Vein Removal Treatment

When vein valves malfunction or become damaged, blood builds up at the location. What results are bulging twisted formations called varicose veins. They can be painful, itch, swell or even ulcerate. Spider veins are smaller, thread-like veins that often take on a pattern like a spider web. While they have different treatments options, many of which are cosmetic in nature, varicose veins often require removal.

Vein Stripping

• This method is chosen when damaged veins can be accessed through the main saphenous vein. An incision is made through the groin and a stripping tool is threaded through to the affected area. Once the tool is in place, it can be used either to tie off the vein or remove it. Upon completion, the tool is removed through a small incision made above the treated vein.

  Although vein stripping is a surgical procedure, it can be performed in an outpatient clinic under local anesthetic. It takes approximately an hour. Complications include bruising, localized numbness, minor pain, scarring and swelling, but most are temporary and disappear quickly. Vein stripping is not recommended for individuals with blood clotting issues, circulatory problems, lymph vessel blockage or skin infection in the surgical area.

Phlebectomy

• When a damaged or malfunctioning vein valve cannot be fixed, removal of part or all of the vein may be required. Known as a phlebectomy, veins are removed through small incisions made over the damaged area using a phlebectomy hook.

  Vein removal can be done in an outpatient clinic or hospital, under local or general anesthesia. Complications include bruises, swelling and temporary skin blisters. In rare instances, blood clots, infection and nerve damage may occur.

  Individuals who cannot walk without assistance are not candidates for a phlebectomy. Neither are patients with blood clotting, circulatory issues or skin infections of the surgical area.

Other Vein Procedures

• Sclerotherapy is a procedure commonly chosen for spider veins. Using a small needle the sclerosant chemical is injected into the vein, forcing it to collapse. One or more veins can be treated in one sitting or spread over several visits. The procedure can be done in a doctor's office or outpatient clinic without anesthetic and takes between 10 and 45 minutes, depending upon the number of veins to be treated. Side effects include slight burning or cramping, which dissipates quickly. Breastfeeding mothers and pregnant women are not candidates for this procedure since the chemical could affect the fetus or baby.

  Laser treatments can be used to treat both varicose and spider veins. During the procedure, the affected vein is exposed to intense light, which is used to close the vein and cease blood flow. The procedure is usually done outpatient and takes between 45 minutes and an hour. The treatment leaves no scars and results in little pain. Skin discoloration, a slight redness, or insufficient vein removal could result but is highly unlikely. Individuals on blood thinners or with blood clotting problems are not good candidates for this procedure.