What You need to know about Varicose Veins Removal

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Veins carry deoxygenated blood. Varicose veins are knobby, twisted and darkish-blue in appearance, and are most commonly found on the legs. Blood is collected in the superficial veins of the leg, just below the skin surface, and delivered to deeper veins that run within the calf muscles. The muscular action of the calves helps to pump the blood against the force of gravity towards the heart. One-way valves inside the veins prevent blood from travelling backwards. If these valves fail to close properly, blood pools in the superficial veins. Over time, the affected veins distend with blood (become 'varicose'). The reason is unknown. Varicose vein surgery is the removal of these distended veins. Treatment can be undergone for therapeutic or cosmetic reasons.

Varicose veins generally affect the legs, mainly the calf and occasionally the thigh. They are caused by damage to valves in the veins. This means that blood can't travel up your veins as easily as it should and tends to pool in the leg. Varicose veins are very common and slightly more common in women than men. Surgery is often the best choice for varicose veins visible beneath the skin. It is usually most successful in the main varicose veins which will be completely removed. Surgery will not help thread or spider veins which are found within the layers of the skin itself and cannot be physically removed. Smaller reticular veins are also best treated by sclerotherapy.

The operation is commonly carried out under a common anesthetic and you are asleep and unaware throughout the procedure. The commonest operation (high tie or saphenofemoral ligation) is where a cut is made in the groin over the top of the main varicose vein. This is then disconnected where it meets the deeper veins (femoral vein). A main varicose vein (greater saphenous vein) on the inner part of the leg is then exposed out.

Varicose veins don't always require treatment as not everyone will get symptoms. However, your varicose veins won't get improved without treatment, and they lean to get worse over time. Varicose vein surgery has been shown to be clinically successful] as well as cost effective.

Following the anesthetic for 48 hours you should not:

-drink alcohol
-drive a car
-function any dangerous machinery
-sign any legal document or make important decisions
-look after children on your own

Keep the wound as dry as possible for the first 48-72hrs. The bandages can be removed at 24 hours and you can change into stockings which will be given to you before you leave hospital. The stitches can be removed after 10 days. You should not get the adhesive strips on your leg wet for the first 7 days. You should wear the stockings day and night for two weeks, after which you may leave them off at night. You may need to wear stockings during the day for approximately four to six weeks. Shower or bath in the usual way, after removing the stocking.

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