These are the most recent innovations to deal with incompetent vein trunks. The long term results are very good for both, but not quite as good as for laser ablation. However, they have their indications, and are very strong contenders in precarious legs (for example with ulceration, or in the aged), in those with delicate skin (damaged by chronic venous hypertension), in those who cannot tolerate volumes of local anaesthetic solutions, and in situations where removal of varicose is not required or impracticable.

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Left – A swollen considerably right leg due to large varicose veins arising from greater saphenous vein reflux. Right -The same leg six weeks after Venaseal Bioadhesive closure of the right greater saphenous vein as a solitary procedure.

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