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Offices of Michael Kassouf, MD

Surgical Stripping & Vein Ligation

While surgical ligation and stripping has been practiced for many years, it is no longer a recommended method of treatment unless medically necessary. It has been replaced by minimally invasive technologies, such as laser and radiofrequency ablation and ultrasound-guided sclerotherapy.

During surgical ligation faulty valves in the varicose vein are isolated and tied off, causing blood circulation to flow into healthy veins adjacent to it. Surgical stripping removes the vein entirely due to extensive valve failure. 

Today, minimally invasive surgeries are just as effective, with a 90% success rate with good to excellent results. Such procedures can be performed in office with minimal to no incapacity under local anesthesia and allow for immediate resumption of activity. Surgical ligation and stripping cannot be performed in office.


As with any vein therapy, new varicose veins may develop over time. A 50%-60% recurrence rate is reported in long-term follow-up. The most common complications that can arise are swelling, bleeding, scarring, and the appearance of new spider veins.

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