Surgery of varicose veins of lower extremities, consisting in the removal of incompetent vein, is still incorrectly considered by some individuals to be the method which most quickly solves the problem or even to be the only possible method applied in case of insufficiency of main trunks of superficial venous system: great saphenous vein or small saphenous vein or large, branched varicose veins. There are specific indications for surgical interventions, however, the percentage of surgeries on varicose veins is still decreasing.
The procedure itself does not cause any discomfort. It may be performed in outpatient settings under perineural and local anaesthesia. Patient may return home two hours after the surgery if assisted by the carer. Haematomas appear where the veins were removed. They should regress within two months.
The most important contraindications for surgery are:
- active deep vein thrombosis or their blockage,
- acute infections,
- substantial ischemia of lower extremities.
To provide better cosmetic effect and prevent from the recurrence of varicose veins, it is necessary to wear compression stockings during the day for 4-6 weeks after the surgery.