us to phone you, in which case please provide us with your phone number. Our legitimate reason for collecting this information is so that we can respond to any questions, queries, requests or information provided, in line with the content of your email. For more information, please visit Nuffield Health’s Privacy Policy . ​ When contacting Mr Abu-Owns’ Clinic by phone Your call will be answered by a member of the Nuffield Health Ipswich Hospital reception team, who will ask you how they can help you. You may be transferred to a different member of staff within Nuffield Health Ipswich Hospital to help better serve your call. If appropriate, you may also be directed to Ms Vicky Handy (Mr A. Abu-Own’s secretary). To help manage your call, you may be asked for your Name in Full The nature of your enquiry The best way to contact you (as applicable) Any other necessary information required by Mr Abu-Own or the Hospital to prioritise appointments, treatments and provide you with quality care. Please note : In the interests of training and continually improving their services, calls to Nuffield Health and its agents may be monitored or recorded. For more information, please visit Nuffield Health’s Privacy Policy . WHEN DO WE COLLECT DATA ABOUT YOU We collect data about you when You interact with any of the forms you have completed and submitted from our website You email or phone us When you become a patient of Mr Abu-Owns at the Nuffield Health Ipswich Hospital. For information on when your data is collected by Nuffield Health, please refer to Nuffield Health’s Privacy Policy . ​ WHY WE NEED YOUR DATA We need to collect this basic data from you such as your name and contact information and any additional information you willingly give to Mr Abu-Owns’ team so that he and/or his team can respond efficiently and effectively. We need to collect this basic data to provide you with answers to your questions or enquiries and/or to inform you of your initial and/or subsequent appointment times and dates and to provide you with any pertinent instructions before your treatment. To follow up with after-care as necessary. For information on why Nuffield needs your data, please refer to N uffield Health’s Privacy Policy . ​ ​ DATA SHARING Mr Abu-Own is a consultant surgeon and works for The Nuffield Health Ipswich Hospital. ​ In addition to being assigned clinical cases by the Hospital, Mr Abu-Own can take private client/patients of his own. When doing so he is legally and contractually bound to share patient data with the hospital. For example – If Mr Abu-Own determines that the best course of action for your treatment is to undertake a surgical procedure – he will need to share your details and the details of the surgical procedure with his surgical team and the Hospitals’ Theatre team. This is done for the smooth running of the hospital, and to avoid surgical cancellations. This ensures the best care and outcomes for you. ​ On admission to Nuffield Health Ipswich Hospital, you will be asked to read and sign consent forms – this will provide the written prior consent needed by the Hospital to share your data as part of the Hospitals’ duty of care. All healthcare service providers are legally obligated to share the minimum necessary data with relevant named individuals and/or organisations, such as your GP, the referring consultant, the referring NHS Trust Hospital, and your insurance company if you are a Private Patient. Nuffield Health’s Privacy Policy includes a section on data sharing. You can read it here . ​ As a private patient and where your insurance company is paying for your treatment in part or in full, (dependent on your insurance policy), in accordance with Nuffield health Ipswich Hospitals’ Privacy Policy, it may necessary to share information about your diagnosis, treatment, required medical procedures and/or prognosis with your insurance company along with the invoice for the treatment you received. Communications with your insurers are mostly managed by the Nuffield Health Ipswich Hospital team, although there may be occasions where Mr Abu-Owns’ team may communicate to your insurance company directly. Please see our Terms & Conditions for more detailed information about how a medical insurance claim for your treatment is managed, and to ensure you have everything in place with your insurance company prior to admission . If you are not sure about the Hospital’s Data Sharing Policy, please feel free to ask for more information at any time during your consultation and/or treatment journey. You should also consult N uffield Health’s Privacy Policy , which includes a section on Data Sharing. DATA RETENTION Data retention periods are governed by N uffield Health’s Privacy Policy . The guidelines provided by the hospitals’ policy relates exclusively to individuals who have become direct or referred patients of the hospital. Mr Abu-Own is required by his contract with Nuffield Health Ipswich Hospital to abide by the Hospitals’ Privacy Policy. In all cases where your enquiry through this website results in you becoming a patient of Mr Abu-Own, the data retention period unless otherwise advised will comply with the Hospitals Privacy Policy, which is stated as 8-years. When an individual contacts Mr Abu-Owns’ clinic for help or advice using this website but do not book an appointment for a consultation and/or subsequent treatment by Mr Abu-Own at the Hospital, the data will be held securely by Mr Abu-Owns’ team for a period of 12-months before being securely destroyed in accordance with the UK’s Data Protection Act 2018 and the EU’s GDPR 2016. ​ MARKETING Mr Abu-Own does not use your data for Marketing Purposes, however, the Nuffield Health Ipswich Hospital might, dependent on whether or not you have given the hospital prior consent in writing, to contact you for marketing purposes. Please see N uffield Health’s Privacy Policy for more information. ​ ​ CUSTOMER SERVICES If you have any Customer Services questions or concerns which you would like to be addressed, and where the forms on this website do not meet your needs, we would like to offer you two options. Nuffield Health Ipswich Hospital Reception Phone on 01473 279100 Appointments: 01473 279123 By Post or In Person: Nuffield Health Ipswich Hospital, Foxhall Road, Ipswich. IP4 5SW Alternatively, contact Mr Abu-Own’s Secretary - Ms Vicky Handy Phone on 01473 279137 Email: vicky.handy@nuffieldhealth.com Post: Ms Vicky Handy, Nuffield Health Ipswich Hospital, Foxhall Road, Ipswich, IP4 5SW. COOKIE POLICY This website uses cookies, primarily to ensure the security and stability of this website and to enhance your experience when visiting this website. You will be asked to accept our cookies on your first visit to this site. By accepting and continuing to browse our website, you are agreeing to our use of cookies. WHAT ARE COOKIES A cookie is a tiny text file containing an identifier (a string of letters and numbers) that is sent by a web server to a web browser and is stored by the browser. The identifier is then sent back to the server each time the browser requests a page from the server (website). ​ Cookies may be classified according to their lifespan: A persistent cookie will be stored by a web browser and will remain valid until its set expiry duration unless deleted by the user before the expiry. A session cookie, on the other hand, will expire at the end of the user session, when the web browser is closed. ​ Cookies may also be classified according to their function. The most common classification system in use today, at least in English language websites, was proposed and developed by The UK International Chamber of Commerce (ICC). Their system relies on four classifications: Strictly necessary cookies are essential in order to enable you to move around the website and use its features, such as accessing secure areas of the website. Without these cookies services you have asked for, like shopping baskets or e-billing, cannot be provided. They may be set automatically when pages load, or as a result of a user request that cannot be fulfilled without the use of the cookie. Generally these are session cookies that expire on closing the browser but not always. Analytical/Performance cookies collect information about how visitors use a website, for instance which pages visitors go to most often, and if they get error messages from web pages. These cookies don’t collect information that identifies a visitor. All information these cookies collect is aggregated and therefore anonymous. It is only used to improve how a website works. Functionality cookies allow the website to remember choices you make (such as your user name, language or the region you are in) and provide enhanced, more personal features. For instance, a website may be able to provide you with local weather reports or traffic news by storing in a cookie the region in which you are currently located. These cookies can also be used to remember changes you have made to text size, fonts and other parts of web pages that you can customise. They may also be used to provide services you have asked for such as watching a video or commenting on a blog. The information these cookies collect may be anonymised and they cannot track your browsing activity on other websites. Targeting/Advertising