Phlebectomy (also known as microphlebectomy, Ambulatory Phlebectomy) is a technique to remove bulging varicose veins
Varicose veins are bulging , twisted blue vessels that can be seen and felt under the skin . They are larger than spider veins and associated with symptoms and complications – blood clots, rupture and bleeding, infections . The key difference between spider and varicose veins is that varicosities can be felt , palpated under the skin, when spider veins are not . The main treatment for them is Phlebectomy
Phlebectomy should be done always after full treatment of larger veins , with ablation .
HOW IS PHLEBECTOMY PERFORMED?
This procedure typically does not require hospitalization . It may be done in the office under light sedation. Before the procedure, the patient’s leg is marked to identify the veins that need removal. Next, local anesthesia is given, felt as a bee sting and burning sensation . The physician will than make tiny incisions the size of a ballpoint pen tip (about 2-3 mm) and use a vein hook ( vein crochet) to fully extract the vein. Stitches usually are not required are no visible scars are left, after full recovery .
What can I expect after Phlebectomy
Minor bruising and swelling are normal and will subside after a few days. You may notice bumps or lumps in the areas under the incisions, as well as experience burning, discomfort, numbness, or tingling in the incision area. These issues are normal and resolve within a few weeks . Ibuprofen is suggested for the first 5 days , 400 mg two times a day
Walking is advised immediately following Phlebectomy
Compression stockings should be worn for 7-10 days after , during daytime
Vigorous exercise and heavy lifting should be avoided for at least 5 days following the procedure.
Phlebectomy usually does not lead to major complications. Possible complications include short-term skin colour change, infection, pain, and tiny red spider veins.
Next, local anesthesia is given, felt as a bee sting and burning sensation . The physician will than make tiny incisions the size of a ballpoint pen tip (about 2-3 mm) and use a vein hook ( vein crochet) to fully extract the vein. Stitches usually are not required are no visible scars are left, after full recovery .
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