What is the role of surgery in the treatment of varicose veins and spider veins (telangiectasia)?

Updated: Sep 25, 2020
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Common surgical approaches to large-vein varicose disease include the following:

  • Ligation of the saphenofemoral junction with vein stripping

  • Phlebectomy performed through microincisions

  • Endovenous RF thermal ablation

  • Endovenous laser thermal ablation

The principal surgical approach to small-vein disease is by microincisional phlebectomy followed by sclerotherapy.

See Treatment and Medication for more detail.

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