Ambulatory Phlebectomy

Often, this relatively minor surgical procedure is routinely conducted at the same time as a laser or radiofrequency ablation. This method is performed by first making tiny incisions that rarely ever require stitches to heal. The bulging vein is then extracted through these tiny incisions.  After the vein is removed a small bandaid is placed over the incision and then a compression bandage is applied.  . As with the other methods, the body will naturally reroute the blood supply to other, healthier veins.

When is this method used?

Ambulatory Phlebectomy is used for the treatment of tortuous varicose veins and tributary veins off the main great or small saphenous vein.  Ambulatory phlebectomy is most often utilized for below knee varices.  In the calf, the saphenous nerve is near the saphenous vein.  In the mid calf the nerve moves away from the vein.  Damage to the saphenous nerve causes some transient numbness.  In order to avoid injuring the nerve, phlebectomies or ultrasound guided foam sclerotherapy is often utilized as an adjunct to endovenous ablation.  Phlebectomies are also often utilized to treat tortuous veins on the side anterior or lateral aspect of the thigh.

What kind of results are achieved?

Around 90% of patients achieve long-term success, although new varicose veins can develop in the future in different locations as with any other therapy.  Some patients may experience some tenderness over a treated vein due to trapping of blood.  This is treated in the office by removing the trapped blood under local anesthesia.

What should you do going forward or post-treatment to ensure vein health?

Exercising, maintaining a healthy body weight and not spending long periods sitting or standing can help ensure vein health. Also check in with your doctor if you notice new veins or you condition not improving.