cookies are used to deliver adverts more relevant to you and your interests They are also used to limit the number of times you see an advertisement as well as help measure the effectiveness of the advertising campaign. They are usually placed by advertising networks with the website operator’s permission. They remember that you have visited a website and this information is shared with other organisations such as advertisers. Quite often targeting or advertising cookies will be linked to site functionality provided by the other organisation. WHAT COOKIES DO WE USE In the table below, we provide you with the names of the cookies we use in our website, the purpose of each cookie, how long each cookie is stored on your device and the cookie function type. ​ Cookie Name Purpose Duration Type XSRF-TOKEN hs SSR-caching _wixCIDX _wix_browser_sess consent-policy ​ smSession TS* bSession fedops.logger.sessionId ​ Google Analytics wixLanguage Used for security reasons Used for security reasons Used to indicate the system from which the site was rendered Used for system monitoring / debugging Used for system monitoring / debugging Used for cookie banner parameters Used to identify site logins Used for security and anti-fraud reasons Used for system effectiveness measurement Used for stability / effectiveness measurement Measures how site visitors use and navigate the site Used on multilingual websites to save user language preference Session Session 1 minute ​ 3 months Session ​ 12 months ​ Session Session ​ 30 minutes ​ 12 months ​ Session ​ 12 months Strictly necessary Strictly necessary Strictly necessary ​ ​ Strictly necessary Strictly necessary ​ Strictly necessary ​ Strictly necessary Strictly necessary Strictly necessary Strictly necessary Analytical ​ ​ Functionality Disclaimer Security Data we collect When do we collect Why we need Data sharing Data retention Marketing Customer services Cookie policy What are cookies What cookies we use We use a mix of Persistent and Session Cookies as shown in the table above. The cookies we use on this website do not contain any information that personally identifies a user. We do not use any targeting/advertising cookies in our website and we do not use any cookies for the purposes of advertising (this includes both direct advertising and indirect through sharing with third parties). ​ ​ HOW TO MANAGE & DELETE COOKIES Most browsers allow you to refuse, accept and/or delete cookies. The methods for doing so vary from browser to browser, and from version to version. You can, however, obtain up-to-date information about blocking and deleting cookies for each browser via the following links: https://support.google.com/chrome/answer/95647?hl=en (Google Chrome ); https://support.mozilla.org/en-US/kb/enable-and-disable-cookies-website-preferences (Mozilla Firefox ); http://www.opera.com/help/tutorials/security/cookies/ (Opera ); https://support.microsoft.com/en-gb/help/17442/windows-internet-explorer-delete-manage-cookies (Internet Explorer ); and https://support.microsoft.com/en-us/Search/results?query=Microsoft+edge+deleting+cookies (Microsoft Edge ). ​ Please be aware that blocking cookies may have a negative impact upon the usability of this website. If you decide to block all cookies (including essential cookies) the website may not work as intended. CHANGES TO THIS POLICY This policy is updated from time to time and as new online services are engaged. You are invited to review this policy for clarity and to be made aware of any changes. YOUR DATA RIGHTS Under the UK’s Data Protection Act 2018, and the EU’s General Data Protection Regulation (GDPR) 2016, you have certain rights under both acts to request what is known as a Subject Data Request (SAR). ​ Both these items of legislation can be complex, we have provided a summary of your rights below, and again refer you to N uffield Health’s Privacy Policy for a more detailed understanding of how the Hospital manages, data, SAR, and the government guidance the hospital has received in light of the Covid-19 Pandemic. ​ Your key rights include: the right to access your data; It is recommended that you keep copies of all your correspondence with Mr Abu-Own, his team and the Hospital; including any written responses the right to rectify any errors or inaccuracies in your data; the right to request the erasure of your data; There may be certain circumstances where this may not be possible, especially when Private Medical Health Care Organisations & Practitioners are required by law to keep medical records for 8-years. Erasing your data can also include you changing your mind about receiving marketing materials from the Hospital – in this instance use the “Unsubscribe Link” which is found in the footer of every marketing communication. Unsubscribing will immediately and automatically remove your name and email address from the Hospitals Mailing list. Please Note - our website does not use mailing lists. Wherever we ask for an email address, this is for the purpose of responding to enquiries or appointment requests as described in “The Data we Collect” section of this privacy policy. You will not receive any marketing emails from Mr Abu-Own and his team. the right to restrict processing; While this is a right – Mr Abu-Own and his team will only process such data as is necessary to provide you with medical care and treatment, and process payment of the treatment you have received. Beyond that, there is no reason for Mr Abu-Own to process your data once you have been discharged. Please see Nuffield Health’s privacy policy for how data is processed at Nuffield Health. Under legislation which governs Private Medical Health Care Organisations and Practitioners, your medical records will be securely stored for the legislated period of 8-years. the right to object to processing; While you have the right to object to the processing of your data, however, please bear in mind that the data processed by Mr Abu-Own and his team is purely to ensure you receive the best possible medical care. You have the right to object to our processing of your personal data for scientific research or statistical purposes on grounds relating to your particular situation unless the processing is necessary for the performance of a task carried out for reasons of public interest. Please note any data that might be processed for the purpose of scientific research or statistical purposes will be anonymised. the right to data portability; Mr Abu-Own’s website is not a “membership” or “subscription” led website, so while this is one of your rights under Data Protection Legislation in the UK & EU, this section does not apply in the context of Mr Abu-Own’s services to you, through this website. the right to complain to a supervisory authority; If you consider that our processing of your personal information infringes data protection laws, you have a legal right to lodge a complaint with a supervisory authority responsible for data protection. The Supervisory Authority in the UK is the Information Commissioner's Office (ICO). https://ico.org.uk/make-a-complaint/ The guidance offered by the ICO, advises that before the ICO will investigate a complaint, the person making the complaint must have first approached the Data Protection Officer for Mr Abu-Own through the Hospital detailing their concerns or complaint. Mr Abu-Owns’ Data Protection Officer’s name and contact details follow below. the right to withdraw consent. To the extent that the legal basis for the processing of your personal information is consent, you have the right to withdraw that consent at any time. Withdrawal will not affect the lawfulness of processing before the withdrawal. Again we would like to remind you that under legislation which governs Private Medical Health Service Providers and Practitioners Mr Abu-Own and the Hospital are legally bound to store your medical records for 8-years after discharge. Where this clause may relate to having previously given consent to the hospital to receive hospital marketing material – all you have to do is click the “unsubscribe link” in the footer of any of the marketing material you have received and your will immediately and automatically be removed from that list. ​ How to exercise your data rights You may exercise any of your rights concerning your personal data by written notice to our Data Protection Officer – see below. DATA PROTECTION OFFICER The data protection officer for Mr A. Abu-Own is Ann Vial . Tel : 01473 279 175 Post : Nuffield Health Ipswich Hospital, Foxhall Road, Ipswich IP4 5SW ​ LAST UPDATED – 28TH August 2020 How to manage cookies Changes to policy Data rights Data protection officer

Feedback > Contact Us > Feedback Tell us about your experience. Call us on 01473 279137 Or fill in our patient feedback form below. We are serious about your health and are passionate about delivering the best possible care. ​ For general, anonymous feedback that you would like to share with us about the care you have received please fill in the feedback form below. Please Note : If you would like to make a complaint then you should follow the official complaints procedure for the relevant hospital. For complaints relating to Nuffield Health Ipswich Hospital, click here . For complaints relating to Ipswich or Colchester NHS hospitals, click here .

