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In the previous article, we have mentioned about Ligation and Stripping as a surgical procedure in dealing with problematic veins, we are referring to the large ones like varicose veins. Spider veins, though they are smaller than varicose veins, cannot be isolated because the two basically have the same pathology. But of course, it does not mean that surgery should be used in spider veins, there are other conservative methods such as sclerotherapy. But you can be sure of this, since problematic veins are hereditary, it means that it is imprinted in the system of anyone who has a family history of it. So it follws that people who have spider veins can also have varicose veins as both are basically the same.
Below are the other two surgical methods for dealling with problematic veins.
The second way to surgically deal with problematic vein is called Ambulatory Phlebectomy (first one is ligation and stripping). On this type of surgery, a special light source marks the location of the vein. Tiny cuts are made in the skin, and surgical hooks pull the vein out of the leg. This surgery requires local or regional anesthesia. The vein usually is removed in one treatment. Very large varicose veins can be removed with this treatment while leaving only very minimal scars. Patients can return to activities of daily living the day after treatment.
The possible side effects include slight bruising and temporary numbness.
The third surgical option is Endoscopic vein surgery. On this this method, a very narrow probe with a very small video camera is used to see inside the veins. Then varicose veins are removed through small incisions. People who have this surgery must have some kind of anesthesia which may wither be spinal, epidural, or general anesthesia. Patients can return to activities of daily living after several weeks.