Vein ligation and stripping


Vein ligation and stripping is a surgical approach to the treatment of varicose veins. It is also sometimes called phlebectomy. Ligation refers to the surgical tying off of a large vein in the leg called the greater saphenous vein, while stripping refers to the removal of this vein through incisions in the groin area or behind the knee. If some of the valves in the saphenous vein are healthy, the weak portion of the vein can be closed off by ligation. If the entire vein is weak, it is closed off and pulled downward and out through an incision made below it. Tying and removal of the greater saphenous vein is done to reduce the pressure of blood flowing backward through this large vein into the smaller veins that feed into it.

Phlebectomy is one of the oldest forms of treatment for varicose veins; the earliest description of it was written by Aulus Cornelius Celsus, a Roman historian of medicine, in A . D . 45. The first description of a phlebectomy hook comes from a textbook on surgery published in 1545. The modern technique of ambulatory (outpatient) phlebectomy was developed around 1956 by a Swiss dermatologist named Robert Muller. As of 2003, surgical ligation and stripping of the saphenous vein is performed less frequently because of the introduction of less invasive forms of treatment.


The purpose of vein ligation and stripping is to reduce the number and size of varicose veins that cannot be treated or closed by other measures. The reasons for vascular surgery in general include:


The World Health Organization (WHO) estimates that about 25% of adults around the world have some type of venous disorder in the legs. The proportion of the general population with varicose veins is higher, however, in the developed countries. The American College of Phlebology (ACP), which is a group of dermatologists, plastic surgeons, gynecologists, and general surgeons with special training in the treatment of venous disorders, states that more than 80 million people in the United States suffer from varicose veins. In the past, the female to male ratio has been close to four to one, but this figure is changing due to the rapid rise in obesity among adult males in the past two decades.

Varicose veins are more common in middle-aged and elderly adults than in children or young adults. Although varicose veins tend to run in families, they do not appear to be associated with specific racial or ethnic groups.


Causes of varicose veins

To understand why surgical treatment of varicose veins is sometimes necessary, it is helpful to start with a brief description of the venous system in the human body. The venous part of the circulatory system returns blood to the heart to be pumped to the lungs for oxygenation, in contrast to the arterial system, which carries oxygenated blood away from the heart to be distributed throughout the body. Veins are more likely than arteries to expand or dilate if blood volume or pressure increases, because they consist of only one layer of tissue; this is in contrast to arteries, in which there are three layers.

There are three major categories of veins: superficial veins, deep veins, and perforating veins. All varicose veins are superficial veins; they lie between the skin and a layer of fibrous connective tissue called fascia, which cover and support the muscles and the internal organs. The deep veins of the body lie within the muscle fascia. This distinction helps to explain why a superficial vein can be removed or closed without damage to the deep circulation in the legs. Perforating veins are veins that connect the superficial and deep veins.

Veins contain one-way valves that push blood inward and upward toward the heart against the force of gravity when they are functioning normally. The blood pressure in the superficial veins is usually low, but if it rises and remains at a higher level over a period of time, the valves in the veins begin to fail. The blood flows backward and collects in the lower veins, and the veins dilate, or expand. Veins that are not functioning properly are said to be incompetent. As the veins expand, they become more noticeable under the surface of the skin. Small veins, or capillaries, often appear as spider-shaped or tree-like networks of reddish or purplish lines under the skin. The medical term for these is telangiectasias, but they are commonly known as spider veins or thread veins. Larger veins that form flat, blue-green networks often found behind the knee are called reticular varicosities. True varicose veins are formed when the largest superficial veins become distorted and twisted by a long-term rise in blood pressure in the legs.

The most important veins in the lower leg are the two saphenous veins—the greater saphenous vein, which runs from the foot to the groin area, and the short saphenous vein, which runs from the ankle to the knee. It is thought that varicose veins develop when the valves at the top of the greater saphenous vein fail, allowing more blood to flow backward down the leg and increase the pressure on the valves in the smaller veins in turn. The practice of ligation and stripping of the greater saphenous vein is based on this hypothesis.

