THE MODERN APPROACH TO THE TREATMENT OF VARICOSE VEINS PROVIDE TWO IMPORTANT PRINCIPLES:
1) To safeguard the saphenous veins: this principle is the basis of the method ASVAL that involves the removal of varicose veins leaving the saphenous vein although incontinent, provided it falls within certain parameters that are to function properly.
2) The minimally invasivity: any act we perform for the treatment of varicose veins must respect this principle. That means more local anesthesia, micro-incisions for phlebectomy (minimal incisions for the saphenous vein surgery), maximum tissue protection, absence of skin sutures, ligation of the veins, also smaller ones: everything to get the best cosmetic and functional result and an immediate post-operative recovery with minimal pain and bruising.
For details on minimally invasive techniques for treatment of saphenous veins sunk refer to the appropriate page.
3) As a result of the above principles, the more varicose disease is advanced, the smaller are chances to save the saphenous vein, the greater the invasiveness of the intervention, the greater the chances of having a recurrence; for these reasons it’s better not to delay surgery indefinitely tecause if performed at the right time provides excellent guarantees of results in the short and long term.