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Which varicose vein surgery causes the least bleeding?

I work for 15 hrs per day and stand for most of that time. Based on my job, which surgery is better for varicose veins laser or normal surgery? After the surgery, will the veins bleed?


Doctors Answers (4)

Treatments for varicose veins are now usually done as office procedures as a minimally invasive procedure with very little blood loss involved. The endovenous ablation technique typically treats the saphenous trunks of the varicose veins and has minimal blood loss. Micro-phlebectomies may sometimes be needed to treat bulging vein segments and are removed through a few 1 mm incisions along the side of the vein with a small amount of blood loss and bruising. Expect to wear compression hose after the procedure(s) and you should be able to return to work the next day or even the same day if needed.

Endovenous ablation of the saphenous veins is definitely the least invasive and has the least post-operative downtime or complications. Surgery (stripping) involves a hospital/surgery center, definitely blood loss, pain, and a long post-operative time off work. Even if the surface varicose veins are removed (microphlebectomy) the incisions (punctures) are minimal and do not normally bleed. You may want to have a couple days off work such as a weekend before going back to your 15 hour days.

Better with laser surgery any day than vein stripping. 1) Done under local in usually 20 minutes for the laser. 2) With the laser you can go back to normal activities immediately after. 3) Little to no pain afterwards depending on what wavelength and fiber choice. 4) Less side effects and risks with the laser than open surgery. Vein stripping is usually done under general anesthesia, has more down time, more complications, more pain, higher recurrence, etc.

The blood loss with endovenous thermal ablation of a saphenous vein with LASER or radiofrequency usually is no more than 2 or 3 milliliters. You need to consult with an experienced vein physician to give you answers specific to your needs.

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