How can ambulatory phlebectomy help my varicose veins?

This procedure removes varicose veins beneath the skin of the legs in an outpatient setting using a minimally-invasive technique. There are multiple treatments available for varicose veins, so patients should work closely with their doctor to make the best decision regarding treatment. Treatment will depend on the size of the varicose veins, the patient’s health status, and other factors.

Is ambulatory phlebectomy superior to other treatments available?

Ambulatory phlebectomy has some benefits over other treatments, including a shorter recovery time in comparison to surgical treatment. Furthermore, the procedure is minimally-invasive, which many patients find to be a great advantage over surgical treatment as well. While the evidence isn’t clear, many vein specialists believe the risk of recurrence is less with ambulatory phlebectomy than with other treatment options. However, no one treatment is the best option for all patients.

What can I expect during the procedure?

The first step is having your veins marked with a marker while standing. Once the treatment areas are identified and marked, the patient is able to lie down and the areas to be treated are disinfected using a solution. A local anesthetic is injected to numb the treatment area completely before the procedure. Once the leg is completely numb, tiny incisions are made and the veins are removed through these incisions using a special instrument called a vein hook. No pain is experience during the procedure and stitches are not necessary due to the very small size of the incisions. A dressing is applied and a compression bandage may be used to apply pressure and keep the dressing in place.

What can I expect during the recovery period?

Most patients are able to return to work just one to two days after treatment. On day two or three, a follow-up visit is often scheduled with the vein specialist who completed the procedure. Walking is very important as soon as you get home from the clinic and in the days and weeks following the procedure.