Varicose Veins > Resources > Varicose Veins > General Info Medical Disclaimer Whilst every effort has been made to ensure that the information contained on this site is accurate, it is not a substitute for medical advice or treatment, and Mr A. Abu-Own recommends consultation with a doctor or healthcare professional. The information provided is intended to support patients, not to provide personal medical advice. Please see our Terms and Conditions for more information. ​ Foreword by Mr. Abu-Own I am particularly interested in the investigation and treatment of varicose veins (VVs) and venous ulcers. ​ I believe varicose vein surgery should only be undertaken by experienced, appropriately trained vascular surgeons. I also believe that careful preoperative assessment and investigations are essential to achieving a satisfactory outcome. In the management of venous disease (my area of research interest), I introduced some ideas and techniques to Ipswich Hospital. For example, the Inversion “Pin” Stripping technique. I acquired this technique from the Middlesex Hospital London (John Scurr and Phillip Coleridge-Smith) where I carried out my PhD research. My experience has indicated that this technique causes less bleeding/bruising compared to the old conventional stripping techniques. I offer my patients with VVs minimally invasive treatment options, including radiofrequency ablation (RFA) and ultrasound-guided foam sclerotherapy, in addition to conventional surgery, if considered appropriate. ​ I am also interested in research into the causes and management of recurrent varicose veins and presented a paper on the subject in the International Union of Phlebology Congress in Rome: ​Abu-Own A, Cheatle TR, Farah J and Shami SK. Suggested preoperative classification for recurrent Varicose Veins (VVs) and operative approach. International Union of Phlebology Congress, Rome Sep 2001. This page has been designed to provide patients with some useful information about varicose veins, the different treatment options that I offer and what to expect throughout the treatment journey. I very much look forward to welcoming patients to my outpatient clinic for an assessment where we can discuss things further. What are varicose veins? Varicose veins are veins under the skin of the legs, which have become widened, bulging, and twisted. They are very common and do not cause medical problems in most people. There are two main systems of veins in the legs: ​ 1. Deep veins: The leg muscles squeeze the deep veins during walking, carrying most of the blood back up the legs to the heart. 2. Superficial veins: These occur under the skin which are functionally less important and can form varicose veins. ​ All of these veins contain one-way valves to ensure that the blood flows towards the heart. Failure of these valves allows blood to flow backwards down the veins and results in an overload of pressure when standing. This excess pressure leads to widening of the veins so that they do not close properly. Blood then flows back into the leg along these veins and causes varicose veins to develop. Raised pressure in these veins also encourages the development of spider veins and discoloured areas which look like bruises. How common are varicose veins? Varicose veins are extremely common. Studies suggest that varicose veins are found in about 3 in 10 people. National Health Service waiting lists suggest that there is still considerable unmet need. Most people with varicose veins do not have an underlying disease and they usually occur for no apparent reason. Varicose veins do not cause symptoms or complications in most cases, although some people find them unsightly. If treatment is advised, or wanted for cosmetic reasons, a procedure to seal them off is used. What causes varicose veins? Varicose veins often run in families and there may be a hereditary component. Women are more likely to suffer from varicose veins and up to 50% of women may be affected. Hormonal factors including puberty, pregnancy, menopause, the use of birth control pills and hormone replacement therapy (HRT) can all affect the disease. Pregnancy: It is very common for pregnant women to develop varicose veins during the first trimester. Pregnancy causes increases in hormone levels and blood volume which in turn cause veins to enlarge. In addition, the enlarged uterus can put pressure on the main vein bringing blood back to the heart from the legs, causing blood to pool in the legs and varicose veins to develop. Varicose veins due to pregnancy often improve within 3 months after delivery. However, with successive pregnancies, abnormal veins are more likely to remain. ​ Other predisposing factors include ageing, standing for long periods of time, obesity and leg injury. What problems do varicose veins cause? Many people have no symptoms at all from their varicose veins, except for the fact that they are noticeable and their appearance can be embarrassing for many people. Other than cosmetic embarrassment, the most common symptoms of varicose veins are aching, discomfort and heaviness of the legs, which are usually worse at the end of the day. Sometimes the ankle can swell, too. These symptoms are not medically serious, but can be treated if they are sufficiently troublesome. Although varicose veins can get worse over the years, this often happens very slowly. In a few people the high pressure in the veins causes damage to the skin near the ankle, which can become brown in colour. This is called lipodermatosclerosis (hardened, sclerosed, brown discoloured skin). Varicose eczema (an itchy, dry, red skin rash) can also develop. If these skin changes are allowed to progress, or if the skin becomes injured, a venous ulcer may develop, which can be quite troublesome. Skin changes are therefore a good reason for going to see your GP and for referral to a specialist. Mr A. Abu-Own recommends patients with VVs to seek early assessment for their VVs, as he considers the development of skin changes to be an advanced stage of varicose veins disease. ​ Other problems which varicose veins can occasionally produce: ​ Phlebitis: Phlebitis (sometimes called thrombophlebitis) means inflammation of the veins, and is often accompanied by some thrombosis (clotting of blood) inside the affected veins, which become hard painful and tender. This is not the same as deep vein thrombosis (DVT) and is not usually dangerous, but is considered as an indication for treating the VVs. Bleeding: The risk of bleeding as a result of knocking varicose veins worries many people, but this is rare. The bleeding should be treated prompltly by elevating the leg and application of a firm pressure bandage. Bleeding varicose veins are considered an absolute indication (mandatory) for referral to a specialist for assessment and definitive treatment of the VVs to prevent risk of further bleeding. Deep Vein Thrombosis: Varicose veins are considered an additional causative factor for the development of DVT in some patients. Moreover, DVT may lead to development of secondary varicose veins. What tests are used to investigate varicose veins? Most varicose veins originate from leaking valves at groin level or behind the knee. It is important to accurately locate the site of the valve leaks. During your assessment at your outpatient appointment, the doctor will use a small probe to assess your veins - this is called continuous wave Doppler. The probe can detect the direction of blood flow which is audible, both in the skin veins and in the deep veins. It indicates where the veins have come from and helps in the planning of any operation that might be required. An ultrasound scan (duplex) may be performed. This will allow detailed examination of your deep veins, particularly if there is a past history of deep vein thrombosis (DVT). Assessment of varicose veins behind the knee and recurrent varicose veins will also require duplex scanning.​ ​ Once the initial assessment is complete, all treatments will require duplex ultrasound scanning as part of the selection process and for the monitoring of the treatment itself. ​ Other scans which are occasionally used include MRI and CT. Do I need treatment? Very large numbers of varicose veins procedures are performed each year in the UK for medical and cosmetic reasons. The highest priority is to treat those who have developed symptoms or complications. For example: Those with bleeding from varicose veins (usually around the ankle) are considered high priority and should be seen by a specialist immediately. Pain, aching, discomfort, heaviness, fatigue, throbbing, swelling or itching caused by varicose veins. Superficial thrombophlebitis (appearing as hard, painful veins) Development of skin changes (e.g. discolouration, lipodermatosclerosis, eczema) are indicative of chronic venous insufficiency (failed valves leading to persistent blood pooling in the legs) and therefore warrant intervention. Skin changes are considered a warning sign (precursor) to develop an ulcer. Development of a venous leg ulcer or a healed venous ulcer are very important indications for treatment of varicose veins. Mr Abu-Own recommends patients with VVs to seek early assessment for their VVs. He considers the development of skin changes to be an advanced stage of varicose vein disease. What does treatment involve? There are different options. Self-help methods.Avoid prolonged standing or sitting still. Try to put your feet up frequently (sit or lie down and raise the feet above the level of your hips). You can, for example, use extra pillows under your feet on a bed or footrest). This helps to reduce blood pooling in the veins. Use a moisturising cream or ointment to protect the skin in the affected area if it is dry, flaky or itchy. ​ Radiofrequency ablation and