Varicose Veins

     

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  Surgery
   
 

 

As explained in the introduction section, the Great Saphenous vein is the source of the problem in most cases.  The surgical treatment entails stripping of the vein.  That is being done through a groin incision and a second incision in the leg .  All the branches and all the connections with the deep veins (Perforators) will be torn including a number of healthy veins.  That is believed to be the main reason for the high failure rate of the surgical stripping which ranges between 30-73% after 5 years.  As early as one year, a significant number of patients develop recurrence.  With the stripping, most of the torn branches and perforators go into spasm in an attempt to stop bleeding.  That is helped by the surgeon doing leg elevation and application of compression.  Despite these measures, a variable degree of internal bleeding occurs. The bleeding could be significant particularly in bilateral stripping.  That would result in a variable degree of thigh swelling and bruising that takes any where from 2-6 weeks to resolve.  The surgery is done under general anaesthetic

 

The Drawbacks from the surgical stripping include

  • High failure rate 30-73%

  • Wound infection 1-5%

  • Bleeding

  • Deep Vein Thrombosis (Blood clot) 2-5%

  • Scars

  • Injury to lymphatic vessels in the groin area

  • Complications from the general anaesthetic

  • Lengthy time off work

   
   

 

Conservative

Injection Sclerotherapy

Ultrasound Guided Sclerotherapy

Ambulatory Phlebectomy

Surgery

Endo Venous Laser Treatment (EVLT)