Ambulatory microphlebectomy permits removal of incompetent veins below the saphenofemoral and saphenopopliteal junctions, not including the proximal great or small saphenous veins.Veins most readily treated with microphlebectomy include branch varicosities of the great and small saphenous veins, pudendal veins in the groin, and reticular varices in the popliteal fold or lateral part of the thigh.Phlebectomy can also be used as an immediate treatment for small segments of superficial phlebitis because the intravascular coagulum is expressed and the involved vein segment can be extracted through the same incision.Large, tortuous distal branch varicosities are typically treated by means of ambulatory microphlebectomy, but some large branch varicosities may rarely be treated by means of endovenous ablation.
Ambulatory phlebectomy is best for tortuous varicosities.
- Problematic veins are marked.
- Local anesthetic is injected to numb the treatment area.
- The doctor makes incisions about the size of the tip of a ballpoint pen.
- A special instrument is used to seize, extract, and close off diseased veins.
- No sutures are needed – incisions heal naturally and are virtually invisible.
- Depending on the individual patient and the number of veins treated, the procedure typically takes two hours or less.
- Common side effects include minor swelling and bruising, but they typically resolve quickly, with minimal discomfort.
- Walking immediately following the procedure speeds healing.
- There is no downtime– you may return to normal light activities right away.(Wait a few days before doing any heavy lifting.)
- You must wear a compression stocking for at least a week.