endovenous laser ablation. These minimally invasive methods involve passing a probe into one of the longer varicose veins, using ultrasound to guide the position. The radiofrequency or laser energy makes the vein heat up, which seals it. Surgery. Traditional surgery may still be the best option for your VVs. Mr Abu-Own will discuss with you if you should consider having surgery for your VVs. Mr Abu-Own's preferred surgical technique is the inversion PIN stripping technique, combined with mini-phlebectomies. Foam sclerotherapy. This technique is used if heat or lasers do not work. It uses a chemical mixed with air to make foam. The foam is injected into the veins, pushing the blood away and making the veins go into spasm. After treatment, a combination of a bandage and a compression stocking are applied. The treated veins may feel hard and swollen for a while before they shrink down. More than one treatment may be needed. ​ Conventional Sclerotherapy. The vein is injected with a chemical that can close and seal (sclerose) it. Mostly replaced by foam sclerotherapy nowadays. Support tights and compression stockings. These counter the extra pressure in the veins. They may help to ease symptoms such as ache, although there is little proof as to how well they work. They may be difficult to put on, particularly by people who have arthritis in their hands. Current guidelines do not recommend that they be used routinely unless treatments to seal the veins are not suitable or do not work. If you do need compression stockings, below-knee class 1 (light, e.g. travel socks) or class 2 (medium) are usually the most suitable. Ideally, they should be put on first thing in the morning, before you get out of bed, and then taken off when going to bed at night. Compression stockings are available on prescription or you can buy them. Note: if you have arterial disease in the legs, you will need a medical assessment of your circulation to decide if compression stockings are suitable (see above). Not sure what to do with your varicose veins? Many patients with varicose veins are confused as to what to do about them. This is unsurprising as there are several options including doing nothing, conservative treatments such as stockings, having an operation and several new non-surgical treatments like radiofrequency ablation, EVLA and foam sclerotherapy. You may wish to do nothing if you are not bothered by the appearance of your veins and they are not causing significant symptoms. There is no medical need to treat most varicose veins. ​ Compression stockings may be an option for those with symptoms but who are not worried about the appearance of their legs and are willing to wear stockings for the rest of their lives. However, use of stockings as a treatment option for VVs is no longer supported by NICE (National Institute for Health and Care Excellence). ​ Surgery continues to be a definitive treatment suitable for patients with extensive varicose veins on both legs who want all treatment carried out in one session, those who wish to have a general anaesthetic or those who don't like injections. ​ If you want to avoid surgery and general anaesthesia and to get back to normal activities quicker, you may want to consider having one of the minimally invasive procedures. These include the catheter endothermal ablation techniques (RFA and EVLA) and foam sclerotherapy: ​ Radiofrequency Ablation (RFA)is good for those with a long wide straight segment of vein which requires treating. Approximately 70% of patients are suitable for RFA. This is Mr Abu-Own's preferred catheter endothermal ablation technique. Mr Abu-Own usually combines RFA with phlebectomies so that the whole treatment can be completed in one session. Endovenous Laser Ablation (EVLA). The method and results of treatment are almost identical to RFA. Foam Sclerotherapy is especially good for those with less extensive veins who are willing to accept the possible need for several sessions of treatment and the possibility of the veins recurring in the future where further treatment would become necessary. It is the least invasive option, but less effective compared to surgery and the ablation techniques. Varicose Veins General Information Radiofrequency Ablation Foam Sclerotherapy Surgery Paying for Your Treatment MAKE AN ENQUIRY BOOK AN APPOINTMENT

Why Choose Us? > Why Choose Us Explore the benefits of getting treatment with Mr. Abu-Own Our mission is to bring together the best in surgical expertise with the best personalised service conditions in a way that is affordable and accessible, both for people with private medical insurance and for those who wish to pay for themselves. Explore some of the key benefits we have to offer below. Rapid access to the best private healthcare When you have a concern about a health issue, the last thing you want to do is wait for an appointment, a diagnosis or treatment. We provide e arly appointments and rapid test results to help nip problems in the bud and allow you to spend as little time as possible worrying. You also won't have to worry about long waiting lists to get the treatment that you need. Our goal is to get you back to where you want to be as quickly as possible. Greater peace of mind for self-funding patients You don’t need medical insurance to get all of the advantages of private healthcare. You can pay for yourself and take up Nuffield Health’s promise of a fixed, all-inclusive procedure price.** ​ For peace of mind, this covers all of your treatment costs, including pre-assessment and aftercare, so that you don't have to worry about unexpected bills. The procedure price includes all aspects of the surgical treatment pathway: Highly trained, experienced consultant surgeon Full cover for insured patients If you are planning to fund your treatment by private medical insurance, then you can be rest assured that Mr Abu-Own works with all of the leading providers. ​ You will not be charged any excess fees on account of Mr Abu-Own* as he is compliant with the schedule of fees for all the major UK private medical insurance companies. ​ We will work together with you and your insurance provider to make sure you get the treatment you need quickly. ​ For more information about our simple insurance payment process, as well as a list of the providers that we work with, click here . Treatment Pathway Included Pre-assessment appointment, including all pre-hospital admission tests and assessments required Your surgical procedure, including any local / general anaesthetic & anaesthetist care Prosthesis / Implants (the cost of any required prosthesis or implanted material(s)) Your stay in Nuffield Ipswich hospital (as clinically required as part of the treatment) Post-operative care such as suture removal, your physiotherapy (if required), stockings, take home drugs and nursing care Post-operative follow-up consultation with Mr Abu-Own Readmission and treatment if clinically required (returning to theatre/ward due to a complication of the original surgery, subject to following post-operative recommendations as set out by Mr Abu-Own) For more information about our simple self-pay process, click here . An award winning, personalised service provided by our partners at Nuffield Health Nuffield Health is the largest healthcare charity in the UK. As an organisation with no shareholders, all income is invested back into the business. This has kept Nuffield Health at the forefront of medical care as they continually reinvest into services to benefit patients. They have built an outstanding reputation for their standards of care, professionalism and expertise and have been awarded Private Hospital Group of the Year for the third consecutive time at both the Health Investor Awards and LaingBuisson Awards (2017, 2018, 2019). ​ Nuffield Health has industry leading sterilisation practices and is the only hospital operator in the UK with a state-of-the-art equipment sterilisation unit (HSSU) meaning that you can be sure that operations will be performed using spotlessly clean equipment. The operating theatres are equipped with the latest laminar airflow ventilation systems to help further minimise the risk of infection from airborne particles. ​ Set in over 19 acres of woodland, Nuffield Health Ipswich Hospital is a modern purpose-built hospital that is a haven of tranquillity. The majority of the bedrooms have patio doors with access to the gardens and woodland views. The premises feels more like a boutique hotel than a hospital. The smart en-suite private rooms, friendly staff and delicious yet nutritious food menu will help get you back on your feet in no time. ​ Nuffield Health Ipswich hospital utilises the most modern diagnostic equipment, advanced medical technologies and surgical equipment to assist with minimally invasive surgery. Almost all technical advancements in healthcare are designed to improve outcomes and reduce risk. BOOK AN APPOINTMENT ENQUIRE ABOUT TREATMENT * For procedures requiring anaesthesia, we request insurance fee-compliant anaesthetists; but this cannot be guaranteed. ** Initial consultation(s), scans/tests and investigations required to establish a diagnosis are not part of the procedure price. The pre-assessment appointment and related tests that are required to assess fitness for, or to prepare you for the surgery are covered by the procedure package price - please check with Nuffield regarding any tests requested. Revision procedures following surgery are covered by the procedure package price if they are clinically required (clinically required means where further intervention and/or monitoring of your condition is deemed necessary by your treating consultant as a direct result of the original procedure). For more details, please see Nuffield Health's Terms and Conditions .

