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with stab phlebectomies","suits_whom":"Patients with saphenous reflux and visible varicosities, especially when endovenous ablation is unsuitable.","recovery":"Return to desk work in about 1-2 weeks; bruising for 2-3 weeks."},{"name":"Ambulatory (stab) phlebectomy","suits_whom":"Patients with surface tributary varicose veins without significant saphenous reflux.","recovery":"Usually quick recovery, often within several days to 1 week."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for one leg with ligation, stripping and phlebectomies."},"initial_assessment_documents":["Leg duplex ultrasound report","Photos of both legs standing","List of blood thinners","Previous vein treatment or surgery records","Deep vein thrombosis report, if available"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery for one leg; stay about 7-10 days for wound check and suture removal before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the specialist which treatment suits you, and its benefits and risks","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"The specialist will explain which treatment may be best for you, and the benefits and risks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the surgeon you consult with is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the 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sign","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A quote with no consultation with the treating surgeon before surgery is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding at the incision sites","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Bleeding at your incision sites.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Skin that feels warm to the touch","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Skin that feels warm to the touch.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Numbness or pain near the removed vein","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Irritation of a nerve near the removed vein, which can cause numbness or pain.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines and changes, so the home doctor knows what to continue","document":"written discharge summary","source":{"url":"https://www.midyorks.nhs.uk/hospital-discharge","host":"midyorks.nhs.uk","quote":"You will be given a written discharge summary which includes details of your medication and any changes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your veins suit heat or laser closure, a newer technique","name":"Endovenous thermal ablation","source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"This newer technique uses heat or laser energy to close off varicose veins.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"high-ligation","name":"High ligation and stripping of the saphenous vein with stab phlebectomies","how_it_works":{"text":"The provider ties off the veins and removes them","source":{"url":"https://my.clevelandclinic.org/health/treatments/17614-venous-disease-vein-ligation--stripping","host":"my.clevelandclinic.org","quote":"Then, your provider ties off the veins and removes them.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":4,"unit":"weeks","label":"4 weeks","source":{"url":"https://www.healthline.com/health/varicose-vein-stripping","host":"healthline.com","quote":"By the fourth week, you can probably return to your normal activities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"ambulatory-phlebectomy","name":"Ambulatory (stab) phlebectomy","how_it_works":{"text":"Small incisions are made, and the vein is removed piece by piece","source":{"url":"https://www.healthline.com/health/varicose-veins-ambulatory-phlebectomy","host":"healthline.com","quote":"It involves making small incisions on opposite sides of a vein and removing 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