Phlebectomy

Modern minimally invasive phlebectomy is highly effective and safe. It is surprising to most people that there is little or no pain involved after the procedure.

Ambulatory phlebectomy (emphasis on the word ambulatory) is also commonly known as microphlebectomy, stab phlebectomy, or stab avulsion. Ambulatory means that you are able to walk normally right after the procedure.

With phlebectomy, abnormal varicose veins are removed through tiny needle holes with a small instrument that looks like a crochet hook. Phlebectomy is an exceptional technique to permanently remove large varicose veins.

phelbectomy

Patients with varicose veins often also experience a problem where the valves in the saphenous vein are not functioning properly.

Varicose veins are often analogous to a tree and its branches. The varicose veins that are visible are the branches that come from a vein trunk (the saphenous vein).

The saphenous vein is not usually visible. Ablation treats the trunk of the tree and the phlebectomy treats the branches (the visible varicose veins.)

The saphenous vein is closed first closed by sealing it with heat from a laser or radiofrequency catheter. The remaining surface veins can then be removed with phlebectomy or injected with medicine which is called sclerotherapy.

If the varicose veins are left alone and only allowed to decompress after a saphenous vein procedure, they will usually recur in time.

phelbectomy

Therefore, phlebectomy is usually an adjunctive procedure performed after an ablation of the saphenous vein. It can be performed at the same time as the saphenous ablation or be staged and treated at a later date.

Phlebectomy is not the traditional stripping of varicose veins where the patient often was not ambulatory after that procedure. Patients didn’t walk right away afterwards because of the pain caused from trying to walk after the stripping procedure.

Modern minimally invasive phlebectomy is highly effective and safe. It is surprising to most people that there is little or no pain involved after the procedure. Sometimes people take an anti-inflammatory medication but narcotics are not required.

A big advantage of today’s minimally invasive micro incision phlebectomy is that the veins that are removed cannot recur unlike after injections or sclerotherapy.

That is because your varicose veins are totally removed from your body.
When discussing this procedure, people are usually concerned and ask about their circulation after the removal of these large veins.

People want to know – where will the blood go? Although these large veins are removed, fortunately there are no adverse effects on your circulation. The blood is rerouted through other healthy veins that are located nearby and deep in the leg.

Your venous circulation is improved. Injection of medication into the varicose veins is the only other alternative to remove the varicose veins themselves. This is done after the ablation of the saphenous veins has been performed. Phlebectomy is indicated for medium sized to large varicose veins over sclerotherapy.

A disadvantage of sclerotherapy is that it can leave a partially damaged varicose vein that can open up with time and recur.

There are many advantages of phlebectomy over sclerotherapy. Phlebectomy is permanent. The veins that are removed can never come back. However, because of genetics or a family history of varicose veins, new varicose veins could develop over time.

Varicose veins are a progressive disease. Treatment is palliative but is usually long lasting especially when phlebectomy is done as an ancillary procedure in addition to saphenous vein ablation.

Phlebectomy is minimally invasive and well tolerated. With tumescent local anesthesia, the tissues around the target veins is and the varicose veins are entirely numbed.

People usually feel a nonpainful tugging sensation while the veins are being pulled on and avulsed. Most people do not complain of pain while it is being done. Pain medication is not required.

From a cosmetic standpoint, phlebectomy is clearly superior to sclerotherapy. There are no scars because the mini incisions are made with a needle. On the other hand, sclerotherapy often leaves tender or painful veins with trapped blood that needs to be drained later.

As the sclerosed vein dissolves, the overlying skin becomes hyperpigmented and turns brown. This rarely occurs with phlebectomy.

Also, phlebectomy does not require the drainage of trapped blood. The trapped blood after sclerotherapy that results in significant ugly hyperpigmentation (dark brown lines in the skin over the veins) often takes months or years to resolve depending on the size of the vein.

To sum it up, for large varicose veins, phlebectomy is clearly superior to sclerotherapy in terms of cosmetic results and lower rates of recurrence.

Take the next step, contact the Happel Laser and Vein Center today.

Take the next step, contact the Happel Laser and Vein Center today.

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Medical Accreditations

Dr. Happel is associated with several medical societies and accreditation groups.

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Medical Accreditations

Dr. Happel is associated with several medical societies and accreditation groups.

Read More ›

IAC Accreditation
RPVI
ACR
SVB
Certificate
American Medical Association