Varicose Vein Surgery: Procedure, Hospital Stay, and Recovery Time - Surgery

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Varicose veins


Dear Dr.
Wang: How is the surgery for varicose veins performed, and is hospitalization required? I have been suffering from varicose veins for two years, and there is a wound below the affected area that has not healed.
If surgery is necessary, how many days of recovery will be needed?

Liu, 40~49 year old female. Ask Date: 2002/11/25

Dr. Wang Qichao reply Surgery


Hello, Mr.
Fu Ping! Varicose veins themselves are not life-threatening, but they can cause pain while walking, stasis dermatitis (darkening and itching of the skin), chronic ulcers, and occasionally significant bleeding if the varicose veins are accidentally injured.
The primary cause is often the incompetence of the inguinal vein valves, leading to blood reflux.
The surgical procedure involves removing the refluxing great saphenous vein.
The surgery takes about one hour, and patients need to remain in bed for approximately three days before they can walk.
The hospital stay is about five days.
After the surgery, it is recommended to wear compression stockings for one month, and patients can return to work.
Best wishes for your health from Dr.
Zhang Xiu, Chief of Surgery at Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2002/11/25

More Info


Varicose vein surgery is a common procedure aimed at treating enlarged and twisted veins, typically in the legs. This condition can lead to discomfort, pain, and complications such as ulcers or blood clots. Understanding the procedure, hospital stay, and recovery time is crucial for anyone considering surgery.


Procedure Overview
The most common surgical procedures for varicose veins include:
1. Saphenous Vein Stripping: This involves removing the affected vein through small incisions. The surgeon will tie off the vein and then remove it, which helps redirect blood flow to healthier veins.

2. Endovenous Laser Treatment (EVLT): A minimally invasive procedure where a laser fiber is inserted into the vein. The heat from the laser closes off the vein, causing it to collapse and eventually be absorbed by the body.

3. Radiofrequency Ablation: Similar to EVLT, this technique uses radiofrequency energy to heat and close the vein.

4. Sclerotherapy: A non-surgical option where a solution is injected into the vein, causing it to scar and close.

The choice of procedure depends on the severity of the varicose veins, the patient's overall health, and the presence of any complications, such as the non-healing wound you mentioned.


Hospital Stay
Most varicose vein surgeries, especially the minimally invasive ones like EVLT and sclerotherapy, can be performed on an outpatient basis. This means you may not need to stay overnight in the hospital. However, if you undergo more extensive procedures like vein stripping, a short hospital stay may be necessary, typically lasting from a few hours to one night, depending on your specific situation and the surgeon's recommendations.


Recovery Time
Recovery time can vary based on the type of procedure performed and individual health factors. Generally, here’s what you can expect:
- Immediate Recovery: After the surgery, you may experience some bruising, swelling, and discomfort in the treated area. Pain management will be provided, and you will be encouraged to walk soon after the procedure to promote circulation.

- Return to Normal Activities: Most patients can return to light activities within a few days. However, strenuous activities or heavy lifting should be avoided for at least two weeks.

- Full Recovery: Complete recovery can take several weeks to a few months, depending on the procedure and individual healing rates. Follow-up appointments will be scheduled to monitor healing and address any concerns.


Wound Care
Given that you have a non-healing wound below the varicose vein area, it’s essential to address this with your healthcare provider before surgery. Proper wound care is crucial, as surgery may be postponed until the wound is adequately managed to reduce the risk of infection and complications.


Conclusion
If you are considering varicose vein surgery, it’s vital to have a thorough discussion with your vascular surgeon. They can provide personalized advice based on your specific condition, the severity of your varicose veins, and the presence of any complications like the wound you mentioned. They will also guide you on the best surgical option, expected recovery time, and any necessary pre-operative care to ensure the best possible outcome. Always follow your surgeon's instructions regarding post-operative care and activity restrictions to promote healing and prevent complications.

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