A member asked:

If abnormal valves function of the great saphenous vein, will removal of it prevent or cure varicose veins?

11 doctors weighed in across 4 answers

The 1 vein treated: Varicose vein disease is inherited and made worse with prolonged sitting, standing, hormones, heat, etc. The valves of many saphenous veins in the leg can reflux. We treat each diseased vein as it occurs. If the great saphenous vein is ablated with endovenous heat, usually there are smaller tributaries in the calf or small saphenous veins that need treatment too as time passes and surface veins.

Answered 3/21/2017

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Dr. Douglas Joyce answered

Specializes in Phlebology

Usually: I would discourage removal and instead recommend laser ablation. It is safer, less complicated and can be done through a single needle stick. Usually visible varicose veins are due to underlying vein dysfunction such as the great saphenous. Ablation of the great saphenous can lessen the visible veins but some may remain and can be removed through tiny punctures in the skin.

Answered 3/21/2017

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Dr. John Landi answered

Specializes in Phlebology

Not necessarily.: Malfunctioning of the valves of the greater saphenous vein could lead to varicose veins. However varicose veins could also occur from malfunctioning valves of other veins such as the small saphenous vein, various accessory veins and even unusual veins such as a duplicated saphenous vein. Closing the gsv will seal the valves but you may still require removal of varicose veins by micro incisions.

Answered 3/21/2017

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Valves: The most common reason for varicose vein development of this type is a valve dysfunction of the great saphenous vein. Currently, thermal ablation procedures, are being done to seal the vein that is causing the varicosities. This is the best treatment option.

Answered 3/23/2017

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