Treatment of Varicose Veins

At The Leg Vein Doctor we treat our patients in accordance with the current international guidelines.

1/ Endovenous thermal ablation

80-90% of severe primary varicose veins result from "reflux" in either an incompetent great or small saphenous vein (GSV or SSV) . 

There are two methods of endovenous thermal ablation available to remove saphenous veins

Endovenous laser ablation (ELA) 

Radiofrequency ablation (RF)

2/ Endovenous adhesive ablation

Adhesive cyanoacrylate glue is now available for the treatment of incompetent saphenous veins. 

3/ Endovenous mechanicochemical ablation

The system simultaneously injects a sclerosant solution while at the same time scouring the internal wall of the vein with the tip of a rotating wire.

4/ Ultrasound Guided Sclerotherapy

Ultrasound guided sclerotherapy (UGS) is the most versatile technique for the treatment of varicose veins.  UGS does not match the success rates of endothermal ablation techniques for the treatment of larger saphenous veins.  However UGS has proven to be indispensable for the treatment of varicose vein tributaries - an advantage beyond the scope of endothermal ablation. 

5/ Traditional Surgery

Surgery for varicose veins involves a groin incision and dissection down to the the saphenous vein to insert a wire down through the length of the vein. An "Olive" is attached to the end of the wire and then the wire is forcefully retracted causing the vein to be inverted back through itself as it is "stripped out". Multiple incisions are then used to remove the remaining varicose veins branches which are visible on the skin.  Surgery needs to be performed under a general anaesthetic in a hospital operating theatre.