Endovenous closure has been the gold standard for the treatment of the underlying cause of varicose veins for the past 10 years. Stripping is no longer used and should not be part of the conversation. Removal of recurrent bulging veins years after a stripping procedure or other procedure within the past 10 years should only be performed after a good venous insufficiency ultrasound has been performed to exclude any other leaky veins as the source of the varicose veins. Surgical removal of bulging varicose veins is also known as microphlebectomy (micro=small, phleb=vein, ectomy=removal) and is sometimes required to achieve the best result.
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