Treating perforantectomy

In a perforantectomy, the doctor will locate the vein to be removed with the ultrasound machine (the duplex). The vein will be marked and the doctor will numb the vein route locally. A small incision is then made (usually 0.5 to 2 cm). The vein (the perforans) is searched for, tied up and cut through the small incision. The superficial veins that lie next to it are removed. The skin is then closed with dissolvable sutures. These sutures do not need to be removed. The suture is covered with a sterile adhesive plaster, which you can remove yourself after about a week.

A gauze with a plaster goes over the adhesive plaster, these can be removed after 5 days (at the same time as the stocking). An elastic bandage will be placed over this, which you can remove after 24 hours. To do this, you can lower the stocking briefly, remove the bandage and then pull the stocking back up. Finally, you will be given an elastic stocking. This can be removed after 5 days. It is important that you keep the stocking on day and night and that you do not let the stocking get wet.

The treatment will take about an hour and you can go home immediately after the treatment. We recommend that you do not drive yourself until 2 hours after the treatment, so arrange a driver for the way back.

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