Surgical methods of vein ablation have largely been supplanted by less invasive methods, but remain the standard to which the minimally invasive techniques are compared. Patients with large varicose veins or complications of varicose veins are often best managed with open surgical techniques. Available techniques are chosen based upon the location, size, and extent of the patient's varicosities, and presence or absence of venous reflux.
Open surgical techniques for lower extremity vein ablation will be reviewed here. Alternative treatment approaches to the treatment of chronic venous disease using cutaneous laser, sclerotherapy, radiofrequency ablation, and endovenous laser ablation are discussed separately. Increasingly, varicose veins are treated with hybrid procedures that combine conventional surgical with minimally-invasive techniques .
●(See "Overview and management of lower extremity chronic venous disease".)
●(See "Laser and light therapy of lower extremity telangiectasias, reticular veins and small varicose veins".)
●(See "Liquid and foam sclerotherapy techniques for the treatment of lower extremity veins".)