Varicose Vein Ligation & Stripping

Varicose vein excision and ligation involves tying off the affected vein and removing the varicosity. Removal of the symptomatic, malfunctioning, superficial veins restores the venous circulation to a more normal state and provides relief of symptoms of venous hypertension.

Surgical ligation and stripping:

The original therapy for venous reflux in the saphenous vein was surgical ligation and stripping. This begins with an incision in the groin region to expose the saphenous vein. The surgeon then ligates (ties off) the saphenous vein and small veins in the area. A second incision is made either just below the knee or at the ankle for the same purpose. Once both ends of the vein are free, a wire-like instrument is threaded through the vein, from the groin to the second incision, and secured to the vein. The vein is then pulled out (or “stripped”) and removed from the leg. This therapy is the basis for modern ablation techniques and is rarely used today. The procedure is performed under general anesthesia, may involve a hospital stay, and involves pain, scarring, and lost days from work.