Ambulatory Phlebectomy, known as varicose vein microsurgery, is used primarily to treat venous disorders which require the removal or treatment of varicose veins. This procedure is recommended for removing varicose veins that are too large to take out through sclerotherapy , yet are too small for laser treatments.
While the legs are the primary area for Ambulatory Phlebectomy, the procedure can be used for vein biopsy, veins around the eyes, and other vascular disorders that cannot be treated through sclerotherapy. It is also helpful when sclerotherapy proposes the possibility of increased complications.
During an initial consultation, the physician will review your medical history, and conduct an exam to evaluate factors including:
• Whether the varicose veinsare truly the problem or if other veins must be treated first?
• Are there deep vein clots?
• Are additional procedures indicated?
This procedure is performed under a local anesthetic, as it is a minimally invasive technique. Tiny incisions or punctures, about two to three millimeters in size, are made, with the affected veins being pulled through the incisions using a phlebectomy hook or vein retractor. Small sutures are used to close the incisions with very little chance of scarring.
Ambulatory Phlebectomy is often done in combination with other vein treatments such as endovenous laser ablation to eliminate other vascular disorders that can be better treated with these procedures.
Ambulatory Phlebectomy Recovery
Patients can usually return to their normal routines within 24 hours. Compression garments or bandages will be worn for about two weeks. Walking is strongly encouraged; however, strenuous activities and exercise should be avoided for seven to 10 days.
Possible Risks and Side Effects
This procedure is not recommended for those people who cannot walk or who cannot wear compression garments, as both of these are required for successful treatment.
Other possible side effects of the procedure include bruising, superficial clot formation, minor infection, transient hyperpigmentation and allergic reaction. These complications are generally uncommon, and your doctor will discuss any potential risks before your procedure.
Because venous disorders are usually considered a medical condition, treatment is often covered by insurance.
If you have questions about the procedure and insurance coverage, call us at the Skin and Vein Center, we will be happy to discuss your options during a complimentary consultation.