High Ligation

High Ligation (formally high ligation and division of the greater saphenous vein) is a minimally invasive surgery that is used to eliminate the problem of reflux (backwashing of blood) through the valve in the groin. This procedure was developed as an alternative to vein stripping as compression sclerotherapy techniques for the treatment of larger diameter varicose veins improved. As with the other treatment modalities for saphenous reflux disease, this procedure is only to treat the valvular problem and does not treat the visible varicose veins of the leg. Though the pressure in the varicose veins will lessen, the remaining varicose veins will still need to be treated by either compression sclerotherapy or ambulatory phlebectomy.

The surgery is usually performed at an out-patient surgery center and may be done under local, regional, or general anesthesia. An incision is made in or near the crease of the groin, the greater saphenous vein (the surface vein where the leaky valve is located) is identified, ligated (tied off), and then divided (cut). The incision is then closed and the patient is usually sent to the recovery room for a time before being released from the surgery center.

Scarring is present but barely noticeable as the incision is usually hidden in the crease of the groin. Time off for the procedure and follow up are determined by the surgeon. Once the patient is cleared post-operatively, treatment options for the remaining varicose veins may be discussed.

We do not perform high ligation at The Vein Center but would be more than happy to refer you to a physician that does if you desire. They will be much more qualified to discuss the procedural details as well as answer any questions you have about the specifics of follow up and restrictions on activities.

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