VARICOSE VEIN PROCEDURE – PHLEBECTOMY.
Phlebectomy (also known as micro phlebectomy, 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 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
Veins that need to be removed.
.
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 color change, infection, pain, and tiny red spider
veins.
Allow 3-4 months for full cosmetic results.
Phlebectomy usually require more than one session