Traditional vein stripping surgery: Is it still necessary?

If you’ve been diagnosed with varicose veins, you might find yourself overwhelmed with information, especially if all you’ve heard about are older, more invasive treatment options like vein stripping. For many, particularly those who have grown up with the NHS, the idea of ‘having your veins pulled out’ is familiar and understandably daunting.

But varicose vein treatment has come a long way. Today, there are modern, minimally invasive procedures that are not only more comfortable but also have less downtime and fewer complications. At McKeown Medical, we offer these advanced solutions and take the time to help you understand what’s right for your unique situation.

Vein stripping is a surgical procedure that involves removing the great saphenous vein, the main superficial vein running from your groin to your ankle. Traditionally, it was performed under general anaesthetic, requiring incisions in the groin and leg. The vein would be tied off (or ligated) and then physically pulled out using a wire or similar device.

This method was widely used for decades as the standard treatment for varicose veins, particularly before the development of modern technologies. While it can be effective in removing problematic veins, it comes with several significant drawbacks.

Vein stripping can still be required in some circumstances, for example, if the diameter of the great saphenous vein is simply too large for the newer, less invasive options. Thankfully, however, this typically only applies to less than 1% of patients. Most patients are suitable for the less invasive options.

Downsides of vein stripping:

• Invasive and painful: It requires incisions and significant tissue trauma.
• General anaesthetic risks: Unlike newer treatments, it typically can’t be done under local anaesthesia.
• Longer recovery times: Many patients need up to two weeks off work or normal activities.
• Higher complication rates: Including bruising, bleeding, nerve damage, and infection.
• Greater chance of recurrence: Some studies show that recurrence rates may be higher with stripping compared to endovenous treatments.

Given these concerns, it’s easy to see why many patients and doctors now turn to less invasive, more advanced options.

At McKeown Medical, we focus on evidence-based, modern treatments designed to deliver excellent results with minimal discomfort and downtime.

Radiofrequency Ablation (RFA)

RFA is a minimally invasive procedure that uses radiofrequency energy to heat and seal off the faulty vein. It’s performed under local anaesthetic using ultrasound guidance.

Benefits:

• No need for general anaesthetic
• Quick recovery time
• Minimal scarring
• Excellent long-term results

Venaseal

Venaseal is a cutting-edge treatment that uses a medical-grade adhesive to close off the faulty vein. The glue is delivered through a catheter and gently seals the vein shut, rerouting blood to healthier veins.

Benefits:

• No need for compression stockings afterwards
• No tumescent (injected) anaesthetic required
• Minimal discomfort during the procedure
• Immediate return to normal activities
• Ideal for patients who can’t tolerate heat-based treatments (like RFA or laser)

This is a particularly appealing option for patients who are needle-sensitive or want the gentlest possible treatment with the least amount of post-procedure care.

Foam Sclerotherapy

A versatile treatment where a medicated foam is injected into the vein, causing it to collapse and be reabsorbed by the body over time.

Best for:

• Smaller or residual veins after RFA
• Patients seeking a non-surgical option
• Those unsuitable for thermal ablation

Microphlebectomy

Often used alongside RFA or sclerotherapy, microphlebectomy involves the removal of individual bulging veins through tiny skin incisions, with no stitches required.

Benefits:

• Immediate improvement in appearance
• Very small scars that fade over time
• Can target veins that aren’t suitable for ablation

These treatments have revolutionised the management of varicose veins, offering targeted, effective relief without the need for outdated surgery. Learn more about varicose vein conditions and treatment here.

Modern varicose vein treatments are safer, less invasive, and more comfortable. They can be performed as outpatient procedures, meaning you can go home the same day, with minimal downtime.

In most cases, vein stripping is no longer necessary and is rarely the best initial option. Thanks to innovations like RFA, foam sclerotherapy, and microphlebectomy, patients can now achieve outstanding results with significantly fewer risks and a faster return to daily life.

At McKeown Medical, we understand that choosing the right treatment can be confusing, especially when you haven’t had the time or support to explore your options properly. That’s why our vein specialists take the time to listen to your concerns, assess your condition thoroughly, and design a personalised treatment plan that works for you.

Whether you’re dealing with large bulging veins, aching and heaviness, or are simply concerned about appearance, we offer a range of the most advanced treatments in a calm and expert setting.

At McKeown Medical, we have a wide range of treatment options available if you struggle with varicose veins. To discuss which treatment may be best for you, book a consultation today.