High Ligation and Stripping
Conventional surgical treatment in which the diseased great or small saphenous vein is tied off at its root and removed — used in select large or complex varicose veins.
What is High Ligation and Stripping?
High Ligation and Stripping is the conventional surgical treatment for large or complex varicose veins. The diseased great or small saphenous vein is tied off at its junction with the deep vein system (high ligation) and then removed (stripped) along its course using a specialised stripper. While modern minimally invasive options like EVLA and RFA have replaced stripping in many cases, this technique still has a role in select patients with very large veins, recurrent disease, or specific anatomical considerations. Dr. Tejasree Vengala performs high ligation and stripping at Lux Hospitals, Hyderabad, when this approach offers the best outcome for the patient.
How the Procedure Works
Anaesthesia & Marking
Surgery is performed under spinal or general anaesthesia. The varicose veins are carefully marked while the patient is standing.
Saphenofemoral Junction Ligation
A small incision is made in the groin to identify and tie off the great saphenous vein at its junction with the deep femoral vein.
Vein Stripping
A specialised stripper is passed through the vein and used to remove the diseased segment along its course.
Branch Vein Treatment
Visible bulging tributaries are treated with ambulatory phlebectomy in the same sitting.
Closure & Compression
Wounds are closed with absorbable sutures, compression bandages applied, and patients are discharged within 24–48 hours.
Outcomes
Who Needs This Treatment?
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Complete removal of large diseased saphenous vein
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Effective for very large or complex varicose veins
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Useful in select recurrent disease after previous treatment
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Long-established technique with proven results
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Combined with phlebectomy in the same sitting
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Reliable option when minimally invasive techniques are not suitable
Stripping is a long-trusted operation, and even today it has its place in carefully chosen patients. The art is knowing when laser or radiofrequency will serve the patient better — and when an honest, well-done open operation is the right call.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
High Ligation and Stripping Cost in Hyderabad
The cost of high ligation and stripping in Hyderabad depends on the severity of varicose veins, extent of venous reflux, number of veins involved, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring surgical removal of the affected superficial vein through high ligation and stripping technique, the approximate cost ranges between ₹50,000 and ₹1,00,000.
| Procedure | Approximate Cost Range |
|---|---|
| High Ligation and Stripping | ₹50,000 – ₹1,00,000 |
The final cost may vary depending on your individual condition, findings during evaluation, extent of venous disease, surgical requirements, and whether any additional procedures are required.
Factors That Influence High Ligation and Stripping Cost
The overall cost may depend on:
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Severity of varicose veins: The extent of vein enlargement, venous reflux, number of affected veins, and associated symptoms may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, venous Doppler ultrasound, blood tests, and medical assessments before surgery may affect the overall cost.
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Surgical complexity: The number of veins requiring treatment, anatomical variations, and previous procedures may influence the procedure cost.
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Additional procedures: If phlebectomy, sclerotherapy, or management of complications such as ulcers or venous swelling is required along with stripping, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, compression stockings, wound care, and follow-up requirements may influence the final estimate.
Is High Ligation and Stripping Covered by Insurance?
High ligation and stripping may be covered by health insurance when it is performed for a medically necessary venous condition. Coverage depends on your insurance policy, inclusions, exclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and Doppler findings to determine the most suitable treatment approach. She will explain the procedure, expected recovery, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.