Ambulatory Phlebectomy

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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 after an endovenous laser ablation (EVLA) procedure to remove saphenous branch or tributary veins. The procedure involves the removal of varicose veins through multiple tiny 2-3 mm incisions placed in the skin overlying the targeted varicose vein.

After marking the skin overlying the veins, tumescent local anesthesia is infiltrated through the skin to provide a painless experience. Mini incisions are made in the skin marking areas to allow a phlebectomy hook to be inserted through the incision to hook the targeted varicose vein. Once hooked, the varicose vein is pulled out and removed along the course of pre-operative skin markings. A compression bandage is applied along with an overlying compression stocking. Daily walking and wearing compression stocking is encouraged for at least one week. The bandage is removed after 2 days. The compression stocking is worn for at least one week. Instructions are to avoid hot baths, hot tubs, heavy lifting, and long travel for one week. All other normal daily activities may be immediately resumed.

Ambulatory Phlebectomy

An ambulatory phlebectomy procedure is often used as an adjunct to an Endovenous Laser Ablation (EVLA) of a 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 any pain medication is needed after an ambulatory phlebectomy treatment, acetaminophen (Tylenol) is usually all that is required. Complications are rare, but include hematoma, blood clot, paresthesia and nerve damage.

Before & After Photos