Microphlebectomy is a method of surgically removing surface varicose veins. During this outpatient procedure, a local anesthetic is given. Our surgeons then make tiny needle holes to remove the vein and all its branches. These are closed with steristrips and leave no permanent scars.
After the vein has been removed, the legs are usually bandaged for one day, and patients are able to walk immediately after surgery and allowed to resume normal activities.
What you should know about ambulatory phlebectomy
There are several techniques for removing or reducing unwanted veins in your legs. These range from injecting medications into the smallest veins (sclerotherapy) to endovenous laser ablation therapy for the largest veins.
Ambulatory phlebectomy is an outpatient procedure in which numbing medication is injected into the skin over the varicose vein. Then, a small slit-like needle hole is made, and segments of the varicose vein are removed in one treatment. This will cause the entire varicose vein to disappear over a period of time. Because the procedure is performed under local anesthetic, you will be able to drive home.
This procedure may be done alone or in combination with other procedures to treat other veins in the legs.
What to expect after ambulatory phlebectomy (Microphlebectomy)
- Your leg may be sore. Motrin® or Extra Strength Tylenol® will minimize the discomfort. Pain is generally minimal as long as graduated compression stockings are worn.
- Although walking for 20 minutes daily is encouraged, when resting, elevate your leg above your heart.
- Drainage may continue for the first 48 hours.
- You may experience some temporary swelling and bruising. Ice packs may assist in decreasing these symptoms.
- You may remove your dressing and change the gauze (if needed) after 24 hours.
- Wear your compression stockings for the next 7 days and nights and continue as directed by our physicians to get maximum results.
- Please make a follow-up appointment in 1 month with your surgeon.
Potential side effects or complications:
- Although every attempt is made to remove the entire varicose vein, there will be small segments that remain in the skin. These fragments may become inflamed and irritated, causing thrombophlebitis. The residual vein may feel like a hard core and may be tender. Over-the-counter medications, compression stockings and time usually resolve the condition.
- Rarely, a sensory nerve may be injured and skin numbness usually affects a small area only. Movement or leg function should not be affected.