Primary varicose veins in a day surgery unit

Patients awaiting surgery for primary varicose veins can dominate ‘in-patient’ waiting lists. However, there is now an established pattern of change towards day case surgery. Significantly, this may lead to a rise in the numbers treated, lowering of ‘per-case’ costs and a concomitant release of ‘in-patient’ beds. The service must be both safe and cost effective and should be led by senior staff to minimise complications and maximise theatre utilisation. For the patient, their hospital experience can be enhanced by the provision of clear information, careful surgical technique and appropriate aftercare, including suitable points of contact.