Varicose Veins Surgery - Procedure, Types & Side Effects

Varicose Veins Surgery

Treatment Duration

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20 Minutes

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60 Minutes

Treatment Cost

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40,000

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1,00,000

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Varicose Veins Surgery

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Did you know that continuous sitting or standing can cause bulging veins on the leg? This condition can cause discomfort and lead to cosmetic concerns. While it can be mostly managed at home, treatments like varicose vein surgery can provide long-term solutions. 

But is this surgery painful? Are there any varicose vein surgery complications to look out for? Keep reading to get the answers and explore more about this necessary procedure!

Procedure Name

Varicose Veins Surgery

Conditions Treated

Varicose veins, spider veins

Treated By

Vascular surgeon

You can check Varicose Veins Surgery Cost here.

What is Varicose Vein Surgery?

Varicose vein surgery is a medical procedure to treat enlarged, twisted veins that often appear blue or dark purple. They are commonly found in the legs. The condition occurs when the valves within the veins weaken or fail. It causes blood to pool and the vessels to become swollen.

The procedure improves the blood flow by removing or closing off the affected veins through different techniques. It aims to enhance both the cosmetic appearance and the overall health of individuals.

Conditions Treated with Varicose Vein Surgery

Varicose vein surgery is primarily used to treat varicose veins, but it can also address related conditions and symptoms like swelling and discomfort. Other issues commonly treated are as follows:

  1. Chronic Venous Insufficiency (CVI) is when damaged valves in the veins fail to return blood to the heart efficiently. This leads to pooling and swelling in the legs.

  2. Venous Ulcers are open sores that develop on the legs. They can be improved by restoring proper blood flow through surgery.

  3. Spider Veins are smaller, dilated blood vessels that appear close to the skin's surface. They can often be treated alongside varicose veins during surgery. 

Benefits of Varicose Vein Surgery

Varicose vein surgery offers numerous benefits for individuals suffering from symptomatic bulges in the legs. It has an overall patient satisfaction rate of 89%.  The key advantages of major techniques include:

  1. Enhanced Appearance: Varicose vein surgery can improve the appearance of the legs by reducing the bulging, twisted veins, leading to smoother and healthier-looking skin.

  2. Short Recovery Time: Many modern varicose vein surgeries offer shorter recovery than traditional surgical methods.

  3. Long-term Results: Whether through minimally invasive procedures like EVLA or traditional surgeries like vein stripping, varicose vein surgery offers long-lasting results. It minimises the likelihood of vein recurrence.

  4. Customised Treatment: Surgeons can tailor the type of surgery to the specific needs and conditions of the patient, ensuring optimal outcomes.

  5. Improved Quality of Life: The surgery can improve both physical symptoms and cosmetic concerns of varicose veins, enhancing quality of life.

Before and On the Day of Varicose Vein Surgery

Preparing for varicose vein surgery involves several steps to ensure a smooth and successful procedure. This is how the process usually takes place:

Before Surgery 

Before the surgery, patients undergo pre-operative assessments and receive instructions that would make the procedure smooth and effective.

Parameter 

Pre-Requisites

Pre-op Assessment

Physical examination

Routine blood tests

Risk Evaluation

  1. Benefits vs risks of the procedure

  2. Allergies

Anaesthesia Selection

Local or general, depending on the procedure type

Fasting

Medication restrictions:

  1. Blood thinner drugs

  2. Painkillers

On the Day of Surgery

Patients arrive at the surgical facility and undergo pre-surgery procedures before the scheduled treatment. The factors involved are:

Parameter

Pre-requisites

Consent

Mandatory

Surgical Preparation

  1. Hospital gown

  2. Briefing of procedure

  3. Removing all accessories like watches, belts, jewellery, etc.

Physical Evaluation

Vital signs check (blood pressure, temperature)

Anaesthesia Administration

Local or general, depending on the procedure type

Expert Doctors

Dr. S K Tiwari

General Surgery

40+ Years

Experience

99%

Recommended

Dr. Neeraj Goyal

General Surgery

27+ Years

Experience

99%

Recommended

NABH Accredited Hospitals

Alpine Hospital
JCI
NABH

Alpine Hospital

4.91/5(91 Ratings)
Sector 15, Gurgaon
BH Salvas Hospital
JCI
NABH

BH Salvas Hospital

4.89/5(99 Ratings)
Najafgarh, Delhi
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Varicose Vein Surgery Procedure

There are various types of varicose vein surgery to improve blood flow. The major treatment approaches include:

  1. Vein Ligation and Stripping: This traditional surgical approach involves tying off and removing the affected vein through small incisions. It's used for severe cases of varicose veins.

