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Can surgery be avoided for varicose veins?

Q: My 59 years old wife is suffering from varicose veins and she underwent radio frequency ablation based on duplex venous scan of both the lower limbs which showed – no deep venous thrombosis (DVT)/deep venous reflex/bilateral SF junction reflux with multiple perforator incompetence/bilateral ankle oedema with cellulitis right ankle and pigmentation bilateral (left and right). Distal pulses palpable bilaterally. Can surgery be avoided? What are the risk factors?

A:The surgery is not mandatory for the varicose veins. These can be controlled with compression hosiery. Even though according to report of the duplex scan the patient may benefit from surgery, it would be prudent to wait till the inflammation is settled and the swelling is reduced. It is following that the patient should be reassessed for surgery and of course she must want the operation.

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