Some people are at increased risk for developing varicose veins. These risk factors include:

Ambulatory phlebectomy

Ambulatory phlebectomy is the most common surgical procedure for treating medium-sized varicose veins, as of early 2003. It is also known as stab avulsion or micro-extraction phlebectomy. An ambulatory phlebectomy is performed under local anesthesia. After the patient's leg has been anesthetized, the surgeon makes a series of very small vertical incisions 1–3 mm in length along the length of the affected vein. These incisions do not require stitches or tape closure afterward. Beginning with the more heavily involved areas of the leg, the surgeon inserts a phlebectomy hook through each micro-incision. The vein segment is drawn through the incision, held with a mosquito clamp, and pulled out through the incision. This technique requires the surgeon to be especially careful when removing varicose veins in the ankle, foot, or back of the knee.

After all the vein segments have been removed, the surgeon washes the patient's leg with hydrogen peroxide and covers the area with a foam wrap, several layers of cotton wrap, and an adhesive bandage. A compression stocking is then drawn up over the wrapping. The bandages are removed three to seven days after surgery, but the compression stocking must be worn for another two to four weeks to minimize bruising and swelling. The patient is encouraged to walk around for 10–15 minutes before leaving the office; this mild activity helps to minimize the risk of a blood clot forming in the deep veins of the leg.

Transilluminated powered phlebectomy

Transilluminated powered phlebectomy (TIPP) is a newer technique that avoids the drawbacks of stab avulsion phlebectomy, which include long operating times, the risk of scar formation, and a relatively high risk of infection developing in the micro-incisions. Transilluminated powered phlebectomy performed with an illuminator and a motorized resector. After the patient has been anesthetized with light general anesthesia, the surgeon makes only two small incisions: one for the illuminating device and the other for the resector. After making the first incision and introducing the illuminator, the surgeon uses a technique called tumescent anesthesia to plump up the tissues around the veins and make the veins easier to remove. Tumescent anesthesia was originally developed for liposuction . It involves the injection of large quantities of a dilute anesthetic into the tissues surrounding the veins until they become firm and swollen.

After the tumescent anesthesia has been completed, the surgeon makes a second incision to insert the resector, which draws the vein by suction toward an inner blade. The suction then removes the tiny pieces of venous tissue left by the blade. After all the clusters of varicose veins have been treated, the surgeon closes the two small incisions with a single stitch or Steri-Strips. The incisions are covered with a gauze dressing and the leg is wrapped in a sterile compression dressing.

To treat varicose veins in the leg, the saphenous vein may be removed by ligation and stripping (A). First an incision is made in the upper thigh, and the saphenous vein is separated from its tributaries (B). Another incision is made above the foot (C). The lower portion of the vein is cut, and a stripper is inserted into the vein (D). The stripper is pulled through the vein and out the incision in the upper thigh (E). (Illustration by GGS Inc.)
To treat varicose veins in the leg, the saphenous vein may be removed by ligation and stripping (A). First an incision is made in the upper thigh, and the saphenous vein is separated from its tributaries (B). Another incision is made above the foot (C). The lower portion of the vein is cut, and a stripper is inserted into the vein (D). The stripper is pulled through the vein and out the incision in the upper thigh (E). (
Illustration by GGS Inc.



Vein ligation and stripping and ambulatory phlebectomies are considered elective procedures; they are not performed on an emergency basis. The process of diagnosis may begin with the patient's complaints about the appearance of the legs or of pain and cramps, as well as with the physician's observations. It is important to note that there is no correlation between the size or number of a patient's varicose veins and the amount of pain that is experienced. Some people have experience considerable discomfort from fairly small varices, while others may have no symptoms from clusters of extremely swollen varicose veins. If the patient mentions pain, burning sensations, or other physical symptoms, the doctor will need to rule out other possible causes, such as nerve root irritation, osteoarthritis, diabetic neuropathy, or problems in the arterial circulation. Relief of pain when the leg is elevated is the most significant diagnostic sign of varicose veins.