  2. Endovenous Ablation Therapy: This minimally invasive method uses heat energy (radiofrequency or laser) to close off affected veins from within. It's performed by inserting a catheter into the vessels under ultrasound guidance. It results in less pain and faster recovery.

  3. Transilluminated Powered Phlebectomy: TIPP is a specialised technique that combines light-guided visualisation with powered vein removal. It involves making 1 or 2 small cuts on the leg. A special illuminated probe is inserted through these incisions to see the vein structure. Powered instruments are then used to remove the affected vein segments.

  4. Sclerotherapy: This non-surgical option involves injecting a special solution directly into the varicose veins. It causes them to collapse and eventually fade away. This method is often used for smaller varicose or spider veins.

  5. VenaSeal: It is another minimally invasive technique to treat the condition. A medical adhesive seals off the affected vein.

After Surgery and Recovery

The varicose vein surgery takes 20 minutes to 1 hour, depending on the technique. The following is the recovery process

The Recovery Process in Hospital 

Varicose vein surgery is a daycare procedure where patients are not required to stay overnight in the hospital. The factors to expect during the recovery process in the hospital are:

  1. Monitoring vital signs like pulse rate and body temperature.

  2. Pain medications or over-the-counter pain relievers are provided to manage any discomfort.

  3. Gradual mobilisation and walking with assistance to promote circulation.

  4. Instructions regarding compression stockings and activity restrictions.

Recovery Process/Expectation After Hospital Discharge 

Following discharge, patients continue their recovery at home, focusing on activities to promote healing. These include: 

  1. Continued use of compression stockings for up to two weeks.

  2. Avoid strenuous activities and heavy lifting for at least 14 days.

  3. Manage pain and discomfort with prescribed medications

  4. Following specific wound care instructions, like regularly cleaning the area with warm, soapy water and patting it dry. 

First Follow-Up Appointment

The average varicose vein surgery recovery time is 2 to 4 weeks. During this period, there will be scheduled visits to the doctor. This is how the process goes:

  1. Assessment of surgical site healing and overall recovery progress

  2. Evaluation of symptoms and any potential complications

  3. Discussion of further treatment options or additional interventions if needed

  4. Guidance on long-term management and preventive measures

Risks and Complications of Varicose Vein Surgery

The overall rate of serious and mild complications following varicose vein surgery is 0.8% and 17%, respectively. The varicose vein surgery complications are listed below.

  1. Excessive bleeding during or after surgery

  2. Risk of infection at the surgical site

  3. Damage to nearby nerves during surgery can result in numbness and tingling

  4. Development of blood clots

Risks of Delaying Varicose Vein Surgery

Untreated varicose veins, or even an incorrect diagnosis, can result in hyperpigmentation, which is the darkening and discolouration of the skin. Other complications may also occur that can impact both the individual's health and quality of life. These include:

  1. Progression of Symptoms: Varicose veins may worsen over time, leading to increased pain, swelling, and discomfort.

  2. Complications: Delaying surgery can increase the risk of developing other conditions. These may involve skin ulcers, blood clots, and chronic venous insufficiency.

  3. Cosmetic Concerns: The appearance of affected vessels may worsen with time, causing self-consciousness and dissatisfaction.

Varicose Vein Surgery Cost

The varicose vein surgery cost can be affected by factors such as the type of procedure and the extent of treatment needed. The estimated cost ranges of major approaches are:

Treatment

Estimated Cost Range

Laser Treatment for Varicose Veins (EVLT)

₹ 55,000 to ₹ 85,000

Sclerotherapy 

₹ 40,000 to ₹ 1,00,000

Note: The figures provided above are approximated. For up-to-date information, contact HexaHealth.

