Surgical treatment

  • This method is used in more severe cases of varicose veins when less invasive techniques such as VenaSeal or CLaCS cannot be used.
  • The aim of varicose vein surgery, or conventional surgery, is to remove the affected main superficial vein. This process involves severing the so-called sapheno-femoral junction, which is where the superficial saphena magna vein connects to the deep femoral vein.
  • The procedure is performed under general or spinal anesthesia, which ensures the patient’s comfort throughout the surgery. The surgery is performed as part of the same-day medical care.

The course of the procedure 

  • The operation is performed either under general anaesthesia or local anaesthesia. The choice depends on the extent of the procedure and the patient’s state of health.
  • The vascular surgeon makes a small incision in the groin area (or below the knee or ankle) and locates the main superficial vein to be removed (the great saphenous vein).
  • After isolating the affected vein, the doctor inserts a special instrument (stripper) into the vein and gradually removes it along its entire length. Smaller affected vein branches can be removed through further small incisions.
  • After removing the affected vein, the surgeon sutures the incisions and covers them with a sterile dressing. A compression bandage or compression stocking is often applied to the leg to promote healing and reduce the risk of swelling.

Before the procedure 

  • Prior to the actual procedure, the patient will undergo an initial examination in our vascular surgery clinic, such as a vein ultrasound, to pinpoint the location of the affected veins. A medical specialist will assess the patient’s overall health and decide if surgery is appropriate.

After the procedure

  • After the procedure, the patient may be monitored for several hours, depending on the extent of the surgery. During recovery, it is recommended to wear compression stockings, avoid prolonged sitting or standing, and gradually resume physical activity.
  • You may experience mild pain and bruising in the area of surgery. Return to normal activities is possible after 1 to 2 weeks, but more strenuous physical activity should be avoided for several weeks.

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