Ambulatory Phlebectomy Overview
Ambulatory phlebectomy is a minimally-invasive surgical treatment indicated for bulging superficial varicose veins and their side branches (tributary veins). Often times, ambulatory phlebectomy is performed to remove visibly bulging veins on the skin surface after an endovenous laser ablation (EVLA). The procedure involves the removal of varicose veins through multiple tiny incisions overlying the visibly tortuous vein.
After marking the skin overlying the veins, tumescent local anesthesia is infiltrated through the skin to provide a painless experience. Tiny incisions are made to allow phlebectomy hook insertion through the incision to lift and remove the targeted vein. A compression bandage is applied along with an overlying compression stocking. Daily walking and wearing of a compression stocking are instructed for at least one week. The bandage is removed after 2 days. Additional instructions include avoidance of hot baths, hot tubs, heavy lifting, and long travel for one week. All other normal activities may be resumed immediately.
An ambulatory phlebectomy procedure is often used as an adjunct to an endovenous laser ablation (EVLA) treatment of a refluxing saphenous vein or major accessory saphenous vein. Frequently, an ambulatory phlebectomy procedure is covered by insurance.
Ambulatory Phlebectomy, when performed by an expert vein specialist, is routinely safe and effective. As with any minimally-invasive surgical procedure, there are potential side effects and complications. The most common side effects are pain, bruising, and bleeding. If pain medication is needed after an ambulatory phlebectomy treatment, acetaminophen (Tylenol) is usually all that is required. Complications are rare. They include hematoma, blood clot, nerve paresthesia, and nerve damage.