Factors that may affect the cost of varicose vein surgery include:

  1. Type of Procedure: The cost can be influenced by the specific surgical technique used, such as vein ligation, stripping, or radiofrequency ablation (RFA).

  2. Severity of the Condition: The extent and severity of the varicose veins being treated can impact the complexity of the surgery. Consequently, it can affect the prices.

  3. Anaesthesia: The type of sedation used during the procedure, whether local or general, can impact the total bill.

  4. Insurance Coverage: This may vary depending on the individual's policy and the medical necessity of the procedure. Some plans may cover varicose vein surgery if it is deemed medically necessary. On the other hand, others may consider it a cosmetic procedure and provide limited or no coverage.

  5. Pre-operative Testing: Additional diagnostic examinations, such as ultrasound imaging, may be necessary before surgery, which can increase the overall cost.

Takeaway

Varicose vein surgery offers a range of options catering to individual needs, from traditional surgical methods to minimally invasive procedures. It ultimately improves the quality of life for individuals affected by this common vascular condition.

If you or your loved one needs this treatment, HexaHealth can be a valuable partner. We make varicose vein surgery cost accessible for everyone. Get in touch!

Suggested Reads

Varicose Veins Stages
Sclerotherapy for Varicose Veins
Laser Treatment for Varicose Veins
VenaSeal Varicose Veins Treatment

Frequently Asked Questions (FAQ)

Varicose vein surgery is a medical procedure to treat enlarged, twisted veins. It involves removing or closing off affected veins to improve blood flow and alleviate symptoms.

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Various surgical options are available for treating varicose veins, each tailored to the individual's condition and preferences. These include:

  1. Vein ligation and stripping

  2. Endovenous laser treatment (EVLT)

  3. Transilluminated powered phlebectomy (TIPP)

  4. Sclerotherapy

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Varicose vein surgery takes 20 minutes to an hour. It majorly depends on the specific procedure performed and the complexity of the case.

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Varicose vein surgery usually does not require a hospital stay and can often be performed on an outpatient basis. Patients usually return home the same day of the procedure, with recovery continuing at home.

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While varicose vein surgery is generally safe, there are potential risks and complications to be aware of. These include:

  1. Bleeding

  2. Infection

  3. Nerve injury

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Varicose vein surgery is generally effective in relieving symptoms and improving the appearance of affected veins. However, its success may vary depending on factors such as the type of procedure and the severity of the condition. For instance, the effectiveness of endovenous laser ablation (EVLA) is between 95% and 100%.

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After varicose vein surgery, recovery involves rest and gradually returning to normal activities. The key factors include:

  1. Compression stockings are to be worn to promote blood circulation.

  2. Pain medications, as prescribed, to manage any discomfort.

  3. Walking and light exercise are encouraged.

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After varicose vein surgery, following specific precautions to promote healing and minimise complications is essential. The common guidelines are:

  1. Wear compression stockings as prescribed.

  2. Avoid prolonged sitting or standing.

  3. Engage in light walking and gentle leg exercises.

  4. Elevate legs when resting.

  5. Take pain medications as directed.

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Yes, varicose vein surgery can be combined with other treatments, such as sclerotherapy, to address large and small varicose veins. This combination approach may offer more effective results.

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The success rate of varicose vein surgery varies depending on the specific procedure and individual factors. For endovenous laser ablation (EVLA), the effectiveness ranges between 95% and 100%, providing significant improvement.

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The need for varicose vein surgery is influenced by various factors related to the severity of the condition and its impact on the individual's health. Major determinants include:

  1. Presence of complications

  2. Failure of conservative treatments

  3. Cosmetic concerns

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Whether varicose vein surgery is covered by insurance depends on factors such as the severity of the condition and the individual's plan. Sometimes, it may cover the procedure if it's deemed medically necessary to alleviate symptoms.

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The varicose vein surgery cost can vary depending on factors such as the type of procedure, location, and insurance coverage. General const ranges are:

  1. Laser Treatment for Varicose Veins (EVLT): ₹ 55,000 to ₹ 85,000

  2. Sclerotherapy: ₹ 40,000 to ₹ 1,00,000

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Surgery is not always necessary or effective for all types of varicose veins. it may be beneficial for certain cases. However, smaller affected vessels often prefer less invasive procedures like sclerotherapy. 

