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With close to 33 years of experience as a vein specialist and with over 20 publications in the field of Phlebology, Dr. Goren is the clear choice in diagnosing and treating your vein problem(s).

Dr. Goren featured on ABC Channel 7 News

with Denise Dador

Please click any of the images below to see more

TREATMENT RESULTS: VARICOSE VEINS
TREATMENT RESULTS: HAND VEINS
TREATMENT RESULTS: SPIDER VEINS
TREATMENT RESULTS: TEMPLE VEINS
BOARD CERTIFIED SURGEON

Dr. Gabriel Goren is an Israeli Board Certified Surgeon who studied venous pathology, as an integral part in his 6 years of surgical residency curriculum. Athough Dr. Goren has under his belt additional two full years of Internal Medicine residency, obviously he is not an internist, nor is he a specialist in any other medical field that make up today's mosaic of  "vein specialists" who, searching for higher incomes, were drawn over night into a field they never belonged... Moreover, Dr. Goren considers that  for cosmetic condtions - varicose veins included - no suggested procedures are permitted to potentially be more harmful than the condition for which the patient is looking for therapeutic solutions.  

30 YEARS OF EXPERIENCE

After 20 years of an University based academic surgical career Dr. Goren opened the Vein Disorders Center (VDC) in Encino, CA in 1984, and next year (2014) he will celebrate 30 years of an exclusive office based VEIN practice. Moreover, the total (quite unparalleled) number of varicose legs (over 3500) treated by him in an office setting using Ambulatory Phlebectomy, the minimally invasive surgical protocol  since the early nineties, surpasses the seating capacities of NY’s Carnegie Hall (2804), LA’s Dorothy Chandler Pavilion (3194) as well as Disney Hall (2265).

OVER 20 PUBLICATIONS IN VEIN DISORDERS FIELD

Contrary to many present "veins specialists", Dr. Gabriel Goren is published in numerous peer reviewed professional surgical/medical journals. Of the total 30+ surgical career publications, over 20 are in the field of phebology i.e. vein disorders. His 1991 article published in Am J Surg, (vol. 162, pages 166-74) on the minimally invasive Ambulatory Phlebectomy * for varicose veins was the first of its kind in the American surgical literature being the first to introduce the procedure to the American Surgical establishment. 

Click here to see this referenced in The Vein Book (and one's opened, click to enlarge.)

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What do I do for a skin injury received after Sclerotherapy?

 

            I have seen skin injuries after sclerotherapy but usually, very small ones 2-3 mm in diameter but larger than that should not happen! I do not know what size vein(s) have been injected and where the ”skin burn” is localized, hope not in the ankle area where the healing will be much slower. You must have been possibly injected with a too high concentration and the high volume of the sclerosing agent and also possibly not injected properly into the vein but rater in the skin and tissues along the vein! Occasionally, there are open communications between veins and arteries and the possibility does exist that the sclerosing agent while properly injected in the vein crossed into a small artery and caused severe tissue damage (necrosis) responsible for the damage and thus skin ulceration.

Unfortunately, there is not much one can do as eventually all will heal but it will take a few months. Most probably a scar for life will remind you of the “experience”.

            The injured area should be kept clean and covered with dry gauze to prevent any possibility of infection. If the area is by now clean namely not infected one should discuss with the practitioner the possibility of applying a colloid dressing called Duoderm. Compression stocking the knee is mandatory to prevent swelling which is the biggest enemy of any wound healing. Whenever just possible one should elevate the leg about the level of the heart; this should also reduce swelling by gravitational drainage. Any creams you may want to apply should never cover the ulcerated skin, just beyond its margins. In conclusion, be patient, it will go away but very slowly. How it is in Spanish: “Con paciencia se gana il cielo” or “Heaven is won with patience."