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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. 

Compression stockings are worn continuously for 48 hours, and then daily for 2 weeks.  Minor activity restrictions (no heavy lifting or cardio workouts) are recommended for 1 week. It is advised to take precautions with sun exposure for up to 1 year. Follow up is recommended 3 months post procedure to evaluate results using the ultrasound and to update your plan of care.

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