Microphlebectomy, sometimes called an “ambulatory phlebectomy,” is a surgical procedure that can be used to remove some varicose veins. In most cases, a technique called endovenous laser ablation (ELVA) is used to remove varicose veins. However, in some cases, varicose veins are too twisty or close to the skin, to use ELVA. In these cases, a microphlebectomy is employed. First, the area is treated with local anesthesia. Next a needle is used to make a series of tiny punctures through the skin removing small parts of the dysfunctional vein. These treatments are an improvement over older methods of varicose vein removal including “vein stripping.” Microphlebectomy requires much less recovery time. Microphlebectomy: What to Expect
Microphlebectomy is performed in the office under local anesthetic so you avoid a busy and confusing experience in the hospital. You will be back at home in no time.
Microphlebectomy can be combined with endovenous laser ablation therapy to provide even better results.
Microphlebectomy: What to Expect
Upon entering the office, our staff will review your chart and confirm the details of your treatment. Recovery will be discussed and there will be time for you to ask any questions you might have.
The doctor will use a focused ultrasound exam to pinpoint the veins in the treatment site which are to be removed. To aid in the process, the veins may be marked on the skin using a marker.
Microphlebectomy is excellent at removing the dilated portions of the diseased veins. Microphlebectomy traditionally follows endovenous laser treatment (EVLA). An EVLA uses a laser to close the vein that feeds the varicose veins. Local anesthesia is administered to protect the patient from any possible discomfort. Next, a series of small holes are made with a needle along the route of the varicose veins. These punctures are used to access the troubling veins through the skin. A specialized tool is then used to hook the veins and remove them from the skin.
Once the procedure is completed, steri-strips are used to cover the access holes. No staples or sutures are required to close the puncture sites. Bandages are then placed over the steri-strips. Compression stockings are used to cover everything and help with healing. Before being discharged from the office, you will be asked to walk around to make sure there are no complications. Since only local anesthesia is used, you will be able to drive yourself home. You should return to the office the next day for a short follow-up appointment. The site will be examined and an ultrasound taken to insure positive results.