What is a Phlebectomy?

Phlebectomy (also known as microphlebectomy, ambulatory phlebectomy, or stab avulsion) is a technique to remove varicose veins. In this procedure, clinicians make micro-incisions in the leg near the varicose vein. These incisions are so small they do not require stitching. A doctor then inserts a small surgical hook into the opening and removes the varicose vein. Since we use a local anesthesia, the patient only feels a slight pulling sensation and no significant pain. After the phlebectomy, patients may experience slight bruising and swelling, but a compression hose minimizes this. The blood that was going through these veins re-routs to other, healthy veins.

Phlebectomy might be done along with another treatment for varicose veins, including endovenous laser treatment. This is why it is important to rule out chronic venous insufficiency prior to treating varicose veins because the root cause must be addressed first.

Is it safe?

Phlebectomy usually does not lead to complications. Possible complications include short-term skin color change, infection, pain, and tiny red spider veins.

How well does it work?

Phlebectomy can help improve the cosmetic appearance of skin after treatment. However, this procedure is less likely to fix varicose veins when the leg veins are not working well. Legs with varicose veins often do not work well. Thus, this procedure and EVLT often go hand-in-hand. If the leg veins are working correctly, then this treatment can be used alone and then followed with sclerotherapy treatments, if needed.


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