Varicose Vein Stripping & Ligation

Stripping and ligation is a surgical procedure commonly used to treat varicose veins and is usually reserved for severe or recurrent cases. The procedure surgically ties off and removes the affected veins through incisions to redirect blood flow to healthier veins. 

Stripping and ligation can provide significant relief from the symptoms of varicose veins, such as pain, swelling and improved appearance. It is often recommended for cases where conservative treatments have been unsuccessful or when the varicose veins are causing complications.

Why Is Stripping And Ligation Needed?

Stripping and ligation is needed to treat varicose veins and chronic venous insufficiency that have not responded to conservative measures or are causing significant discomfort and complications.

Varicose veins occur when the valves within the veins fail to function properly, resulting in blood pooling and enlarged veins. This can lead to symptoms such as pain, swelling, and ulcers. Stripping and ligation aims to remove the affected veins, restoring healthier blood flow and alleviating symptoms.

What Are The Possible Risks And Complications Of Stripping And Ligation?

While stripping and ligation is generally a safe and effective procedure, there are some potential risks and complications, as with any surgical procedure. These may include: 

• Infection at incision 

• Scarring 

• Blood clot (Deep Vein Thrombosis) 

• Damage to nearby nerves

• Temporary numbness 

It is important to discuss these potential risks with our doctor and follow post-operative instructions to minimise the chances of complications.

Pre-Procedure

Before undergoing stripping and ligation, you will have a pre-procedure consultation with Dr Desmond Ooi to discuss the details of the surgery and address any concerns you may have. 

This may involve a physical examination and a review of your medical history. Dr Desmond may also request additional tests, such as ultrasound imaging, to evaluate the extent of your venous condition. During this phase, it is important to inform him about any medications, allergies, or pre-existing medical conditions you have. 

Dr Desmond may provide specific instructions on medication management, including any medications that need to be stopped before the procedure. You may also be advised to refrain from eating or drinking for a certain period before the surgery. Our team will guide you through the necessary pre-operative preparations to ensure a smooth and successful procedure.

What Happens During The Stripping And Ligation Procedure?

The stripping and ligation procedure typically takes one to two hours, depending on the complexity of the case. The steps include:

1. Patients will be placed under general anaesthesia. 

2. A small incision is made in the groin area and lower leg. 

3. The affected vein is located through ultrasound. 

4. The surgeon ties off the ends of the affected veins and removes them. 

5. The incision is closed with sutures, and a dressing is applied.

Post-Procedure

After the stripping and ligation procedure, you will be closely monitored in the recovery area until the effects of anaesthesia wear off. As stripping and ligation is typically an outpatient surgery, you can return home on the same day. However, it is important to arrange for someone to drive you home as you may still experience some effects of the anaesthesia.

Dr Desmond will provide specific post-procedure instructions, and follow-up appointments will be scheduled to monitor your recovery progress and address any concerns you may have.

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Will My Blood Flow Normally After The Procedure?

Blood flow will return to normal after stripping and ligation. By removing the damaged veins and redirecting blood flow to healthier veins, stripping and ligation helps restore proper circulation in the legs. Over time, as the treated veins heal, you should experience improved blood flow and reduced symptoms associated with venous insufficiency.

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What Is Recovery Like After Stripping And Ligation?

After undergoing stripping and ligation, it is important to allow for proper recovery. Avoid vigorous exercises or activities that may strain the treated area until fully healed. However, light walking is encouraged as it helps promote circulation and prevents blood clots. 

You may be able to return to work within a week, depending on your healing progress. Keep the incision site clean and dry to minimise the risk of infection. Additionally, wearing compression stockings and elevating your leg when resting can aid in reducing swelling and promoting healing.