A ligation is sometimes necessary for very large varicose veins. This procedure is usually performed in conjunction with other treatment modalities such as endovenous ablation, microphlebectomies, or surgical stripping and ligation procedures.

 

The surgeon makes a small incision to locate the diseased vein and surgically ties it off. The incision is closed with absorbable sutures and covered in steri-strips. an light dressing is applied. There is minimal discomfort and a quick recovery. There are risks of swelling, bleeding, bruising, and temporary skin numbness.