After taking the patient's medical history and a family history of venous disorders, the doctor examines the patient from the waist down to note the location of varicose veins and to palpate (touch with gentle pressure) for signs of other venous disorders. Palpation helps the doctor locate both normal and abnormal veins; further, some varicose veins can be detected by touch even though they cannot be seen through the skin. Ideally, the examiner will have a small raised platform for the patient to stand on during the physical examination . The doctor will ask the patient to turn slowly while standing, and will be looking for scars or other signs of trauma, bulges and areas of discoloration in the skin, or other indications of chronic venous insufficiency. While palpating the legs, the doctor will note areas of unusual warmth or soreness, cysts, and edema (swelling of the soft tissues due to fluid retention). Next, the doctor will percuss certain parts of the legs where the larger veins lie closer to the surface. By gently tapping or thumping on the skin over these areas, the doctor can feel if there are any fluid waves in the veins and determine whether further testing for venous insufficiency is required.

The next stage of the diagnostic examination is an evaluation of the valves in the patient's greater saphenous vein. The doctor places a tourniquet around the patient's upper thigh while the patient is lying on the examination table with the leg raised. The patient is then asked to stand on the floor. If the valves in this vein are working properly, the lower superficial veins should not fill up rapidly as long as the tourniquet remains tied. This test is known as Trendelenburg's test. It has, however, been largely replaced by the use of duplex Doppler ultrasound—which maps the location of the varicose veins in the patient's leg and provides information about the condition of the valves in the veins. Most insurance companies now also require a Doppler test before authorizing surgical treatment. The doctor's findings will determine whether the greater saphenous vein will require ligation and stripping or endovenous ablation before smaller varicose veins can be treated.

Some disorders or conditions are contraindications for vascular surgery. They include:


Patients preparing for vascular surgery are asked to discontinue aspirin or aspirin-related products for a week before the procedure. They should not eat or drink after midnight on the day of surgery. They should not apply any moisturizers, creams, tanning lotions, or sun-block to the legs on the day of the procedure.

A patient scheduled for an ambulatory phlebectomy should arrive at the surgical center about an hour and a half before the procedure. All clothing must be removed before changing into a hospital gown. The patient is asked to walk up and down in the room or hallway for about 20 minutes to make the veins stand out. The surgeon marks the outlines of the veins with an indelible ink marker on the patient's legs while he or she is standing up. An ultrasound may be done at this point to verify the location and condition of the veins. The patient is then taken into the operating room for surgery.

Although patients are encouraged to walk around for a few minutes after an ambulatory phlebectomy, they should make arrangements for a friend or relative to drive them home from the surgical facility.


Surgical ligation and stripping of the greater saphenous vein usually requires an overnight stay in the hospital and two to eight weeks of recovery at home afterward.

Aftercare following surgical treatment of varicose veins includes wearing medical compression stockings that apply either 20–30 mmHg or 30–40 mmHg of pressure for two to six weeks after the procedure. Wearing compression stockings minimizes the risk of edema, discoloration, and pain. Fashion support stockings are a less acceptable alternative because they do not apply enough pressure to the legs.

The elastic surgical dressing applied at the end of an ambulatory phlebectomy should be left in place after returning home. Mild pain-killing medications may be taken for discomfort.

The patient is advised to watch for redness, swelling, pus, fever, and other signs of infection.

Patients are encouraged to walk, ride a bicycle, or participate in other low-impact forms of exercise (such as yoga, and tai chi) to prevent the formation of blood clots in the deep veins of the legs. They should lie down with the legs elevated above heart level for 15 minutes at least twice a day, and use a foot stool when sitting to keep the legs raised.


Vein ligation and stripping carries the same risks as other surgical procedures under general anesthesia, such as bleeding, infection of the incision, and an adverse reaction to the anesthetic. Patients with leg ulcers or fungal infections of the foot are at increased risk of developing infections in the incisions following surgical treatment of varicose veins.