Research & Publications > Research > PhD Anchor 1 PhD Thesis: Assessment of Disease Mechanisms and Compression Treatment in Venous Disease. A. Abu-Own. UCL, London, 1995 I carried out some clinical research culminating in the award of a Ph.D. degree from University College London (UCL) in 1995. This research was based in the Vascular Laboratory of the Middlesex Hospital, where I became familiar with the administration and running of a non-invasive Vascular Laboratory, and acquired in-depth knowledge of all the investigative methods available for the assessment of both the macrocirculation and microcirculation in arterial and venous disease. ​ Here, I investigated the use of non-invasive techniques to assess disease mechanisms and examined the effects of compression in patients with venous disease. I studied 177 subjects (comprising patients with venous disease and normal control subjects). ​ In the first phase (Studies I -V), laser Doppler fluxmetry was used to examine the characteristics of skin blood flow and the effects of leg elevation and leg compression. The results showed that patients with chronic venous insufficiency had increased volume, but reduced speed, of blood in liposclerotic skin. Both leg compression and leg elevation were shown to increase the microcirculatory blood cell velocity; this may have been part of the mechanism by which leg compression and leg elevation are beneficial in the treatment of patients with venous ulceration. In contrast to the supramalleolar region, it was found that the heel microcirculation was vulnerable to compression. Lying on a conventional hospital bed reduced the laser Doppler flux signal to a minimal value while using a low air-loss support system maintained the interface pressure sufficiently low to prevent complete cessation of the heel microcirculation. ​ The second phase of this work (studies VI and VII) was concerned with compression in deep vein thrombosis prophylaxis. Colour duplex ultrasound imaging and strain gauge plethysmography were used to study the haemodynamic effects of intermittent pneumatic compression and graduated compression (TED) stockings. The results indicated there was a haemodynamic advantage in the use of multi-chamber sequential intermittent compression compared to uniform single-chamber calf compression. The results also indicated a haemodynamic advantage in the combined use of TED stockings and intermittent pneumatic compression of the foot compared to using either of the two methods alone. Research Interests PhD Published Abstracts Book Chapters Peer-Reviewed Papers Scientific Society Papers Research in Progress

Varicose Veins > Resources > Varicose Veins > Sclerotherapy Medical Disclaimer Whilst every effort has been made to ensure that the information contained on this site is accurate, it is not a substitute for medical advice or treatment, and Mr A. Abu-Own recommends consultation with a doctor or healthcare professional. The information provided is intended to support patients, not to provide personal medical advice. Please see our Terms and Conditions for more information. ​ Foreword by Mr. Abu-Own I am particularly interested in the investigation and treatment of varicose veins (VVs) and venous ulcers. ​ I believe varicose vein surgery should only be undertaken by experienced, appropriately trained vascular surgeons. I also believe that careful preoperative assessment and investigations are essential to achieving a satisfactory outcome. In the management of venous disease (my area of research interest), I introduced some ideas and techniques to Ipswich Hospital. For example, the Inversion “Pin” Stripping technique. I acquired this technique from the Middlesex Hospital London (John Scurr and Phillip Coleridge-Smith) where I carried out my PhD research. My experience has indicated that this technique causes less bleeding/bruising compared to the old conventional stripping techniques. I offer my patients with VVs minimally invasive treatment options, including radiofrequency ablation (RFA) and ultrasound-guided foam sclerotherapy, in addition to conventional surgery, if considered appropriate. ​ I am also interested in research into the causes and management of recurrent varicose veins and presented a paper on the subject in the International Union of Phlebology Congress in Rome: ​Abu-Own A, Cheatle TR, Farah J and Shami SK. Suggested preoperative classification for recurrent Varicose Veins (VVs) and operative approach. International Union of Phlebology Congress, Rome Sep 2001. This page has been designed to provide patients with some useful information about varicose veins, the different treatment options that I offer and what to expect throughout the treatment journey. I very much look forward to welcoming patients to my outpatient clinic for an assessment where we can discuss things further. What are varicose veins? Varicose veins are veins under the skin of the legs, which have become widened, bulging, and twisted. They are very common and do not cause medical problems in most people. There are two main systems of veins in the legs: ​ 1. Deep veins: The leg muscles squeeze the deep veins during walking, carrying most of the blood back up the legs to the heart. 2. Superficial veins: These occur under the skin which are functionally less important and can form varicose veins. ​ All of these veins contain one-way valves to ensure that the blood flows towards the heart. Failure of these valves allows blood to flow backwards down the veins and results in an overload of pressure when standing. This excess pressure leads to widening of the veins so that they do not close properly. Blood then flows back into the leg along these veins and causes varicose veins to develop. Raised pressure in these veins also encourages the development of spider veins and discoloured areas which look like bruises. How common are varicose veins? Varicose veins are extremely common. Studies suggest that varicose veins are found in about 3 in 10 people. National Health Service waiting lists suggest that there is still considerable unmet need. Most people with varicose veins do not have an underlying disease and they usually occur for no apparent reason. Varicose veins do not cause symptoms or complications in most cases, although some people find them unsightly. If treatment is advised, or wanted for cosmetic reasons, a procedure to seal them off is used. What causes varicose veins? Varicose veins often run in families and there may be a hereditary component. Women are more likely to suffer from varicose veins and up to 50% of women may be affected. Hormonal factors including puberty, pregnancy, menopause, the use of birth control pills and hormone replacement therapy (HRT) can all affect the disease. Pregnancy: It is very common for pregnant women to develop varicose veins during the first trimester. Pregnancy causes increases in hormone levels and blood volume which in turn cause veins to enlarge. In addition, the enlarged uterus can put pressure on the main vein bringing blood back to the heart from the legs, causing blood to pool in the legs and varicose veins to develop. Varicose veins due to pregnancy often improve within 3 months after delivery. However, with successive pregnancies, abnormal veins are more likely to remain. ​ Other predisposing factors include ageing, standing for long periods of time, obesity and leg injury. What problems do varicose veins cause? Many people have no symptoms at all from their varicose veins, except for the fact that they are noticeable and their appearance can be embarrassing for many people. Other than cosmetic embarrassment, the most common symptoms of varicose veins are aching, discomfort and heaviness of the legs, which are usually worse at the end of the day. Sometimes the ankle can swell, too. These symptoms are not medically serious, but can be treated if they are sufficiently troublesome. Although varicose veins can get worse over the years, this often happens very slowly. In a few people the high pressure in the veins causes damage to the skin near the ankle, which can become brown in colour. This is called lipodermatosclerosis (hardened, sclerosed, brown discoloured skin). Varicose eczema (an itchy, dry, red skin rash) can also develop. If these skin changes are allowed to progress, or if the skin becomes injured, a venous ulcer may develop, which can be quite troublesome. Skin changes are therefore a good reason for going to see your GP