What is it?
Ambulatory Phlebectomy is a method of removing varicose veins on the surface of the legs. Unlike vein stripping, ambulatory phlebectomy utilizes micro-incisions to extract large undesired surface varicose veins. It is performed using local anesthesia on an outpatient basis with no required sutures. The incisions are so small that there is virtually no scarring. It is usually performed in conjunction with endovenous laser ablation, and takes 1-2 hours depending on the severity of vein disease.
How it works
Skin incisions or needle punctures as small as 1 mm are used to extract veins with a phlebectomy hook. A hook is inserted into a micro-incision in the leg. A section of the vein is hooked and then removed through the incision.
After the vein is removed, the leg is wrapped with an ace compression bandage and the patient can get up and walk around the office prior to going home.
The compression bandage is worn for one week. This minimizes swelling and discomfort and allows for proper healing.
Once the ace bandage is removed, the patient will wear a support stocking for two weeks after surgery. Most patients are not at all uncomfortable and need no pain medication.
After the procedure
Patients may stand and walk immediately after surgery and return to work on the day following surgery. Strenuous activity is limited for two weeks. The results of the procedure have been excellent for both from a cosmetic and patient satisfaction point of view. The long-term results of ambulatory phlebectomy are excellent when the procedure is performed for the appropriate medical reasons.
Before and After Photos
