Yes, of course, fortunately!
In the early 2000s, so-called “mini-invasive” techniques were developed, primarily “endovenous” techniques, to overcome the disadvantages of aggressive stripping.
These techniques involve inserting a device through the skin into the saphenous vein, allowing it to be “closed” either by heat (laser or radiofrequency), chemical sclerosis (sclerofoam), or gluing/embolization (glue) Fig 2.
The aim is to exclude the saphenous vein from the venous circuit, without having to extract it mechanically as with stripping.
They can be performed under local anaesthetic (laser and radiofrequency) or even without anaesthetic (sclerofoam or glue).
It should be stressed, however, that these procedures only treat the saphenous vein, and are not intended for varicose branches, which must be treated by other means.
Sclerofoam can also be used to treat varicose veins located on branches of the saphenous vein, but is less reliable and less precise than miniphlebectomy (see below).