Vein Ligation is a procedure that has been used
for many years to eliminate larger varicose veins.*
This surgery is performed on an oupatient basis
using regional or general anesthesia – most patients are
able to go home later in the day. Typically, individuals
are able to return to work in a few days (depending on their occupation),
and get back to recreational activities in a few weeks.
During the procedure, the surgeon makes several small incisions over the diseased vein and it is tied off (ligated). This option usually offers good long-term results, but can leave some scarring where the incisions were made. Although vein ligation can be performed for cosmetic reasons, it is usually done for patients that have large, bleeding, problematic (aching, swelling) or damaged veins; or open sores resulting from varicose veins. In some cases, sclerotherapy is recommended as a follow-up to vein ligation to treat smaller varicose veins. A qualified vascular surgeon can help determine the best procedure for each individual's varicose veins. However, in general, the following people are not appropriate candidates for vein ligation:
• Pregnant women (although pregnancy can aggravate varicose veins, they should not be treated during pregnancy)
• Older adults with medical conditions that predispose them to risks associated with surgery
• Individuals with poor circulation in the arteries of the legs
• Those who have lymphedema, skin infections or blood clotting disorders
Type of anesthesia
• Regional or General
Length of procedure
• Around 1 hour
Before the procedure
• Let your PVC physician know what medicines and herbs you are taking
• Avoid aspirin, ibuprofen and other NSAIDs for at least 72 hours before procedure; acetaminophen (Tylenol) is usually safe to take
• Don't put lotion or cream on your legs the day of the procedure
• Plan to avoid vacation / travel for two weeks after treatment
After the procedure
• Wear compression stockings or an elastic bandage on your leg as directed by your physician
• Return to work in a few days (depending on your occupation)
• Contact PVC if you have any concerns
Side effects
Side effects are similar to those of any surgery, including risks associated with anesthesia.
• Scarring
• Bleeding
• Infection
• Nerve damage
Insurance coverage
• If done for cosmetic reasons, usually not covered
• If done for medical reasons, may be covered
* Disclaimer: The information contained in this site is for informational purposes only. It does not take the place of, nor is it intended to be, a substitute for individual medical advice, diagnosis or treatment from your physician.
