What is Ambulatory Phlebectomy and How Does it Treat Varicose Veins?

Individuals suffering from varicose veins in the Mesquite, Texas area have found relief through various minimally-invasive treatments and procedures. One such treatment is ambulatory phlebectomy, which involves the removal of problem veins using tiny incisions and vein hooks. Varicose veins may be particularly troubling due to the discomfort and pain often associated with the procedure, while many also feel self-conscious due to the unsightly appearance of the condition. The procedure is performed in a outpatient surgery center of a physician's office. There is a reduction in the anesthesia used compared to vein stripping procedures, as ambulatory phlebectomy requires a local anesthetic, whereas vein stripping requires a general anesthetic.

This procedure begins as the patient stands so that the physician may mark the varicose veins and where the tiny incisions will be made. The patient then assumes the supine position and the leg is prepared using an antiseptic solution. A local anesthetic is then injected along the length of the veins being treated to help ensure patient comfort throughout the procedure. Many procedures use a large volume of a low concentration local anesthetic, as the fluid helps to numb the surrounding skin and also helps pull the veins away from tissue in the area. It also helps to compress capillaries in the area to reduce bleeding following the procedure.

Next, with the entire treatment area injected with the local anesthetic, the tiny incisions are made over the veins and vein hooks are used to remove them. The incisions used are so small that sutures are not required for this procedure. The incisions even allow fluids to drain after the procedure. Once the veins have been removed, pads are put in place to absorb fluids and the leg is wrapped in a compression bandage. The compression bandage should be worn for about a day or two after the procedure is performed to help aid in the healing process.

Patients should walk shortly after the procedure in most cases, as the contraction of the surrounding muscles helps to rid the area of excess fluid, reduce the risk of blood clots and contribute in the healing process. After the removal of the compression bandage, compression stockings should be worn for one to three weeks as the legs continue to heal. Patients are typically able to resume normal activities and return to work after about one to three days. Patients should continue to avoid heavy lifting and prolonged standing in the first few weeks.

As is true of most procedures, there are certain risks associated with ambulatory phlebectomy that patients should be aware of prior to undergoing treatment. The most common complications associated with most procedures are bleeding and infection. Because smaller incisions are used with ambulatory phlebectomy, these complications are less common than vein stripping procedures. The incisions usually heal without scarring, although darker skinned individuals may require additional time for the areas to fade completely. Some of the other complications associated with ambulatory phlebectomy may include discoloration of the surrounding skin, numbness and tingling.

Insurance may cover the cost of treatment if the varicose veins are medically troubling and cause painful symptoms. However, insurance companies may require that patients try other more conservative treatments such as wearing compression stockings, weight loss and exercise before they will cover the cost of treatment. It is important to discuss this procedure and whether insurance will cover the cost with a physician in the Mesquite area as well as their insurance company. The overall cost of treatment may depend largely on the extent of the varicose veins that must be treated.

Learn more about ambulatory phlebectomy in Mesquite, Texas.