Recovering After Ambulatory Phlebectomy

Updated on: August 18, 2014

One thing that attracts individuals in Mobile, Alabama and around the country to minimally-invasive vein treatments to overcome varicose veins and spider veins is the minimal recovery period required afterwards compared to many surgical procedures. Ambulatory phlebectomy is a minimally-invasive procedure that uses only a local anesthetic rather than a general anesthetic and requires an easier, quicker recovery period than many vein stripping procedures that may require an overnight stay in the hospital. In fact, patients are typically able to return to work or resume other normal activities after only one to three days provided they avoid heavy lifting and prolonged standing.

Ambulatory phlebectomy involves making tiny incisions to remove problem veins. The patient will first stand so that the physician may mark the veins using a surgical marker. The patient then assumes the supine position and the leg is prepared using an antiseptic solution. Local anesthetic is then injected along the length of the vein being removed. Once the treatment area has been injected with the anesthetic and is numb, the tiny incisions are made over the veins. Vein hooks are then used to remove the veins. Because the incisions used during treatment are so small, sutures are not required. In fact, the incisions allow fluids to drain postoperatively. Pads to absorb the fluids are placed next to the skin and the leg is wrapped using a compression bandage.

The compression bandage helps to aid in the healing process and should be worn for about one or two days after treatment. The patient should walk soon after treatment and often, as the contraction of the surrounding muscles helps to rid the treatment area of fluids, reduces the risk of blood clots and aids in the healing process. Once the compression bandage has been removed, compression stockings should be worn for about one to three weeks as the legs heal. As mentioned, patients may be allowed to return to work after a few days as long as they avoid heavy lifting and prolonged standing.

As with just about any medical procedure, there are certain risks associated with the procedure. Bleeding and infection are the most common, but because of the tiny incisions used with ambulatory phlebectomy, these complications are much less common than with traditional vein stripping treatments. Incisions usually heal without scarring, although those with darker skin may require a longer period of time before the areas completely fade. Some of the other complications associated with this procedure include discoloration of the surrounding skin, numbness and tingling, although these should resolve on their own.

Ambulatory phlebectomy may be covered by insurance if varicose veins deemed a medical concern are treated. However, insurance companies may require that patients first try more conservative means of treatment such as wearing compression stockings, weight loss or exercise. If these are not successful in relieving the symptoms of varicose veins, treatment may be covered. Patients should consult a vein specialist in the Mobile area as well as their insurance company to determine if the treatment is covered.

Learn more about ambulatory phlebectomy in Mobile, Alabama.

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