Specific risks associated with vascular surgery include:

Normal results

Normal results of vein ligation and stripping, or ambulatory phlebectomy, include reduction in the size and number of varicose veins in the leg. About 95% of patients also experience significant relief of pain.

Morbidity and mortality rates

The mortality rate following vein ligation and stripping has been reported to be one in 30,000. The incidence of deep venous thrombosis (DVT) following vascular surgery is estimated to be 0.6%


Conservative treatments

Patients who are experiencing discomfort from varicose veins may be helped by any or several of the following approaches:

If appearance is the patient's primary concern, varicose veins can be partially covered with specially formulated cosmetics that come in a wide variety of skin tones. Some of these preparations are available in waterproof formulations for use during swimming and other athletic activities.

Endovenous ablation

Endovenous ablation refers to two newer and less invasive methods for treating incompetent saphenous veins. In the Closure(R) method, which was approved by the Food and Drug Administration (FDA) in 1999, the surgeon passes a catheter into the lumen of the saphenous vein. The catheter is connected to a radiofrequency generator and delivers heat energy to the vein through an electrode in its tip. As the tissues in the wall of the vein are heated, they shrink and coagulate, closing and sealing the vein. Radiofrequency ablation of the saphenous vein has been demonstrated to be safe and at least as effective as surgical stripping of the vein; in addition, patients can return to work the next day. Its chief risk is loss of feeling in a patch of skin about the size of a quarter above the knee. This numbness usually resolves in about six months.

Endovenous laser treatment, or EVLT, uses a laser instead of a catheter with an electrode to heat the tissues in the wall of an incompetent vein in order to close the vein. Although EVLT appears to be as safe and effective as radiofrequency ablation, patients experience more discomfort and bruising afterward; most require two to three days of recovery at home after laser treatment.


Sclerotherapy is a treatment method in which irritating chemicals in liquid or foam form are injected into spider veins or smaller reticular varicosities to close them off. The chemicals cause the vein to become inflamed, and leads to the formation of fibrous tissue and closing of the lumen, or central channel of the vein. Sclerotherapy is sometimes used in combination with other techniques to treat larger varicose veins.

Complementary and alternative (CAM) treatments

According to Dr. Kenneth Pelletier, former director of the program in complementary and alternative treatments at Stanford University School of Medicine, horse chestnut extract works as well as compression stockings when used as a conservative treatment for varicose veins. Horse chestnut ( Aesculus hippocastanum ) preparations have been used in Europe for some years to treat circulatory problems in the legs; most recent research has been carried out in Great Britain and Germany. The usual dosage is 75 mg twice a day, at meals. The most common side effect of oral preparations of horse chestnut is occasional indigestion in some patients.

See also Sclerotherapy for varicose veins .



Pelletier, Kenneth R., M.D. The Best Alternative Medicine , Part II, "CAM Therapies for Specific Conditions: Varicose Veins." New York: Simon & Schuster, 2002.

"Varicose Veins." Section 16, Chapter 212 in The Merck Manual of Diagnosis and Therapy , edited by Mark H. Beers, M.D., and Robert Berkow, M.D. Whitehouse Station, NJ: Merck Research Laboratories, 1999.


Bergan, J. J., N. H. Kumins, E. L. Owens, and S. R. Sparks. "Surgical and Endovascular Treatment of Lower Extremity Venous Insufficiency." Journal of Vascular and Interventional Radiology 13 (June 2002): 563-568.

Brethauer, S. A., J. D. Murray, D. G. Hatter, et al. "Treatment of Varicose Veins: Proximal Saphenofemoral Ligation Comparing Adjunctive Varicose Phlebectomy with Sclerotherapy at a Military Medical Center." Vascular Surgery 35 (January-February 2001): 51-58.

de Roos, K. P., F. H. Nieman, and H. A. Neumann. "Ambulatory Phlebectomy Versus Compression Sclerotherapy: Results of a Randomized Controlled Trial." Dermatologic Surgery 29 (March 2003): 221-226.

