What treatment do you recommend for swelling and stasis dermatitis 12 years after stripping of greater saphenous veins?

I had greater saphenous vein stripping done 12 years ago. I wear 30-40 mmHg compression knee high stockings. Lately I have had numerous abdominal surgeries and have not had injections or worn the hose regularly. I have discoloration and skin changes. My ultrasounds have shown venous insufficiency but no clots. Although I have resumed wearing the hose, stasis dermatitis is not improved. What do you recommend? I am 64.

Answers from doctors (4)


Vanish Vein and Laser Center

Published on Jul 18, 2019

Most likely the stasis dermatitis will not improve and this is a permanent condition. Bleaching creams do very little to improve this.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

Most likely the stasis dermatitis will not improve and this is a permanent condition. Bleaching creams do very little to improve this.

Published on Jul 11, 2012


Illinois Vein Specialists

Published on Mar 30, 2017

I recommend getting evaluated by a competent vein specialist. I have seen and treated hundreds of patients in my practice after vein stripping who are still having symptoms. It is likely the stripping was not effective and further treatment will be required. All of my patients who had prior stripping are now healing well with significant improvement, so I would expect the same would be true for you.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8266_1527109658.jpg
Answered by Illinois Vein Specialists

I recommend getting evaluated by a competent vein specialist. I have seen and treated hundreds of patients in my practice after vein stripping who are still having symptoms. It is likely the stripping was not effective and further treatment will be required. All of my patients who had prior stripping are now healing well with significant improvement, so I would expect the same would be true for you.

Published on Jul 11, 2012


Center for Vein Care

Published on Mar 23, 2017

The treatment depends on what the ultrasound findings show. There is a need to make sure the great saphenous vein is absent and there are no other saphenous veins present. You also need a good evaluation of the deep veins of your leg in the abdomen to make sure there is no underlying venous blockage in the iliac veins. If all above is good and only thing present is recurrent varicose veins, then treatment would include removal of the varicose veins and/or injections.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1248_1499989737.jpg
Answered by Center for Vein Care

The treatment depends on what the ultrasound findings show. There is a need to make sure the great saphenous vein is absent and there are no other saphenous veins present. You also need a good evaluation of the deep veins of your leg in the abdomen to make sure there is no underlying venous blockage in the iliac veins. If all above is good and only thing present is recurrent varicose veins, then treatment would include removal of the varicose veins and/or injections.

Published on Jul 11, 2012


I would treat the venous insufficiency. There are likely some perforator veins and neovascularity which is a regrowth of veins over time since you strippings. A venous reflux ultrasound to evaluate for insufficiency would be the first step. Whomever u want to treat you should perform another ultrasound so they can look at specific areas themselves because not all "ultrasounds" are created equal. Then depending on the findings, a combination of RF ablation, ambulatory phlebectomy, and ultrasound guided sclerotherapy would be the treatment.

Answered by HeartCare Associates Vein Center (View Profile)

I would treat the venous insufficiency. There are likely some perforator veins and neovascularity which is a regrowth of veins over time since you strippings. A venous reflux ultrasound to evaluate for insufficiency would be the first step. Whomever u want to treat you should perform another ultrasound so they can look at specific areas themselves because not all "ultrasounds" are created equal. Then depending on the findings, a combination of RF ablation, ambulatory phlebectomy, and ultrasound guided sclerotherapy would be the treatment.

Published on Jul 11, 2012


Related Questions for Varicose Vein Surgery

Varicose Vein Surgery -8 answers
I am 21 years old and recently I have developed a varicose vein on my penis. The vein gives me slight discomfort. I am not sexually active. How can I fix this vein? Is there any medication or procedure which can fix it? I don't like the look of the vein.
See More
Varicose Vein Surgery -8 answers
And, are there any options in terms of colors or styles?
See More
Varicose Vein Surgery -10 answers
I am 21 years old and within the past four years I have developed spider veins and large veins that are visible in my legs. They are also elevated over my shins. Varicose veins run in my family, but is this really all genetic or do I have a health problem?
See More
Varicose Vein Surgery -7 answers
How long should I wait after varicose vein surgery to take an airplane trip, or does it matter?
See More
Varicose Vein Surgery -4 answers
Had a phlebectomy and VNUS done 4 weeks ago. I have lumps all along where the vein used to be (ranging from pea size to walnut size). They were painful & had them drained twice now. I still have lumps. What can be done? Will these resolve?
See More
Varicose Vein Surgery -5 answers
My wife had superficial blood clots in leg. They took ultrasound and she just collapsed 13 days ago in my arms and died in the hospital of a blood clot in the lung. She was healthy and young. No history, sickness, fever. How can this happen?
See More
Varicose Vein Surgery -5 answers
I had a phlebectomy that was not successful, then laser ablation and sclerotherapy within 2 months of each other. I now have shooting pains in my leg... is this something that is normal?
See More
Varicose Vein Surgery -9 answers
I am getting ready to have a varicose vein treatment but am afraid that I may develop blood clots and die. What should I do? Thanks.
See More
Varicose Vein Surgery -8 answers
This pain occurs after I have been active on my legs. My varicose vein surgery was about five months ago.
See More
Varicose Vein Surgery -6 answers
What is the recovery procedure after the vein is removed? For example, do I have to sit and rest it and how long will i need off work?
See More
Get answers from our experienced doctors.
How it works
Varicose Vein Surgery -5 answers
I'm scheduled for weight-loss surgery, and I have large varicose veins on both legs. Will losing the weight change the pressure in my legs enough to make the varicose veins go away, or will I need surgery or other treatments?
See More
Varicose Vein Surgery -8 answers
I am 24 yrs old, and after i had my daughter i noticed my legs are veiny. The veins don't bulge out nor are spidery. i was wondering what are they? How should I get rid of them?
See More
Varicose Vein Surgery -9 answers
I had a main vein stripped and incisions by knee done 4 days ago. It looks like its healing well, but I am getting a burning sensation. What does this mean?
See More
Varicose Vein Surgery -9 answers
Is this a side effect of having varicose veins and can varicose vein surgery effectively treat this condition?
See More
Varicose Vein Surgery -8 answers
I have spider veins and varicose veins. Will my insurance ppo bluecross pay for it? I was told by my insurance co they would pay if it is medically necessary, they hurt and are getting worse, I am a nurse.
See More
Varicose Vein Surgery -9 answers
I had varicose vein surgery 14 years ago to strip veins from my right leg. I have had severe pain in my groin and lower abdomen for years. Just found out the surgeon left three surgical clips in my groin. They are to be removed. Why would he do this?
See More
Varicose Vein Surgery -12 answers
One week after varicose vein surgery I developed a golf ball size swelling on the inside of my ankle that is very sensitive to touch. Is this normal?
See More
Varicose Vein Surgery -4 answers
If someone has had varicose vein surgery, can they come back? At any time? What are the odds of this?
See More
Varicose Vein Surgery -8 answers
I have a large number of varicose veins covering both legs. I want to get them treated but I'm afraid I won't have many veins left! Is there a point where you shouldn't have them all removed/injected because there won't be enough circulation?
See More
Varicose Vein Surgery -8 answers
Can you fly safely with a superficial vein? I had some bleeding under the skin and I'm taking antibiotics. I fly on Friday and have a surgical stocking to wear. Is this OK?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR