Saphenectomy (GSV Ligation and Stripping) for Varicose Veins

Saphenectomy (GSV Ligation and Stripping) for Varicose Veins: A Comprehensive Guide by Your Toronto Vascular Surgeon

If you’re struggling with varicose veins and looking for an effective treatment, saphenectomy — also known as GSV ligation and stripping — could be the solution you need. This surgical procedure is one of the most widely used methods for treating the great saphenous vein (GSV), which is often responsible for large, visible varicose veins in the legs.

At [Your Clinic Name], our experienced vascular surgeons in Toronto specialize in performing saphenectomy to help patients regain their confidence and comfort. If you’re considering this procedure, read on to learn more about what it involves, the benefits, and how it can help you.

What is Saphenectomy (GSV Ligation and Stripping)?

Saphenectomy is a surgical treatment aimed at removing the great saphenous vein (GSV), which runs along the inside of your leg. This vein is often the culprit behind varicose veins, as it can become enlarged and weakened, leading to blood pooling and the formation of visible, twisted veins. The procedure involves two main components:

• Ligation: The vein is tied off (ligated) at its connection to the deeper veins in the leg, cutting off blood flow.

• Stripping: The vein is then removed (stripped) from the leg using a specialized tool.

This combination effectively eliminates the problematic vein, improving both the appearance and function of your leg.

Why Choose Saphenectomy for Varicose Veins?

• Proven Effectiveness: Saphenectomy has been performed for decades and is considered a highly effective treatment for large varicose veins. It can improve circulation and reduce symptoms like pain, swelling, and heaviness in the legs.

• Long-Lasting Results: The procedure provides long-term relief from varicose veins, as it removes the underlying cause of the condition—the faulty vein. This means a reduced risk of recurrence.

• Improved Quality of Life: Varicose veins can cause discomfort, pain, and embarrassment. By removing the vein, saphenectomy can significantly improve your quality of life by alleviating these symptoms and enhancing the appearance of your legs.

• Minimally Invasive Option: While traditional varicose vein treatments may involve more extensive surgery, saphenectomy offers a less invasive solution with relatively quick recovery times.

The Saphenectomy Procedure: What to Expect

1. Consultation: The first step is a thorough consultation with one of our experienced vascular surgeons in Toronto. During this appointment, we will assess the severity of your varicose veins, review your medical history, and determine if saphenectomy is the right option for you.

2. Pre-Procedure Preparation: Before the surgery, we may recommend some basic pre-operative instructions, such as avoiding certain medications or fasting for a few hours prior to the procedure.

3. The Surgery: Saphenectomy is typically performed under local anesthesia or general anesthesia, depending on the complexity of your case. The surgeon will make small incisions along the leg to access the saphenous vein. The vein will be ligated (tied off) and then stripped out using a specialized instrument.

4. Recovery: The recovery time for saphenectomy is generally quick, with most patients being able to resume normal activities within 1-2 weeks. You may experience some bruising or swelling, but these symptoms typically subside within a few days to weeks.

5. Follow-Up Care: After the procedure, regular follow-up appointments will ensure that your recovery is progressing well and that there are no complications. Compression stockings are often recommended during the recovery phase to reduce swelling and promote proper healing.

Benefits of Saphenectomy for Varicose Veins

• Relieves Symptoms: Saphenectomy eliminates the varicose veins responsible for symptoms like pain, swelling, and discomfort.

• Prevents Complications: Varicose veins can lead to more serious complications such as blood clots or skin ulcers. By removing the affected vein, saphenectomy reduces the risk of these issues.

• Aesthetic Improvement: The procedure restores the natural appearance of your legs, eliminating the visible signs of varicose veins and restoring smooth, healthy-looking skin.

Am I Candidate for a Saphenectomy? 

EVLT is recommended for patients who suffer from varicose veins or have been diagnosed with venous insufficiency.  For many, this therapy offers lasting relief when compression stockings or other conservative approaches have not improved symptoms. 

You may be a good candidate, if you have:

• Visible varicose veins that cause pain, swelling, or discomfort
• Experience leg heaviness, aching, or fatigue, especially after standing for long periods
• Swelling in the lower legs or ankles 
• Skin discoloration, itching, or ulcers near the ankles due to poor circulation
• History of deep vein thrombosis (DVT) or other venous disorders

Why Choose York Vascular? 

Led by Dr Lukasz Boba, York Vascular offers the best customized advanced comprehensive care for treatment of varicose veins and spider veins. With convenient locations in Newmarket, Markham, and Thornhill, we are committed to providing accessible, high-quality vascular care.

Please ask your Primary Care Provider to fax a referral to our office. Once we receive your referral, we will contact you within 14 business days to set up an appointment.