Surgery to remove or close off varicose veins is varicose vein surgery, also called vein stripping or vein ligation. It is a form of enlarged, swollen, and twisted veins that appear blue or dark purple on the legs and feet. Although varicose veins are generally harmless, they can be uncomfortable, painful, and cosmetically problematic for some people. Varicose vein surgery can alleviate symptoms and improve the appearance of the affected area.
A thorough medical evaluation may be required before individuals undergo varicose vein surgery to assess their overall health and suitability for the procedure. A physical examination, medical history review, and ultrasound imaging may be used to determine the severity and extent of varicose veins during this evaluation. Some healthcare providers may recommend lifestyle changes or medications to manage symptoms and optimize surgical outcomes.
As a result of the extent of the procedure and the patient's preference, varicose vein surgery is typically performed under local or general anesthesia. Through a procedure known as vein stripping, the surgeon makes small incisions near the affected veins and removes them. Alternatively, the surgeon may use techniques such as vein ligation, where the affected veins are tied off and sealed shut to prevent blood flow. Varicose veins may be closed off with minimally invasive procedures such as endovenous laser therapy (EVLT) or radiofrequency ablation (RFA).
Individuals may experience discomfort, swelling, and bruising following varicose vein surgery. Compression stockings are often recommended to reduce swelling and promote blood flow in the treated area. After surgery, most individuals can resume light activities within a few days to a week, although strenuous activities should be avoided for several weeks to allow for proper healing. Depending on the extent of the surgery and the healing factor, recovery times can vary.
As with any surgical procedure, varicose vein surgery carries some risks and complications. These include infection, bleeding, blood clots, nerve damage, and recurrence. To minimize the risk of complications, individuals should discuss the risks and benefits of the procedure with their healthcare provider as well as follow any preoperative and postoperative instructions.
In order to track healing and assess the results of varicose vein surgery, individuals typically have follow-up appointments with their healthcare provider. Postoperative care instructions, including proper wound care, compression stockings, and avoiding activities that may strain the treated area, must be followed. It is also important for individuals to notify their healthcare provider immediately of any unusual symptoms or signs of complications.
