Varicose veins happen when blood pools in your leg veins and can’t move upward toward your heart. Varicose vein stripping and ligation removes the affected veins, improving blood flow and relieving symptoms like pain and swelling.
Varicose vein stripping and ligation is surgery to remove varicose veins in your legs. Your veins have valves inside them to help ensure that blood flows in the correct direction toward your heart. Varicose veins can occur if these valves become damaged or weakened and blood pools in your veins.
Vein ligation is “tying off” a varicose vein to stop blood from entering it. The vein is then stripped (removed from your body). After varicose vein stripping and ligation, your healthy veins take over to help restore normal blood flow.
People choose to remove varicose veins for health or cosmetic reasons. Varicose veins affect up to 35% of U.S. adults and can cause:
Providers also perform vein stripping and ligation to treat chronic venous insufficiency (CVI). CVI is another condition that can occur when valves in your leg veins become damaged. You might experience symptoms like pain, swelling and skin sores with CVI due to blood pooling in your legs. CVI usually occurs because of a blood clot in your legs known as deep vein thrombosis (DVT).
A vascular surgeon performs this procedure. This type of surgeon specializes in treating conditions that affect your blood vessels and circulation.
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Your healthcare provider will give you specific instructions to prepare for the procedure. For instance, you may need to stop eating or drinking several hours before your surgery. You may also need to stop taking certain medications.
Providers perform vein stripping and ligation at an outpatient surgery center or in their office. However, you will need someone to drive you home after your surgery.
When it’s time for your procedure, your provider gives you anesthesia to keep you from feeling pain. For vein stripping and ligation, you may receive:
Once your anesthesia is working, your provider makes small incisions in your groin and lower leg. They locate varicose veins using ultrasound imaging. Then, your provider ties off the veins and removes them.
In some cases, your provider may use endovenous thermal ablation. This newer technique uses heat or laser energy to close off varicose veins. Varicose vein stripping and ligation usually takes one to three hours.
After your procedure, you go to a recovery area while your anesthesia or sedation wears off. Then, you go home with your provider’s instructions for your recovery. During your recovery, you may need to:
Varicose vein stripping and ligation is an effective way to treat varicose veins and some cases of CVI. This surgery generally works well even on severe cases, or very large varicose veins.
Because your provider removes the affected vein during the surgery, there’s no risk of the varicose vein coming back. Vein stripping and ligation is also an outpatient surgery, so you can go home the same day.
When you choose an experienced and skilled provider, there’s a low risk of complications. However, possible side effects include:
Full recovery from vein stripping and ligation takes two to four weeks and you:
Seek medical care if you experience:
A note from Cleveland Clinic
Vein ligation and stripping is an effective way to treat and remove varicose veins. This surgery can relieve pain, swelling and other symptoms. Vein stripping and ligation can also improve the appearance of your legs. If you have varicose veins that are interfering with your life, talk to your provider. Together, you can discuss treatment options and what will work best for your health needs and lifestyle.
Last reviewed by a Cleveland Clinic medical professional on 10/19/2022.
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