and for referral to a specialist. Mr A. Abu-Own recommends patients with VVs to seek early assessment for their VVs, as he considers the development of skin changes to be an advanced stage of varicose veins disease. ​ Other problems which varicose veins can occasionally produce: ​ Phlebitis: Phlebitis (sometimes called thrombophlebitis) means inflammation of the veins, and is often accompanied by some thrombosis (clotting of blood) inside the affected veins, which become hard painful and tender. This is not the same as deep vein thrombosis (DVT) and is not usually dangerous, but is considered as an indication for treating the VVs. Bleeding: The risk of bleeding as a result of knocking varicose veins worries many people, but this is rare. The bleeding should be treated prompltly by elevating the leg and application of a firm pressure bandage. Bleeding varicose veins are considered an absolute indication (mandatory) for referral to a specialist for assessment and definitive treatment of the VVs to prevent risk of further bleeding. Deep Vein Thrombosis: Varicose veins are considered an additional causative factor for the development of DVT in some patients. Moreover, DVT may lead to development of secondary varicose veins. What tests are used to investigate varicose veins? Most varicose veins originate from leaking valves at groin level or behind the knee. It is important to accurately locate the site of the valve leaks. During your assessment at your outpatient appointment, the doctor will use a small probe to assess your veins - this is called continuous wave Doppler. The probe can detect the direction of blood flow which is audible, both in the skin veins and in the deep veins. It indicates where the veins have come from and helps in the planning of any operation that might be required. An ultrasound scan (duplex) may be performed. This will allow detailed examination of your deep veins, particularly if there is a past history of deep vein thrombosis (DVT). Assessment of varicose veins behind the knee and recurrent varicose veins will also require duplex scanning.​ ​ Once the initial assessment is complete, all treatments will require duplex ultrasound scanning as part of the selection process and for the monitoring of the treatment itself. ​ Other scans which are occasionally used include MRI and CT. Do I need treatment? Very large numbers of varicose veins procedures are performed each year in the UK for medical and cosmetic reasons. The highest priority is to treat those who have developed symptoms or complications. For example: Those with bleeding from varicose veins (usually around the ankle) are considered high priority and should be seen by a specialist immediately. Pain, aching, discomfort, heaviness, fatigue, throbbing, swelling or itching caused by varicose veins. Superficial thrombophlebitis (appearing as hard, painful veins) Development of skin changes (e.g. discolouration, lipodermatosclerosis, eczema) are indicative of chronic venous insufficiency (failed valves leading to persistent blood pooling in the legs) and therefore warrant intervention. Skin changes are considered a warning sign (precursor) to develop an ulcer. Development of a venous leg ulcer or a healed venous ulcer are very important indications for treatment of varicose veins. Mr Abu-Own recommends patients with VVs to seek early assessment for their VVs. He considers the development of skin changes to be an advanced stage of varicose vein disease. What does treatment involve? There are different options. Self-help methods.Avoid prolonged standing or sitting still. Try to put your feet up frequently (sit or lie down and raise the feet above the level of your hips). You can, for example, use extra pillows under your feet on a bed or footrest). This helps to reduce blood pooling in the veins. Use a moisturising cream or ointment to protect the skin in the affected area if it is dry, flaky or itchy. ​ Radiofrequency ablation and endovenous laser ablation. These minimally invasive methods involve passing a probe into one of the longer varicose veins, using ultrasound to guide the position. The radiofrequency or laser energy makes the vein heat up, which seals it. Surgery. Traditional surgery may still be the best option for your VVs. Mr Abu-Own will discuss with you if you should consider having surgery for your VVs. Mr Abu-Own's preferred surgical technique is the inversion PIN stripping technique, combined with mini-phlebectomies. Foam sclerotherapy. This technique is used if heat or lasers do not work. It uses a chemical mixed with air to make foam. The foam is injected into the veins, pushing the blood away and making the veins go into spasm. After treatment, a combination of a bandage and a compression stocking are applied. The treated veins may feel hard and swollen for a while before they shrink down. More than one treatment may be needed. ​ Conventional Sclerotherapy. The vein is injected with a chemical that can close and seal (sclerose) it. Mostly replaced by foam sclerotherapy nowadays. Support tights and compression stockings. These counter the extra pressure in the veins. They may help to ease symptoms such as ache, although there is little proof as to how well they work. They may be difficult to put on, particularly by people who have arthritis in their hands. Current guidelines do not recommend that they be used routinely unless treatments to seal the veins are not suitable or do not work. If you do need compression stockings, below-knee class 1 (light, e.g. travel socks) or class 2 (medium) are usually the most suitable. Ideally, they should be put on first thing in the morning, before you get out of bed, and then taken off when going to bed at night. Compression stockings are available on prescription or you can buy them. Note: if you have arterial disease in the legs, you will need a medical assessment of your circulation to decide if compression stockings are suitable (see above). Not sure what to do with your varicose veins? Many patients with varicose veins are confused as to what to do about them. This is unsurprising as there are several options including doing nothing, conservative treatments such as stockings, having an operation and several new non-surgical treatments like radiofrequency ablation, EVLA and foam sclerotherapy. You may wish to do nothing if you are not bothered by the appearance of your veins and they are not causing significant symptoms. There is no medical need to treat most varicose veins. ​ Compression stockings may be an option for those with symptoms but who are not worried about the appearance of their legs and are willing to wear stockings for the rest of their lives. However, use of stockings as a treatment option for VVs is no longer supported by NICE (National Institute for Health and Care Excellence). ​ Surgery continues to be a definitive treatment suitable for patients with extensive varicose veins on both legs who want all treatment carried out in one session, those who wish to have a general anaesthetic or those who don't like injections. ​ If you want to avoid surgery and general anaesthesia and to get back to normal activities quicker, you may want to consider having one of the minimally invasive procedures. These include the catheter endothermal ablation techniques (RFA and EVLA) and foam sclerotherapy: ​ Radiofrequency Ablation (RFA)is good for those with a long wide straight segment of vein which requires treating. Approximately 70% of patients are suitable for RFA. This is Mr Abu-Own's preferred catheter endothermal ablation technique. Mr Abu-Own usually combines RFA with phlebectomies so that the whole treatment can be completed in one session. Endovenous Laser Ablation (EVLA). The method and results of treatment are almost identical to RFA. Foam Sclerotherapy is especially good for those with less extensive veins who are willing to accept the possible need for several sessions of treatment and the possibility of the veins recurring in the future where further treatment would become necessary. It is the least invasive option, but less effective compared to surgery and the ablation techniques. Varicose Veins General Information Radiofrequency Ablation Foam Sclerotherapy Surgery Paying for Your Treatment MAKE AN ENQUIRY BOOK AN APPOINTMENT

