What techniques are used to prevent neovascularization?
Vein stripping has a limited role today with the advent and popularity of VNUS Closure and EVLT. However, when it is necessary and done, it is recommended that cautery be used to destroy the ends of veins so as for them not to ‘reconnect’; another technique is to cover the stumps of the large veins such as the divided great saphenous vein with PTFE so as to minimize likelihood of connection with the deep system of veins; finally, a standard of care should be to routinely strip the great saphenous in the thigh so as to prevent ‘connection’ to the saphenous below the knee.
