Varicose Vein Surgery

What is varicose vein surgery?

While modern procedures such as sclerotherapy and ablation are generally favored these days for the treatment of varicose veins, surgery in some cases is still an option. This type of surgery is often called ‘ligation and stripping’. Varicose vein surgery is often performed under general anesthesia (meaning you will not be conscious during the procedure).

Why is it performed?

Varicose veins are usually considered a cosmetic problem, but they can also cause pain and discomfort. Treatment is often advised by a physician if varicose veins are uncomfortable or painful, or if they are associated with other complications such as leg ulcers or skin discoloration. They can also be treated for cosmetic reasons, usually in a private clinic.

Varicose veins can cause pain and discomfort.

What does this surgery involve?

Varicose vein surgery, or ‘ligation and stripping’, involves first tying off the vein in the leg by making two small incisions in the vein. After making these two incisions, the varicose vein is tied off and sealed and then removed. The surgery usually takes about two to three hours, but you will be able to go home after the procedure is done, after a short rest period at the clinic and hospital.

How to prepare for varicose vein surgery?

First, you will discuss the treatment of varicose veins with a specialist to check that you can have the surgical treatment. Your specialist will advise you on any precautions you should take before the procedure, as well as any medication you will not be able to take. Ask the surgeon if you will have to stay overnight in the hospital, which is not common, but does happen in some cases. Ask the surgeon who will be performing the operation and ask any questions you have about the procedure beforehand.

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Aftercare

After surgery, you will most likely need to wear compression stockings for a few days or up to a week. You will need to rest and elevate your leg whenever possible. Follow your surgeon’s advice. Usually, you will not be able to go to work for a while to recover properly. This depends on your job and your overall health. Ask your surgeon when you will be able to return to work.

Alternatives to this treatment

Varicose veins can also be treated with foam sclerotherapy, radiofrequency ablation and endovenous laser treatment.