Feied, Craig, M.D., Robert Weiss, M.D., and Robert B. Hashemiyoon, M.D. "Varicose Veins and Spider Veins." eMedicine , November 20, 2001 [cited April 10, 2003]. .

MacKay, D. "Hemorrhoids and Varicose Veins: A Review of Treatment Options." Alternative Medicine Review 6 (April 2001): 126-140.

Min, R. J., S. E. Zimmet, M. N. Isaacs, and M. D. Forrestal. "Endovenous Laser Treatment of the Incompetent Greater Saphenous Vein." Journal of Vascular and Interventional Radiology 12 (October 2001): 1167-1171.

Pittler, M. H., and E. Ernst. "Horse-Chestnut Seed Extract for Chronic Venous Insufficiency. A Criteria-Based Systematic Review." Archives of Dermatology 134 (November 1998): 1356-1360.

Proebstle, T. M., D. Gul, A. Kargl, and J. Knop. "Endovenous Laser Treatment of the Lesser Saphenous Vein with a 940-nm Diode Laser: Early Results." Dermatologic Surgery 29 (April 2003): 357-361.

Ramelet, A. A. "Phlebectomy. Technique, Indications and Complications." International Angiology 21 (June 2002): 46-51.

Weiss, Robert, and Albert-Adrien Ramelet. "Varicose Veins Treated with Ambulatory Phlebectomy." eMedicine , May 29, 2002 [cited April 13, 2003]. .

Zotto, Lisa M., RN. "Treating Varicose Veins with Transilluminated Powered Phlebectomy." AORN Journal 76 (December 2002): 981-990.


American Academy of Dermatology. 930 East Woodfield Rd., PO Box 4014, Schaumburg, IL 60168. (847) 330-0230. .

American Association for Vascular Surgery (AAVS). 900 Cummings Center, #221-U, Beverly, MA 01915. .

American College of Phlebology. 100 Webster Street, Suite 101, Oakland, CA 94607-3724. (510) 834-6500. .

Peripheral Vascular Surgery Society (PVSS). 824 Munras Avenue, Suite C, Monterey, CA 93940. (831) 373-0508. .


Bergan, John J., M.D. Surgery of Varicose Veins . [cited April 13, 2003] .

Feied, Craig, M.D. Venous Anatomy and Physiology . [cited April 10, 2003] .

Fronek, Helane S., M.D. Conservative Therapy for Venous Disease . [cited April 10, 2003] .

Fronek, Helane S., M.D. Functional Testing for Venous Disease . [cited April 10, 2003] .

Marley, Wayne, M.D. Physical Examination of the Phlebology Patient . [cited April 10, 2003] .

Olivencia, José A., M.D. Ambulatory Phlebectomy . [cited April 13, 2003] .

Weiss, Robert, M.D. Radiofrequency Endovenous Occlusion (Closure(R) Technique) . [cited April 13, 2003] .

Rebecca Frey, Ph.D.


Surgical treatment of varicose veins is usually performed by general surgeons or by vascular surgeons, who are trained in the diagnosis and medical management of venous disorders as well as surgical treatment of them. Most vascular surgeons have completed five years of residency training in surgery after medical school, followed by one to two years of specialized fellowship training.

Phlebectomies and endovenous ablation treatments are performed in ambulatory surgery centers as outpatient procedures. Ligation and stripping of the greater saphenous vein, however, is more commonly performed in a hospital as an inpatient operation.


User Contributions:

