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In some patients, conventional surgery to remove the abnormal vein is still necessary. The operation is usually performed under general or partial anaesthesia. The diseased veins are then removed surgically from the body.

1. How is the operation done?

In some patients, carefully undertaken surgery is still a good option with durable results. The operation is very safe and is usually performed under general anaesthesia. The commonest operation is called stripping in which a cut of several centimetres is made at the groin or behind the knee over the top of one of the main varicose veins. The varicose vein is then tied off where it meets the deeper veins and it is then stripped out. Blood still flows up the leg along deeper, unaffected veins. A dressing will be placed on the cut in the groin, and your leg will be bandaged up to the top of the thigh. You may walk on the day of the operation with the bandage on. The bandage normally remains in place for a few days and a fitted stocking is then worn during the day for two further weeks. Bruising and soreness is usually expected and normally subside in 2-3 week’s time.

2. What is the role of surgery?

Not all varicose veins are suitable for endovenous treatment. In patients with very tortuous veins or for veins with atypical anatomy, conventional surgery is still the treatment of choice. Our Vascular Surgeon who are experienced with both open and endovenous intervention can discuss with you about your best option.

The information provided on this website is for educational purposes only. Please consult your physicians before considering treatment or for detailed medical advice. (Information provided by Dr. Chad TSE Cheuk-Wa)