Type of Surgery

Information

Doctor Certified

Last updated: 02/17/2009

Risks

Vein ligation and stripping carries the same risks as other surgical procedures under general anesthesia, such as bleeding, infection of the incision, and an adverse reaction to the anesthetic. Patients with leg ulcers or fungal infections of the foot...

are at increased risk of developing infections in the incisions following surgical treatment of varicose veins.

Specific risks associated with vascular surgery include:

  • Deep venous thrombosis.
  • Bruising. Bruising is the most common complication of phlebectomies, but heals itself in a few days or weeks.
  • Scar formation. Phlebectomy has been found to produce permanent leg scars more frequently than sclerotherapy.
  • Injury to the saphenous nerve. This complication results in numbness, tingling, or burning sensations in the area around the ankle. It usually goes away without further treatment within six to 12 months.
  • Seromas. A seroma is a collection of uninfected blood serum or lymphatic fluid in the tissues. Seromas usually resolve without further treatment, but can be drained by the surgeon, if necessary.
  • Injury to the arteries in the thigh and groin area. This complication is extremely rare, but it can have serious consequences. One example is amputation of the leg.
  • Leg swelling. This complication is caused by disruption of the lymphatic system during surgery. This lasts about two to three weeks and can be managed by wearing compression stockings.
  • Recurrence of smaller varicose veins.

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Other Information

Vein ligation and stripping is a minor surgery. It is used to remove a damaged vein and prevent complications of vein damage. If several valves in a vein and the vein itself are heavily damaged, the vein (or the diseased part of the vein) is removed (stripped). An incision is made below the vein, a flexible instrument is threaded up the vein to the first incision, and the vein is grasped and removed.

During this surgery, one or more incisions are made over the damaged veins, and the vein is tied off (ligated). If the ligation cuts off a faulty valve and the vein and valves below the faulty valve are healthy, the vein may be left in place to continue circulating blood through other veins that still have valves that work well.


From http://www.webmd.com/a-to-z-guides/vein-ligation-and-stripping

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