I have had the veins stripped out of my left leg and my foot is turning a dark color again and my right foot is to and the veins in my right leg are getting very bad and I am having cramps in them.What should I do for this?
I have had my vein stripped 18 years earlier out of my left leg. My age is 40 years now. I'm wishing to have child now. Is it possible? is it danderous for my life ?!
I had the vein stripped from my leg on Friday and was back at work on Saturday the next day,(I am a head chef and I was called in to work unexpectedly as one of the apprentice chef's was too drug affected to work), my leg was bandaged and did weep slightly at incission sites. There was very slight stinging discomfort other than that I worked 2 ten hour busy shifts on the Saturday and then on the Sunday. My surgeon was amazed, however all healed nicely as I continued to work.
i had vein stripping done on L leg from above knee (saphaneous vein and tributaries) over 9 months ago, i have had ongoing problems, slow recovery couldnt walk properly for 3 months, couldnt sleep on side for 6 months due to pain, now have pain still on sitting studying for long periods, in groin region, pain goes from groinn to hip area to back of upper leg especially, ultrasound showed damage to tissue in area (groin with deep bruising) thats all, this was 6 months ago. Nerve damage is what im thinking but why only when im sitting does this happen? or have tributary veins not sealed off leaking blood back into tissues = pain? Gp advised using pimaficort cream (antibiotic and 1% steroid which worked for a period now less affective, any help or advise from surgeon or GP or layperson gone through similiar would be great, as im tired of the pain. thank you
I've had major vein stripped from my leg one month ago. All went well and I followed al advice given. But,shortly after operation,about a week later,a large lump appeared in my groin. I've been back to have it checked with Dr,who put me on antibiotics and bruise reducing cream.But I'm still left with round lump in groin area(tender to touch). Everything else seems fine,no swelling. Will i have to have incision to remove this lump or what?? I have app next Monday,but would appreciate advice from someone.
I had vein ligation done on both legs. It has been 8 days now. I feel good, am walking around normally now, but feel muscle aches on both lower legs. Is this normal? Bruising is getting much better, no pain; just the lower legs are achy.
i had my veins removed the doctor did not use compression stockings one of the cuts to the right groin area got a infection within 4 days now 9 months later have a lump in the right groin area had ultrosound stating stain.
I had vein ligation done on april 6, 2011 on right leg. I also have a lump in the right groin area. My doctor said it was dried up blood (called haemo something?) on the inside of my leg and would heal. Doctor said to put wet warm cloth compress on it to help heal. Besides that the cuts and bruises seem to be healing fine.
I had vein removal on L leg on May 20, 2011. Since the surgery, I have had constant pain in the leg location where the vein was removed . Now, I have a lump on the back of my leg in the path of the surgery and it hurts very bad, I am scheduled to see the doctor Next week.
7 days ago I had stripping groin to knee of great saphenous vein, plus many 'stab' avulsions in lower calf. My leg is hideously bruised and painful and I have really found walking very painful and awkward. Putting the compression stocking on is painful, and it cuts into my leg so that by early evening I can't tolerate it any more. Is this what others have experienced? How long before things improve? Help!!
I had done laser treatment for the removal of varicose veins about 5 years back, the problem is that it has come back again and sometimes there is pain on the right leg behind the knees. Please suggest what has to be done.Thank You.
How do you read the comments on this thread? I am having the procedure on Friday.
I had stripping grion to knee. It has been 1week now but i noticed my veins in my calf area still visible. Do i need another surgery for my calf area?
I had the veins in my left leg stripped a year ago from the groin to the ankle.Now my leg is constantly painful and the area from the lower leg to my ankle is numb on the outer level (like when your limbs go to sleep when disabled for a long time)

