Varicose Vein Surgery
Mr George Geroulakos
Consultant Vascular Surgeon
VARICOSE VEINS EXPLAINED
WHAT ARE VARICOSE VEINS?
Veins are blood vessels that take blood from the body back to the heart. When veins become enlarged, abnormally twisted
The VEIN SYSTEMS
Veins are either superficial (run under the skin) or deep (surrounded by muscle inside the leg). The superficial veins are those
The long saphenous vein (LSV) and its tributaries are the most likely superficial veins to become varicose.
WHY DO VARICOSE VEINS DEVELOP?
It is thought that varicose veins are caused by the turbulent reversed flow beneath inadequate valves. According to the
Varicose veins are the result of valve failure causing reverse blood flow.
Some people are born with defective valves, other people's valves become damaged as a result of a deep vein thrombosis,
What are the symptoms of varicose veins?
Patients are frequently disturbed by the poor cosmetic appearance of their legs. They also report a constant ache, especially
VARICOSE VEIN TREATMENTS
Compression Stockings do not make the varicose veins go away but will assist the leg in pumping the blood back to the
Injection Sclerotherapy is useful for small veins below the knee and causes fibrosis (shrinking) of the varicosities.
Ultrasound guided foam Sclerotherapy involves injection of chemical foam under ultrasound control into the diseased veins.
Vein Junction Tie – the veins of the superficial system are disconnected from the veins of the deep system so that varicosities
Vein Stripping – this procedure involves removing the main thigh leg vein by passing a wire tipped with a stripping head.
Multiple Avulsions – performed via small stab incisions over varices which are carefully marked before surgery.
Endovenous LASER treatment- A very thin laser fibre is inserted in the long saphenous vein. The heat that is delivered by
RISKS OF VARICOSE VEIN SURGERY
I have read and understand the following risks of varicose vein surgery:
Scar – as part of the healing process, scar tissue formation is inevitable. The scar will be as small as possible for cosmetic
Bleeding / Bruising - surgery performed on blood vessels predisposes to bleeding and subsequent bruising to the skin.
Infection – any surgery which creates wounds involves an element of infection, although sterile technique and practice helps
Sensory loss – nerve fibres that run in the skin can be damaged as part of the stripping process resulting in a loss of
Recurrence – there is a 15-20% chance that varicose veins, once removed, may grow back over a number of months to years.
Deep vein thrombosis – All surgery carries a risk of a blood clot forming within the blood vessels. Varicose vein surgery carries
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