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Ligation and stripping for venous disease means that the varicose veins will be removed. For instance, ligation means surgically tying of the veins, through a small incision in the skin. The main purpose ligation has is to prevent blood pooling in the surrounding tissue. In many cases, this type of intervention is paired with vein removal. Vein removal is performed in a minimally invasive surgical intervention, named venous ablation. However, patients interested in this type of surgery must know that it comes with a series of benefits.
- Increased self-esteem – varicose veins always have an unpleasant appearance. Women especially refrain from wearing revealing dresses or shorts, and even if they do, they oftentimes choose to pair them with high density stockings. This comes, of course as a lowered self-esteem caused by the presence of varicose veins in those particular areas. Thus, correcting these issues will help women regain their self-esteem and self-confidence in an instance.
- pain – varicose veins are not only an aesthetic issue, but they are oftentimes an enormous cause of discomfort. The pain is manifesting especially at night, during the relaxation period of the day. This forces many who suffer from varicose veins to constantly move around and shake their legs, in a constant attempt to relieve the pain. This, obviously, is an enormous source of discomfort and distress in your natural cycles.
- Improve mobility – in most of the cases, varicose veins cause swelling which intervenes with the natural mobility ability of one. As people age, this issue accentuates, and what in the past was a happy, active individual, is nowadays a sedentary and barely able to move individual. This is why it is recommended to find a solution for this issue as soon as possible.
In order to determine if one is a candidate for varicose vein surgery, the answers to the one or several of the following questions must be “Yes”.
- Do you have veins that have the following attributes: swollen red and warm on touch; skin discoloration; texture changes; large veins on your legs?
- Does anybody in your family have a history of varicose veins or venous reflux?
- Do you ever experience one of the following symptoms: pain (aches or cramps) in the legs; tiredness, heaviness; tingling, burning sensation in the legs; tender areas surrounding the veins; sores or ulcers near the ankle area?
- Have you ever had ulcerous areas or hard to heal wounds?
If the answers to one of a series of the above questions are yes, then you may be suffering from varicose veins. This makes you a perfect candidate for varicose vein surgery. A centre for surgery may help you in the process of finding a reliable doctor and surgeon that has the necessary skill and knowledge to correct these issues.
Varicose veins surgery is mainly designed to treat varicose veins. Combined with varicose veins removal, litigation and stripping of the varicose veins is designed to stop them from reoccurring. This type of intervention is usually performed where there seems to be valvular incompetence with the main veins that give the varicose phenomenon. Litigation and striping is also done when pooling of blood occurs as a secondary result of venous incompetence. If a patient is noticing swelling in the legs, skin discoloration, changes that appear in skin’s texture, it might be a case for surgery. Removing the poorly functioning vein will help remove all the unpleasant symptoms previously described.
- Before the surgery your doctor will perform a physical examination of the affected area. This will help them determine where the malfunctioning veins are located. Your surgeon may use an ultrasound to get a more accurate view on the veins and valves. In some cases, they may use a duplex scan, which provides a more accurate view on the affected veins, valves and blood flow. This will help them to rule out any types of thromboses or cloths in the veins.
- Before the surgery it is mandatory to inform your doctor regarding any type of medication, including over-the-counter medication, that you may be taking. Temporarily, they may be asking you to interrupt the medication, as it may affect the surgery itself, by causing massive bleeding during the varicose stripping intervention.
- During the surgery you will most likely be under a general or spinal anaesthesia, which will demand one of your family members to be present at the clinic afterwards to transport you home. The type of anaesthesia under which the patient will be, will be determined strictly by their vascular surgeon.
- The procedure usually takes somewhere around 90 to 60 minutes.
Varicose vein surgery is a safe procedure. Nevertheless, there are risks associated with this type of surgery, and your vascular surgeon will discuss them with you:
- Allergic reactions to anaesthesia;
- Blood cloths;
- Profuse bleeding;
- Nerve injury;
- Scars or bruises;
- Infections in the incision area.
Keep in mind that these risks are unlikely to be experienced by the vast majority of the patients. Varicose stripping is ill-advised for the following:
- Pregnant women;
- Individuals suffering from skin infections;
- Individuals with unsatisfactory leg circulation;
- Those suffering from blood-clotting issues;
- Overweight individuals.
- About the recovery interval, those interested in these surgeries should know that the recovery period usually takes somewhere between two and four weeks.
- However, the recovery period strongly depends on the number of veins that will be stripped as well as their location.
- All patients will be prescribed some sort of pain medication by their doctors to help with pain management in the post-operatory interval.
- Usually, your doctor will recommend to stay off of your feet as much as possible.
- The vast majority of patients are usually allowed to remove their bandages after about four days.
- In the recovery interval, it is mandatory to keep your legs elevated while sitting.
- By the fourth week, patients are able to return to their daily activities, including a normal work schedule.