How would you treat intense recurrent varicose veins in the groin and close to the Femoral Vein?

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How would you treat intense recurrent varicose veins in the groin and close to the Femoral Vein?

For a lady patient, in her 40s, with 3 stripping attempts on her right leg, and now comes with intense recurrent veins, in the grion and thigh and many incompetent perforators. What would be your preferred technique of treatment? EVLA, RF, Sclerotherapy, etc? And why??? .. Thank you

Mark Whiteley Answered question October 21, 2022
1

Good question – I would use a thermal ablation to close as many connections with the femoral vein as possible (TRLOP / Hedgehog) or even HIFU – then foam more superficially anything that is left.

Mark Whiteley Answered question October 21, 2022
2
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