Surgery may be:
When considering surgery, anatomy and general medical status are key. Endo-venous therapies are standard of care today. The obvious advantages include no incisions, no need for general anaesthesia, earlier return to work and higher likelihood of being performed as a day procedure. Nevertheless, there are instances where open surgery still proves advantageous. These include:
When a superficial saphenous vein or tributary is closely adherent to the skin; be it an extra-fascial continuation of the main GSV, superficial branch or a separate anterior accessory or a true duplicate, the inability to provide a 1cm buffer zone between skin and vein with tumescent anaesthesia risk skin burns.
Similarly, non-thermal techniques can result in inflammation and pigmentation issues when the vein is very superficial.
Treatment selectionSpeak with your friendly vascular surgeon today to discuss treatment options.