How To Treat Venous Insufficiency

Ligation

In cases where an individual has veins in the legs that are not vital for its functioning, ligation and stripping may be recommended as an option to treat their venous insufficiency. Ligation refers to a surgical procedure not as invasive as a vein bypass, repair, or transplant, where the incompetent vein is cut and tied off so that blood is no longer able to travel through it. This forces blood to route through other healthy veins in the legs to reach the heart. This method can only be utilized when an absence of the affected vein will not exacerbate the severity of the individual's venous insufficiency. When the vein is tied off and has no blood flow, the body eventually breaks it down and absorbs it. However, if the vein is severely damaged, it may need to be removed from the body altogether after being tied off, instead of just cut. The reason behind this is the damaged vein can release toxic byproducts into nearby tissues. The surgeon performing the ligation can determine whether the vein will need to be removed during the procedure.

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