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Vein ligation and stripping is a minor surgery. It is used to remove one or more varicose veins. These are twisted, swollen veins near the surface of the skin. They are most common in the legs and ankles. The surgery can also be done to prevent venous skin ulcers from coming back after treatment.
You will probably be asleep during the surgery, but it also can be done while you are awake. If you are awake, you will get medicine to numb your leg and prevent pain. The doctor make small cuts in the area and then ties off (ligation) and removes the vein (stripping).
You will probably go home the same day as the surgery. You will need to take it easy at home for 3 to 7 days after the surgery. How long it takes for you to recover depends on how many veins are removed.
After surgery, problems caused by the varicose veins should go away. Other veins in the legs will take over the work of the veins that are removed.
Vein ligation and stripping typically don't require a hospital stay. They are most often done on an outpatient basis with regional or general anesthesia. Most people go home the same day of their surgery.
Most likely, you will be able to return to work within a few days. After several weeks, you can get back to your normal activities.
Vein ligation and stripping is generally done on large varicose veins. It also can be done to prevent venous skin ulcers from returning after treatment. This surgery may be used when:
If you have both small and large varicose veins, you may have more than one type of treatment. Following vein ligation and stripping to treat large varicose veins, you may have sclerotherapy to treat smaller varicose veins.
Vein ligation and stripping should not be done in:
Vein ligation and stripping removes varicose veins successfully in 80 out of 100 people. That means it does not work for 20 out of 100 people.footnote 1
Vein ligation and stripping surgery has some risks, such as scarring and varicose veins recurring. Also, if the deep vein system is damaged, surgery may make problems with blood flow in the veins worse. Varicose vein surgery has the same risks associated with general surgery, including infection, bleeding, and anesthesia risks.
If the largest vein in the leg (great saphenous vein, or GSV) is stripped below the knee, numbness may result due to nerve injury.
CitationsVan den Bos R, et al. (2009). Endovenous therapies of lower extremity varicosities: A meta-analysis. Journal of Vascular Surgery, 49(1): 230–239.
Current as of: July 6, 2021
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & David A. Szalay MD - Vascular Surgery
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