About Dr. Goren

A graduate of Hebrew University, Hadassah Medical School, Jerusalem, class of 1963. After 1 year of rotating Internship (1964), 2 years Residency in Internal Medicine (1965-66) and 6 years Residency in General Surgery (1967-72) he earns, in 1973, his Israeli Board Certification in general Surgery. He comes same year to the US for a kidney transplant research fellowship at the University of Minnesota (1973-74) and later he becomes a clinical transplant fellow at the LAC- University of Southern California Medical Center (1981-83) here in Los Angeles. Not willing to relocate from Southern California, Dr. Goren opens in1984 his private practice solely dedicated to Vein Disorders; their office diagnosis and treatment. In the early nineties – via several medical journal publications – he introduces the European minimally invasive Ambulatory Phlebectomy for varicose veins to the American surgical establishment.

After hundreds of legs vein surgeries successfully performed in his office and local anesthesia he applies (since 1995) the same techniques to unwanted hand veins. In well over 500 surgeries of the kind he has not seen one recurrence in all the 22 years! Dr. Goren authored over 20 medical publications in the field of veins (Phlebology) several of them in the prestigious Am. Journal of Surgery, Journal of Vascular Surgery and Annals of Vascular Surgery.

For additional information on Dr. Goren and his vein center, please consolut the main page.

Patients feedback are visible on to YELP websites: www.yelp.com/biz/goren-gabriel-md-encino as well as on www.yelp.com/biz/vein-disorders-center-encino-2.

VEIN DISORDERS CENTER

16311 Ventura Boulevard
Suite 1255
Encino, CA 91436
Phone: (818) 905-5502
Email: drgoren@gorenveincenter.com

© 2016 VEIN DISORDERS CENTER. ALL RIGHTS RESERVED. | DISCLAIMERS

 

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."