ABSTRACT

Recent population studies have estimated the prevalence of varicose veins to be greater than 20% in the adult Western population with approximately 5% presenting with signs of advanced chronic venous insuciency.1 For close to a century, treatment of chronic venous insu- ciency and varicose veins consisted of a variety of open surgical techniques performed in the operating room under general anesthesia. Over the past decade, a variety of novel endovenous and surgical techniques have been developed which have shied management to the ambulatory and clinical setting with improved patient outcomes and minimal morbidity.