This is another surgical procedure done in our office under local anesthesia. It involves a small groin incision. The tissue is dissected down to the Great Saphenous Vein where it meets the common femoral vein. The Great Saphenous Vein is then tied off with suture.

The idea is to sever the connection between the Superficial veins (Great Saphenous Vein) and the deep veins (Common Femoral Vein). If the superficial vein in the leg isvery large in diameter it may not respond fully to endovenous ablation. High ligation ensures complete treatment of the superficial vein in the leg.

 

High Ligation wide angle

High Ligation 1A
High Ligation