Research & Publications > Research > Peer-Reviewed Papers Anchor 1 Primary inguinal hernia repair utilizing the mesh ‘plug’ technique Abu-Own A, Onwudike M, Haque KA and Barker SG. | Ambulatory Surgery 2000; 8: 31-35 Integrated care pathways for Vascular surgery Barker S, Abu-Own A., et al. | Eur J Vasc Endovasc Surg. 1999; sep 18(3): 207-15 Hand-held Doppler as a screening test in primary varicose veins Abu-Own A, Coleridge Smith PD. | Br J Surg 1998 Mar;85(3):424-5 Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency Abu-Own A. | Year Book of Vascular Surgery, 1996. Edited by John M Porter. Mosby; 431-4 Saphenous vein reflux without incompetence at the saphenofemoral junction Abu-Own A., et al. | Year Book of Vascular Surgery, 1996. Edited by John M Porter. Mosby; 434 Effects of compression and type of bed surface on the skin microcirculation of the heel Abu-Own A, Sommerville K, Scurr JH and Coleridge Smith PD. | Eur J Vasc Endovasc Surg 1995: 9: 327-334 Effect of intermittent pneumatic compression on the microcirculation in arterial disease Abu-Own A. | Year Book of Vascular Surgery, 1995. Edited by John M Porter. Mosby; 268-269 Effects of Compression stockings on the skin microcirculation in chronic venous insufficiency Abu-Own A, Scurr JH and Coleridge Smith PD. | Phlebology 1995; 10: 5-11 Effects of leg elevation on the skin microcirculation in chronic venous insufficiency Abu-Own A, Scurr JH and Coleridge Smith PD. | J Vas Surg 1994; 20: 705-710 Mechanism of action of compression therapy in venous disease - A review Sarin S, Abu-Own A. | Scope on Phlebology and Lymphology. 1994; 1:(1): 4-6 Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency Abu-Own A. | Phlebology Digest. With comment by Professor W Vanscheidt, Germany, 1994 Microangiopathy of the skin and the effect of leg compression in patients with chronic venous insufficiency Abu-Own A, Shami SK, Chittenden SJ, Farrah J, Scurr JH and Coleridge Smith PD. | J Vasc Surg 1994; 19: 1074-83 Saphenous vein reflux without incompetence at the sapheno-femoral junction Abu-Own A, Scurr JH and Coleridge Smith PD. | Br J Surg 1994; 81: 1452-1454 Assessment of intermittent pneumatic compression by strain gauge plethysmography Abu-Own A, Scurr JH and Coleridge Smith PD. | Phlebology, 1993; 8: 68-71 Investigative methods used to evaluate the effect of pressure: A review Abu-Own A, Scurr JH, Coleridge Smith PD. | WOUNDS 1993; 5: 220-225 Effects of intermittent pneumatic compression of the foot on the microcirculatory function in arterial disease Abu-Own A, Cheatle T, Scurr JH and Coleridge Smith PD. | Eur J Vasc Surg 1993; 7: 488-492 Is the “normal” limb normal in unilateral varicose veins? Sarin S, Shields DA, Abu-Own A, Scurr JH and Coleridge Smith PD. | Phlebology. 1992; 7: 75-77 Ibn-Sina and Kanon of Medicine Abu-Own A. | The Ibn-Sina Medical Association’s Journal. 1980; 53-54 Research Interests PhD Published Abstracts Book Chapters Peer-Reviewed Papers Scientific Society Papers Research in Progress

Hernia Repair > Resources > Hernia Repair > Aftercare Medical Disclaimer Whilst every effort has been made to ensure that the information contained on this site is accurate, it is not a substitute for medical advice or treatment, and Mr A. Abu-Own recommends consultation with a doctor or healthcare professional. The information provided is intended to support patients, not to provide personal medical advice. Please see our Terms and Conditions for more information. ​ Foreword by Mr. Abu-Own I am particularly interested in the investigation and treatment of varicose veins (VVs) and venous ulcers. ​ I believe varicose vein surgery should only be undertaken by experienced, appropriately trained vascular surgeons. I also believe that careful preoperative assessment and investigations are essential to achieving a satisfactory outcome. In the management of venous disease (my area of research interest), I introduced some ideas and techniques to Ipswich Hospital. For example, the Inversion “Pin” Stripping technique. I acquired this technique from the Middlesex Hospital London (John Scurr and Phillip Coleridge-Smith) where I carried out my PhD research. My experience has indicated that this technique causes less bleeding/bruising compared to the old conventional stripping techniques. I offer my patients with VVs minimally invasive treatment options, including radiofrequency ablation (RFA) and ultrasound-guided foam sclerotherapy, in addition to conventional surgery, if considered appropriate. ​ I am also interested in research into the causes and management of recurrent varicose veins and presented a paper on the subject in the International Union of Phlebology Congress in Rome: ​Abu-Own A, Cheatle TR, Farah J and Shami SK. Suggested preoperative classification for recurrent Varicose Veins (VVs) and operative approach. International Union of Phlebology Congress, Rome Sep 2001. This page has been designed to provide patients with some useful information about varicose veins, the different treatment options that I offer and what to expect throughout the treatment journey. I very much look forward to welcoming patients to my outpatient clinic for an assessment where we can discuss things further. What are varicose veins? Varicose veins are veins under the skin of the legs, which have become widened, bulging, and twisted. They are very common and do not cause medical problems in most people. There are two main systems of veins in the legs: ​ 1. Deep veins: The leg muscles squeeze the deep veins during walking, carrying most of the blood back up the legs to the heart. 2. Superficial veins: These occur under the skin which are functionally less important and can form varicose veins. ​ All of these veins contain one-way valves to ensure that the blood flows towards the heart. Failure of these valves allows blood to flow backwards down the veins and results in an overload of pressure when standing. This excess pressure leads to widening of the veins so that they do not close properly. Blood then flows back into the leg along these veins and causes varicose veins to develop. Raised pressure in these veins also encourages the development of spider veins and discoloured areas which look like bruises. How common are varicose veins? Varicose veins are extremely common. Studies suggest that varicose veins are found in about 3 in 10 people. National Health Service waiting lists suggest that there is still considerable unmet need. Most people with varicose veins do not have an underlying disease and they usually occur for no apparent reason. Varicose veins do not cause symptoms or complications in most cases, although some people find them unsightly. If treatment is advised, or wanted for cosmetic reasons, a procedure to seal them off is used. What causes varicose veins? Varicose veins often run in families and there may be a hereditary component. Women are more likely to suffer from varicose veins and up to 50% of women may be affected. Hormonal factors including puberty, pregnancy, menopause, the use of birth control pills and hormone replacement therapy (HRT) can all affect the disease. Pregnancy: It is very common for pregnant women to develop varicose veins during the first trimester. Pregnancy causes increases in hormone levels and blood volume which in turn cause veins to enlarge. In addition, the enlarged uterus can put pressure on the main vein bringing blood back to the heart from the legs, causing blood to pool in the legs and varicose veins to develop. Varicose veins due to pregnancy often improve within 3 months after delivery. However, with successive pregnancies, abnormal veins are more likely to remain. ​ Other predisposing factors include ageing, standing for long periods of time, obesity and leg injury. What problems do varicose veins cause? Many people have no symptoms at all from their varicose veins, except for the fact that they are noticeable and their appearance can be embarrassing for many people. Other than cosmetic embarrassment, the most common symptoms of varicose veins are aching, discomfort and heaviness of the legs, which are usually worse at the end of the day. Sometimes the ankle can swell, too. These symptoms are not medically serious, but can be treated if they are sufficiently troublesome. Although varicose veins can get worse over the years, this often happens very slowly. In a few people the high pressure in the veins causes damage to the skin near the ankle, which can become brown in colour. This is called lipodermatosclerosis (hardened, sclerosed, brown discoloured skin). Varicose eczema (an itchy, dry, red skin rash) can also develop. If these skin