Ambulatory phlebectomy, also known as microphlebectomy (small incision vein removal), is an in-office surgical technique which allows for the removal of large surface varicose veins. The area to be treated is anesthetized, and a series of tiny, 2mm, incisions are made near the vein. The vein is then removed in sections through the tiny incisions. The incisions rarely require sutures and there is generally little or no scarring. This procedure is usually done only after the larger, abnormal veins feeding those varicosities are closed (i.e. with an EVLT).
You will be advised to wear a compression dressing for 48 hours, followed by a compression stocking for several weeks. You may experience mild tenderness and bruising for the first several days. This is generally well managed with ice applications and the use of over-the-counter pain medications such as ibuprofen.
Patients are able to return to normal activities following the procedure, but are asked to avoid prolonged sitting and standing for three days. When sitting or lying down, your legs must be elevated higher than your heart. Walking is encouraged immediately after treatment.