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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The primary goal of surgical therapy is to improve venous circulation by correcting venous insufficiency through the removal of major reflux pathways. Common surgical approaches to large-vein varicose disease include ligation of the saphenofemoral junction with vein stripping, phlebectomy performed through microincisions, endovenous radiofrequency thermal ablation, and endovenous laser thermal ablation. The principal surgical approach to small-vein disease is by microincisional phlebectomy followed by sclerotherapy.

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