Modern Methods for Surgical Varicose Vein Treatment

Varicose veins sometimes appear gnarled under the skin. If left untreated, they can promote congestion, thromboses, vein inflammation and ulcers.
When the blood accumulates in this way in the varicose veins, inflammation, thromboses and ulcers may result.

Varicose veins are

  • superficial veins
  • deeper large veins

whose function has been disrupted. Their valves no longer work or no longer close properly and can no longer ensure the return of blood to the heart. The blood accumulates in the leg.


Varicose veins occur due to

  • Pregnancy
  • Congenital connective tissue weakness
  • Lack of movement
  • Female sex hormones which cause the connective tissue to prematurely weaken
  • Age

Untreated varicose veins can promote congestion, thromboses, vein inflammation and ulcers.

Our vein experts use the most modern, innovative methods for varicose vein treatment – so that your symptoms disappear or do not occur in the first place.

How is it performed?

The following methods for varicose vein treatment are primarily used at Rosenpark Clinic:

  • Endoluminal saphenous vein treatment: Under ultrasound guidance, the vein is heated and occluded from within using a laser light or radiofrequency.
  • Foam sclerotherapy: Via a catheter, also under ultrasound guidance, the foamed drug polidocanol is introduced into the diseased vein. It causes a barely noticeable inflammation of the vascular wall. The vein adheres and occludes.
  • Chiva method: This is based on the observation that varicose veins can resolve if strain is relieved. In this process, ligatures are placed which normalize the blood flow.
  • Classical varicose vein surgery: pulling or stripping, is necessary even today in many cases.
  • Hook method (mini phlebectomy): The clearly visible, meandering tributaries of the venous trunk are carefully removed through small punctures using a special hook, without any scars remaining. This is generally performed in combination with saphenous vein treatment.

What kind of anesthesia is required?

Foam sclerotherapy is performed without anesthesia.

Endoluminal saphenous vein sclerotherapy, Chiva method, mini phlebectomy and classical varicose vein surgery are performed under tumescent local anesthesia.

For more information about your options for a comfortable, pain free treatment see the anesthesia section.

When can I resume normal daily activities?

The procedure is performed on an outpatient basis. Everyday activities can usually be resumed on the day following the surgery.

Are you interested in a no-obligation personal consultation for vein treatment at Rosenpark Clinic? We would be happy to schedule an appointment for you.

Expert tip

Dr. Sonja Sattler: "Sufficient movement is particularly important for the success of the treatment. You should avoid standing or sitting for longer periods of time and instead lie down or walk."