Ambulatory phlebectomy is a method of removing varicose veins on the surface of the legs. This procedure is for medium to large vericose veins. It is done in the office under local anesthesia.
This is usually done after large vein or truncal reflux has been corrected by endovenous radiofrequency ablation. Larger varicose veins may persist even after venous insufficiency is corrected, although they will no longer ache and throb. If some of the largest of these veins is still a cosmetic issue, we can easily remove them with a procedure called ambulatory or microphlebectomy. For patients with varicose veins, approximately half will obtain almost complete disappearance of these bulging veins following endovenous ablation and half will continue to have some visible or "secondary" persistent varicosities. They will ALWAYS be smaller and no longer hurt but we can easily remove these persistent veins.
This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required and scarring doesnt occur. Veins are very collapsible such that even large veins may be removed through the tiny incisions used in this technique.
The patient is able to walk following the procedure. Pateints are able to resume normal activity the next day. With this procedure, a compression bandage is worn for several days and the patient returns to the office within 24 to 48 hours for a dressing change. After this, your doctor may or may not suggest that you continue to wear compression for a few more days. This minimizes swelling and discomfort and allows for proper healing.