Why isn't varicose vein stripping a preferred treatment method?

My wife had veins stripped in one leg about 10 years ago. They were located above and below the knees. Some varicose veins have since returned and now she needs them removed from both legs. Most doctors we've seen want to do the VNUS closure. What is wrong with vein stripping?

Answers from doctors (5)


Vein Treatment Clinic

Published on Nov 09, 2017

There is nothing wrong with Vein Stripping per se, however that procedure is now considered as an outdated procedure. Treatment of vein disease with procedures such as VNUS closure has has largely replaced vein stripping. Although vein stripping may still play a role in some instances, the vast majority of time laser ablation or radiofrequency ablation can have the same result, if not better. Advantages to procedures such as VNUS Closure is a faster recovery time, it's less invasive than vein stripping, there are more controlled results and better patient satisfaction.

Of course, like any surgical procedure, it is always important for you to be evaluated and treated by a Board Certified Vein Doctor, preferably by the American Venous and Lymphatic Board of Medicine. Good luck!

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Answered by Vein Treatment Clinic

There is nothing wrong with Vein Stripping per se, however that procedure is now considered as an outdated procedure. Treatment of vein disease with procedures such as VNUS closure has has largely replaced vein stripping. Although vein stripping may still play a role in some instances, the vast majority of time laser ablation or radiofrequency ablation can have the same result, if not better. Advantages to procedures such as VNUS Closure is a faster recovery time, it's less invasive than vein stripping, there are more controlled results and better patient satisfaction.

Of course, like any surgical procedure, it is always important for you to be evaluated and treated by a Board Certified Vein Doctor, preferably by the American Venous and Lymphatic Board of Medicine. Good luck!

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Jul 15, 2013

Although the traditional vein stripping procedure is still used today, it is usually reserved for cases in which the greater or lesser saphenous vein is tortuous, or when there is a clinically significant reason as to why the VNUS closure procedure is not appropriate. VNUS closure is the preferred method of addressing venous reflux and incompetence in the greater and lesser saphenous veins because it can be done on an outpatient or clinical basis. It is also less invasive and does not require general anesthesia. The post procedure pain is appreciable less, the recovery period is less and there is minimal to no scarring.

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Answered by VeinSolutions - Edina

Although the traditional vein stripping procedure is still used today, it is usually reserved for cases in which the greater or lesser saphenous vein is tortuous, or when there is a clinically significant reason as to why the VNUS closure procedure is not appropriate. VNUS closure is the preferred method of addressing venous reflux and incompetence in the greater and lesser saphenous veins because it can be done on an outpatient or clinical basis. It is also less invasive and does not require general anesthesia. The post procedure pain is appreciable less, the recovery period is less and there is minimal to no scarring.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Jul 15, 2013

Compared to thermal ablation, vein stripping has more risks, costs a lot more, leaves multiple scars, and has a painful recovery. Thermal ablation costs significantly less, can be performed in a doctor's office, causes
minimal pain, has fewer risks, and leaves no scars.

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Answered by Vein Center of Orange County

Compared to thermal ablation, vein stripping has more risks, costs a lot more, leaves multiple scars, and has a painful recovery. Thermal ablation costs significantly less, can be performed in a doctor's office, causes
minimal pain, has fewer risks, and leaves no scars.

Published on Jul 11, 2012


South Palm Cardiovascular Associates

Published on Jul 10, 2013

Vein stripping is not preferred because it is more painful, primitive, invasive and risky.

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Answered by South Palm Cardiovascular Associates

Vein stripping is not preferred because it is more painful, primitive, invasive and risky.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jul 10, 2013

Varicose vein stripping is a surgical procedure that requires incisions and sutures. It potentially has many complications and a long recovery period. The downtime is also longer, and sometimes discomfort can be prolonged. State of the art procedures now involve valve closure either by laser or radiofrequency (VNUS). Vein closure is done under local anesthesia, has no sutures, requires only small 2mm incisions if done with microphlebectomies, minimum downtime, minimum discomfort and excellent cosmetic results. I have not performed ligation and stripping in over 14 years, yet I have done thousands of vein closures. Nearly all vein specialists have moved away from the stripping method.

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Answered by Vanish Vein and Laser Center

Varicose vein stripping is a surgical procedure that requires incisions and sutures. It potentially has many complications and a long recovery period. The downtime is also longer, and sometimes discomfort can be prolonged. State of the art procedures now involve valve closure either by laser or radiofrequency (VNUS). Vein closure is done under local anesthesia, has no sutures, requires only small 2mm incisions if done with microphlebectomies, minimum downtime, minimum discomfort and excellent cosmetic results. I have not performed ligation and stripping in over 14 years, yet I have done thousands of vein closures. Nearly all vein specialists have moved away from the stripping method.

Published on Jul 11, 2012


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