Varicose Vein Treatments


Sclerotherapy is often used to treat smaller veins such as thread and spider veins.

It involves injecting a liquid, often in a foam state, into your varicose vein, to destroy it. Your blood then reroutes through healthier veins. The procedure is also known as ultrasound-guided foam sclerotherapy as ultrasound guidance is used to insert the foam. Once the treated vein collapses it’s reabsorbed into local tissue.

You’ll be given local anaesthetic and your surgeon can treat more than one vein at a time. Your treated veins should fade within a few weeks. Sometimes sclerotherapy treatment is needed more than once before the vein fades. There is a chance the vein may reappear.

Varicose vein surgery

Litigation and stripping

If sclerotherapy and EVLT aren’t suitable for you or if you’d like the problem completely removed, then surgery will be recommended. This is often performed using ligation and stripping.

Litigation and stripping is normally performed under general anaesthetic and takes around an hour for each leg. A cut is made in your groin and the back of your knee or ankle to allow your surgeon access to tie and seal the top of your vein (ligation) and to pass a thin flexible wire through the bottom of the vein to remove it (stripping).

After the removal of your vein your blood will re-route through other healthy veins.

VNUS Closure® procedure

VNUS Closure® is a new ’key-hole’ alternative to traditional litigation and stripping. It uses radiofrequency energy to heat and close the vein from within and provides instant relief of symptoms.

It’s usually performed under local anaesthetic on a walk in walk out basis with the procedure taking just 30 to 40 minutes.

Your vascular surgeon will mark the end of the vein in your groin using ultrasound. A special catheter is inserted into your vein through a tiny incision just below your knee. Radiofrequency energy is gently delivered to seal and shut the faulty vein.

VNUS Closure® is often used instead of litigation and stripping as it offers advantages including: minimal pain, less bruising, no incision in the groin, reduced pain relief required, shorter hospital stay and no need for a general anaesthetic.

The VNUS Closure® procedure also has benefits over EVLT including: more gentle vein heating, less pain and bruising, reduced pain relief required and a faster return to normal activities.

Your vascular surgeon will discuss with you the best option for your individual needs as the VNUS Closure® is not appropriate for all patients.

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