changes are allowed to progress, or if the skin becomes injured, a venous ulcer may develop, which can be quite troublesome. Skin changes are therefore a good reason for going to see your GP and for referral to a specialist. Mr A. Abu-Own recommends patients with VVs to seek early assessment for their VVs, as he considers the development of skin changes to be an advanced stage of varicose veins disease. ​ Other problems which varicose veins can occasionally produce: ​ Phlebitis: Phlebitis (sometimes called thrombophlebitis) means inflammation of the veins, and is often accompanied by some thrombosis (clotting of blood) inside the affected veins, which become hard painful and tender. This is not the same as deep vein thrombosis (DVT) and is not usually dangerous, but is considered as an indication for treating the VVs. Bleeding: The risk of bleeding as a result of knocking varicose veins worries many people, but this is rare. The bleeding should be treated prompltly by elevating the leg and application of a firm pressure bandage. Bleeding varicose veins are considered an absolute indication (mandatory) for referral to a specialist for assessment and definitive treatment of the VVs to prevent risk of further bleeding. Deep Vein Thrombosis: Varicose veins are considered an additional causative factor for the development of DVT in some patients. Moreover, DVT may lead to development of secondary varicose veins. What tests are used to investigate varicose veins? Most varicose veins originate from leaking valves at groin level or behind the knee. It is important to accurately locate the site of the valve leaks. During your assessment at your outpatient appointment, the doctor will use a small probe to assess your veins - this is called continuous wave Doppler. The probe can detect the direction of blood flow which is audible, both in the skin veins and in the deep veins. It indicates where the veins have come from and helps in the planning of any operation that might be required. An ultrasound scan (duplex) may be performed. This will allow detailed examination of your deep veins, particularly if there is a past history of deep vein thrombosis (DVT). Assessment of varicose veins behind the knee and recurrent varicose veins will also require duplex scanning.​ ​ Once the initial assessment is complete, all treatments will require duplex ultrasound scanning as part of the selection process and for the monitoring of the treatment itself. ​ Other scans which are occasionally used include MRI and CT. Do I need treatment? Very large numbers of varicose veins procedures are performed each year in the UK for medical and cosmetic reasons. The highest priority is to treat those who have developed symptoms or complications. For example: Those with bleeding from varicose veins (usually around the ankle) are considered high priority and should be seen by a specialist immediately. Pain, aching, discomfort, heaviness, fatigue, throbbing, swelling or itching caused by varicose veins. Superficial thrombophlebitis (appearing as hard, painful veins) Development of skin changes (e.g. discolouration, lipodermatosclerosis, eczema) are indicative of chronic venous insufficiency (failed valves leading to persistent blood pooling in the legs) and therefore warrant intervention. Skin changes are considered a warning sign (precursor) to develop an ulcer. Development of a venous leg ulcer or a healed venous ulcer are very important indications for treatment of varicose veins. Mr Abu-Own recommends patients with VVs to seek early assessment for their VVs. He considers the development of skin changes to be an advanced stage of varicose vein disease. What does treatment involve? There are different options. Self-help methods.Avoid prolonged standing or sitting still. Try to put your feet up frequently (sit or lie down and raise the feet above the level of your hips). You can, for example, use extra pillows under your feet on a bed or footrest). This helps to reduce blood pooling in the veins. Use a moisturising cream or ointment to protect the skin in the affected area if it is dry, flaky or itchy. ​ Radiofrequency ablation and endovenous laser ablation. These minimally invasive methods involve passing a probe into one of the longer varicose veins, using ultrasound to guide the position. The radiofrequency or laser energy makes the vein heat up, which seals it. Surgery. Traditional surgery may still be the best option for your VVs. Mr Abu-Own will discuss with you if you should consider having surgery for your VVs. Mr Abu-Own's preferred surgical technique is the inversion PIN stripping technique, combined with mini-phlebectomies. Foam sclerotherapy. This technique is used if heat or lasers do not work. It uses a chemical mixed with air to make foam. The foam is injected into the veins, pushing the blood away and making the veins go into spasm. After treatment, a combination of a bandage and a compression stocking are applied. The treated veins may feel hard and swollen for a while before they shrink down. More than one treatment may be needed. ​ Conventional Sclerotherapy. The vein is injected with a chemical that can close and seal (sclerose) it. Mostly replaced by foam sclerotherapy nowadays. Support tights and compression stockings. These counter the extra pressure in the veins. They may help to ease symptoms such as ache, although there is little proof as to how well they work. They may be difficult to put on, particularly by people who have arthritis in their hands. Current guidelines do not recommend that they be used routinely unless treatments to seal the veins are not suitable or do not work. If you do need compression stockings, below-knee class 1 (light, e.g. travel socks) or class 2 (medium) are usually the most suitable. Ideally, they should be put on first thing in the morning, before you get out of bed, and then taken off when going to bed at night. Compression stockings are available on prescription or you can buy them. Note: if you have arterial disease in the legs, you will need a medical assessment of your circulation to decide if compression stockings are suitable (see above). Not sure what to do with your varicose veins? Many patients with varicose veins are confused as to what to do about them. This is unsurprising as there are several options including doing nothing, conservative treatments such as stockings, having an operation and several new non-surgical treatments like radiofrequency ablation, EVLA and foam sclerotherapy. You may wish to do nothing if you are not bothered by the appearance of your veins and they are not causing significant symptoms. There is no medical need to treat most varicose veins. ​ Compression stockings may be an option for those with symptoms but who are not worried about the appearance of their legs and are willing to wear stockings for the rest of their lives. However, use of stockings as a treatment option for VVs is no longer supported by NICE (National Institute for Health and Care Excellence). ​ Surgery continues to be a definitive treatment suitable for patients with extensive varicose veins on both legs who want all treatment carried out in one session, those who wish to have a general anaesthetic or those who don't like injections. ​ If you want to avoid surgery and general anaesthesia and to get back to normal activities quicker, you may want to consider having one of the minimally invasive procedures. These include the catheter endothermal ablation techniques (RFA and EVLA) and foam sclerotherapy: ​ Radiofrequency Ablation (RFA)is good for those with a long wide straight segment of vein which requires treating. Approximately 70% of patients are suitable for RFA. This is Mr Abu-Own's preferred catheter endothermal ablation technique. Mr Abu-Own usually combines RFA with phlebectomies so that the whole treatment can be completed in one session. Endovenous Laser Ablation (EVLA). The method and results of treatment are almost identical to RFA. Foam Sclerotherapy is especially good for those with less extensive veins who are willing to accept the possible need for several sessions of treatment and the possibility of the veins recurring in the future where further treatment would become necessary. It is the least invasive option, but less effective compared to surgery and the ablation techniques. Hernia Repair Groin Hernia Repair Abdominal Wall Hernia Repair Aftercare Paying for Your Treatment MAKE AN ENQUIRY BOOK AN APPOINTMENT