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Yes, there are alternatives to surgery for treating varicose veins, including non-invasive or less invasive options. These include:

  1. Compression Stockings: This applies pressure to the legs, aiding blood flow and reducing swelling.

  2. Sclerotherapy: Injects a solution into varicose veins, causing them to collapse and fade over time.

  3. Vein Glue Closure: A medical adhesive seals off varicose veins, eliminating the need for heat or sclerosing agents.

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Most individuals can gradually resume normal activities within 24 hours to promote circulation. However, one should wait for at least 14 days for strenuous exercise and serious workouts.

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Traditional treatments like vein ligation and stripping require larger incisions and longer recovery times to treat varicose veins. In contrast, advanced techniques like endovenous laser treatment (EVLT) are minimally invasive. They utilise heat or energy to seal off veins, resulting in quicker recovery and less scarring.

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References

All the articles on HexaHealth are supported by verified medically-recognized sources such as; peer-reviewed academic research papers, research institutions, and medical journals. Our medical reviewers also check references of the articles to prioritize accuracy and relevance. Refer to our detailed editorial policy for more information.


  1. NHS Choices. Treatment - Varicose veins [Internet]. 2019. link
  2. Varicose veins - Diagnosis and treatment - Mayo Clinic [Internet]. www.mayoclinic.org. [cited 2024 Apr 25]. link
  3. Varicose veins - Treatment [Internet]. nhs.uk. 2017 [cited 2024 Apr 25]. link
  4. Radiology (ACR) RS of NA (RSNA) and AC of. Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) [Internet]. Radiologyinfo.org. [cited 2024 Apr 25]. link
  5. Treating Varicose Veins and Spider Veins With Sclerotherapy [Internet]. Verywell Health. [cited 2024 Apr 25]. link
  6. Endovenous Laser Varicose Vein Surgery [Internet]. 2020. link
  7. Bootun R, Burrows M, Chowdhury MM, Stather PW, Al-Jundi W. The risk of harm whilst waiting for varicose veins procedure. Phlebology: The Journal of Venous Disease. 2022 Nov 28;026835552211418.link
  8. Varicose Veins - Varicose Veins | NHLBI, NIH [Internet]. www.nhlbi.nih.gov. 2022. link
  9. Australia H. Varicose veins surgery [Internet]. www.healthdirect.gov.au. 2023 [cited 2024 Apr 25]. link
  10. What can be done about varicose veins, and when is surgery considered? [Internet]. www.ncbi.nlm.nih.gov. Institute for Quality and Efficiency in Health Care (IQWiG); 2019 [cited 2024 Apr 25].link
  11. Mohammadi Tofigh; Hamed A, Zebarjadi J. Comparing the Success Rate and Side Effects of Endovenous Laser Ablation and Radiofrequency Ablation to Treat Varicose Veins in the Lower Limbs: A Randomized Clinical Trial. Journal of Lasers in Medical Sciences. 2020 Dec 30;11(Suppl 1):S43–8.link
  12. Best Exercises After Varicose Vein Treatment: Vascular & Interventional Associates: Board Certified Vein and Vascular Specialists [Internet]. www.viaveincenter.com. [cited 2024 Apr 25]. link
  13. Campbell WB, A. Vijay Kumar, Collin TW, Allington KL, Michaels JA. The outcome of varicose vein surgery at 10 years: clinical findings, symptoms and patient satisfaction. Annals of The Royal College of Surgeons of England. 2003 Jan 1;85(1):52–7.link
Disclaimer: We provide content on our website that is purely informative and educational in nature, but they do not contain information about all medical conditions, and not all information can apply to your personal circumstances. The content is not to be constructed as medical advice, is not intended for diagnosis and should not be used as a substitute for consultation with an appropriate certified medical or healthcare professional.

Reviewer

Dr. Aman Priya Khanna

Dr. Aman Priya Khanna

MBBS, DNB General Surgery, Fellowship in Minimal Access Surgery, FIAGES

12 Years Experience

Dr Aman Priya Khanna is a well-known General Surgeon, Proctologist and Bariatric Surgeon currently associated with HealthFort Clinic, Health First Multispecialty Clinic in Delhi. He has 12 years of experience in General Surgery and worke...View More

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