My left knee joint is in constant pain where the vein was taken out and interferes severly with my sleep as the pain is unbearable at night.I have tried pillows and other things between my knees to separate the to stop the pressure.
Has anyone else got these symptoms ??
hi im a week past my operation of stripping of the veins in my left leg, constant ache for years until i lost weight and ofcourse pregnancies added to the pains i had,ive had the bandages taken off and have been wearing the stockings past5 days, find them awkward and dig in my legs like crazy withouut the fact they roll down at the tops,ive started moving about alot little bit of house work walk up and down stairs ect just at a slower pase to normal lol,,,my issue is ive had shortness of breath for past few days and last night incredible pain up my right leg which wasnt the op leg as that was my left, i am mobile but am very worried about clots i also had my bp monitored and it was low, do any 1 else worry about vlots and what do u think the shortness of breath cld be also slight back ache and ive noticed to had more saliva in my mouth than usual since my anaesthetic ...thanx...dawn x
glenda thomson
large painful lump in right groin and infection on day 7 after veign stripping is this lup ok
I have the same lump in my groin 6 days after surgery in my groin and it's very sore ! Does anyone know what it could be
Hi I had stripping of the vain in left leg 3weeks ago . My ankle stills swells up throw the day . .then when I get up in the morning it goes down x
Linda bedker
I had this vein stipping two years ago, and my life is slowly being taking away from me!i was fit active,danced,swimming,playing golf,I was very active walking at least five miles a,cause of pain and weakness have done very little,unbalance walking can't sleep,pain all the time and can't live on drugs, so now my life is a uphill battle and my legs look worst than the ever advice,run from this surgery.its just to get your insurance dollars they care less if your left crippled! I only wish someone told me this ahead of time I'm sorry I sound bitter but I live in constant pain so don't d this! 8-15-15
What i do my solders vein is blocks by the time six months my hand weakening
I had my vein done in April of 2015 I am in pain still and it turns colors and I can hardly walk .no insurance and I am scared what this is going to result in.please help me !!! I love being active and I am tired of this pain .
Took bandages off ballet still had something attached hanging out incision points has anyone else experienced this
my name naresh Taneja from India state Haryana Yamunanagar my three years varicose vein leg ulcer last three years Iam treatment lasers tremant but not answer ple help my heel ulcer
Hi I got stripped and ligation surgery last January 30,2017,Before my Surgery I was active on my daily routine as a Sales Assistant, I dicided to undergo this process because my doctor advice me to undergo this treatment, as he told me that it's takes 15 or 20 days to recover,,but i been a month now unbalance walking,cannot stand for long time,sometimes shortness of breathing,i feels that's its slowly taken my life unto disappointment, I'm still on pain.
Having stripping done in the morning. Should I do it or back out? Help. I'm scared
Having stripping done in the morning. Should I do it or back out? Help. I'm scared
Had LE Venous Duplex Unilateral performed on left leg this am. Previously had same on right leg with no problems. As soon as procedure finished and leg wrapped I just didn't feel good and later vomited. Noticed wrap on thigh really tight cut wrap about 2inches @ immediately felt fine except leg is leaking clear liquid shoes, slacks are wet. Should I be worried?
Gail B
Now that I have Lost 145+ pounds (gastric by-pass) I have has striping of veins in both legs and a total 33 varicose veins removed. Can I cross my legs at the knee like a lady??? or is it still considered "Not a good thing to do?"
Donna Marlin
I had a ligation done about 3 or 4 years ago. Now my ankles are swelling. My right one worse than my left. Should I go back to my vascular doctor or my regular medical doctor? Thank you
I had my main vein in my leg stripped from my ankle into my thigh plus a number of smaller veins25 years ago. I have developed a huge ‘ lump’ below my knee which can be surgically removed but more than likely developed some place else as it is a mass of smaller veins grown to try to take over the blood supply. Whatever it is , look deformed. I also can feel holes where my veins have been removed which are painful to touch. My circulation is very poor and I have extreme swelling and my leg is 10 cm bigger than the other on a good day . I have a lot of problems and pain and my leg gets tired when I walk . It is the worst thing I have ever done and has affected my quality of life and no one knows how to correct it . My whole lymphatic system is messed up as well.
I think you are all exaggerating
It cant be that bad if all doctors recommend patients with varicose veins to get it done
Your comments aren't fair on people waiting to get the procedure done and you're making patients pre surgery anxious
If you've nothing good/ nice to say refrain from saying it please and thank you
Mary Harrington
I had vein stripping done 38 years ago, and the last 10 years I have terrible leg pain. My pain doctor said he used to do those surgeries and they were very bloody at that time.
I only have one large vein left in each leg according to an ultrasound of my legs. Doctors think it is nerve pain, and I think it is from the surgery, but they call it idiopathic.
. What can I do for this problem? At this time I just take pain medicines. Please give me some good advice.

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