If you have varicose veins in your legs that are close to the surface of the skin, your vein doctor may recommend ambulatory phlebectomy. Although this is a common procedure, it can still be nerve-wracking. Below is some information to help you prepare for the surgery. 

What is Ambulatory Phlebectomy?

Ambulatory phlebectomy is a procedure designed to eliminate the symptoms associated with superficial varicose veins. During this procedure, a vascular surgeon makes small incisions in the skin near the abnormal vein. Next, he or she uses a hook or similar instrument to pull the vein out in pieces. The procedure requires no general anesthesia, and most people are able to return to their normal activities within one day. 

Because ambulatory phlebectomy results in the complete removal of the abnormal vein from your body, all of the associated symptoms will disappear after the procedure. 

Before the Surgery

Prior to the surgery:
  • Be sure to purchase anything you will need during the recovery, such as compression stockings. 
  • Take all of your regular medication as prescribed, unless your vascular surgeon tells you otherwise. 
  • Because you won’t need general anesthesia for this procedure, you can eat a normal breakfast and/or lunch before the surgery. 
  • If your surgeon instructed you to take any muscle relaxers or sedatives before the procedure, take the medication as directed. 
  • If you have any questions about the procedure, call the doctor’s office for clarification. 

After the Surgery

Following the procedure, a dressing will be applied to your incisions. You will also be asked to wear a compression stockings. Your surgeon will give you written post-op instructions, and you will be able to go home. Rest as much as you can in the first 24 hours after the procedure. Avoid strenuous activity for at least five days and follow any other instructions your doctor provides. 

While you are recovering from ambulatory phlebectomy, you may notice some swelling or bruising around the incision site. You may also experience mild discomfort. If your symptoms become worrisome, or if you suspect an infection, contact your doctor immediately.