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Surgical Ligation and Stripping


VenaCure EVLT(TM) Surgery
(Ligation & Stripping)
Treatment Location
(Primary)
Office Hospital
Anesthesia Local General Anesthesia
Success Rate 93-98%1,2 77-82%3,4
Complications
Deep Vein Thrombosis (DVT)
or Saphenous Thrombus
Extension
0.3%7.8 5.3%6
Pulmonary Embolism (PE) None Reported11
Side Effects
Ecchymosis/Hematoma Mild to Moderate (<35%)1,9.12 Significant (>50%)5
Pain/Tenderness Mild to Moderate (<25%)9,12 Moderate (28%)5
Paresthesia 0.08%1,10 14%5
Recovery
Return to normal activity 1-2 days 3.9 days5
Patient Satisfaction (would recommend to a friend) 99.8%1

N/A

Stripping

Vein stripping is when a heavily damaged vein is removed entirely from the body. This is done by grasping the vein through an incision in the skin, and physically pulling the vein out. Generally vein stripping is performed in an out-patient setting under regional or general anesthesia.

Ligation

Vein ligation is a procedure in which one or more incisions are made in the leg, and the veins are tied off. This cuts off the problematic vein, and the blood still circulates through the remaining functional veins. This procedure is performed in an out-patient setting under regional or general anesthesia.

  1. Min, Khilnani, Zimmet. Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results. J Vasc Interv Radiol; 2003;14:991-996
  2. Navarro, Salat. Endolaser – a three year follow-up report: Implication on crossectomy and ligation and stripping. 16th Annual Congress American College of Phlebology, Nov 2002
  3. Sarin, Scurr, Smith. Assessment of stripping the long saphenous vein in the treatment of primary varicose veins. Br J Surg 1992;79:889-893
  4. Dwerryhouse, Davies, Harradine, Earnshaw. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial. J Vasc Surg 1999;29:589-592
  5. Lurie, F, et al. Prospective randomized study of endovenous radiofrequency obliteration (Closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study), J Vasc Surg 2003; 38(2):207-14.
  6. van Rij et al. Incidence of deep vein thrombosis after varicose vein surgery. Br J Surg. 2004 Dec;91(12):1582-5
  7. Mozes G, Gloviczki P, et al. Extension of saphenous thrombus into the femoral vein: A potential complication of new endovenous ablation techniques J Vasc Surg 2005;41:130-5
  8. No DVT reported (MAUDE, see footnote 11); 0.3% represents non-occlusive thrombus extension
  9. Puggioni A, Kalra M, Carmo M, Mozes G, Gloviczki P Endovenous Laser Therapy and Radiofrequency Ablation of the Great Saphenous Vein: Analysis of Early Efficacy and Complications J Vasc Surg 2005;42:488-93
  10. Almeida JI, Raines J. Radiofrequency Ablation and Laser Ablation in the Treatment of Varicose Veins. Ann Vasc Surg 2006; 20:547-552
  11. FDA reported events on Manufacturer & User Facility Device Experience (MAUDE) database (up to April 2007) since product inception. Up to date results available at http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfMAUDE/search.cfm
  12. Zimmet SE. Pain, Bruising and Short-Term Efficacy after Endovenous Treatment of the Greater Saphenous Vein: The Effect of Operative Technique and Postoperative Care. 16th Annual Congress American College of Phlebology. Nov 2002