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Varicose Veins Surgery

Varicose veins are enlarged, swollen, and twisted veins that typically appear blue or dark purple. They often occur in the legs and can cause discomfort, pain, and aesthetic concerns. While there are non-surgical treatments available for varicose veins, such as lifestyle changes, compression stockings, and sclerotherapy, some cases may require surgical intervention, especially if the symptoms are severe or if complications like ulcers or blood clots develop.

Here's an overview of surgical options for varicose veins:

  • Vein Stripping: This traditional surgical procedure involves removing the affected vein through small incisions in the skin. It is usually performed under general or local anesthesia. Vein stripping is effective in treating larger varicose veins but may require a longer recovery time compared to newer techniques.
  • Endovenous Laser Ablation (EVLA): EVLA is a minimally invasive procedure that uses laser energy to heat and seal off the affected vein. A catheter is inserted into the vein under ultrasound guidance, and the laser fiber is then used to deliver targeted energy, causing the vein to collapse and eventually be absorbed by the body. EVLA typically has a shorter recovery time and fewer complications compared to vein stripping.
  • Radiofrequency Ablation (RFA): Similar to EVLA, RFA is a minimally invasive procedure that uses radiofrequency energy to heat and close off the varicose vein. A catheter is inserted into the vein, and radiofrequency energy is applied, causing the vein to collapse and seal shut. RFA is also performed under ultrasound guidance and offers a quicker recovery compared to traditional vein stripping.
  • Ambulatory Phlebectomy: This surgical technique involves the removal of varicose veins through tiny incisions in the skin. It is often performed in conjunction with other procedures like EVLA or RFA to treat remaining visible varicose veins.
  • Endoscopic Vein Surgery: In cases where varicose veins are associated with ulcers or other complications, endoscopic vein surgery may be performed. This procedure involves the use of a tiny camera (endoscope) inserted into the vein to visualize and surgically treat the affected area.

The choice of surgical procedure depends on various factors, including the severity of the varicose veins, the patient's overall health, and their preferences. It's essential to consult with a vascular surgeon or a specialist in venous disorders to determine the most appropriate treatment plan.