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==== Other ==== Other surgical treatments are: * [[CHIVA method]] (ambulatory conservative haemodynamic correction of venous insufficiency) is a relatively low-invasive surgical technique that incorporates venous hemodynamics and preserves the superficial venous system.<ref name=":2">{{cite journal | vauthors = Bellmunt-Montoya S, Escribano JM, Pantoja Bustillos PE, Tello-DΓaz C, Martinez-Zapata MJ | title = CHIVA method for the treatment of chronic venous insufficiency | journal = The Cochrane Database of Systematic Reviews | volume = 2021 | issue = 9 | pages = CD009648 | date = September 2021 | pmid = 34590305 | pmc = 8481765 | doi = 10.1002/14651858.CD009648.pub4 }}</ref> The overall effectiveness compared to stripping, radiofrequency ablation treatment, or endovenous laser therapy is not clear and there is no strong evidence to suggest that CHIVA is superior to stripping, radiofrequency ablation, or endovenous laser therapy for recurrence of varicose veins.<ref name=":2" /> There is some low-certainty evidence that CHIVA may result in more bruising compared to radiofrequency ablation treatment.<ref name=":2" /> * Vein ligation is done at the saphenofemoral junction after ligating the tributaries at the saphenofemoral junction without stripping the long saphenous vein, provided the perforator veins are competent and DVT is absent in the deep veins. With this method, the long saphenous vein is preserved. * [[Cryosurgery]] β A cryoprobe is passed down the long saphenous vein following saphenofemoral ligation. The probe is then cooled with NO<sub>2</sub> or CO<sub>2</sub> to β85Β°F. The vein freezes to the probe and can be retrogradely stripped after 5 seconds of freezing. It is a variant of stripping. The only purpose of this technique is to avoid a distal incision to remove the stripper.<ref>{{cite journal | vauthors = Schouten R, Mollen RM, Kuijpers HC | title = A comparison between cryosurgery and conventional stripping in varicose vein surgery: perioperative features and complications | journal = Annals of Vascular Surgery | volume = 20 | issue = 3 | pages = 306β311 | date = May 2006 | pmid = 16779510 | doi = 10.1007/s10016-006-9051-x }}</ref>
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