Ambulatory Phlebectomy and Overcoming Varicose Veins

Updated on: August 18, 2014

Varicose veins may be a nuisance for those in Lakeland, Florida and other areas of the country as they deal with the unsightly appearance of the condition and the pain and heaviness often associated with it. Thankfully, minimally-invasive treatments such as ambulatory phlebectomy may provide relief and allow patients to get rid of these veins and the symptoms that accompany them. Ambulatory phlebectomy involves the remove of problem veins through tiny incisions and the use of vein hooks. The incisions used are so small that sutures are not required and only a local anesthetic is required during treatment for patient comfort.

The patient will be asked to first stand so that the specialist may mark the veins to be treated using a surgical marker. It is when standing that varicose veins are most easily identified. The patient then assumes the supine position and the leg is prepared using an antiseptic solution. Local anesthetic is then injected for patient comfort. When the area has been anesthetized, tiny incisions are made over the veins and vein hooks are used to remove them. As mentioned, the incisions used are so small that sutures are not required. The incisions may even allow fluids to drain postoperatively. Pads to absorb the fluids are placed next to the skin and the leg is wrapped with a compression bandage.

The compression bandage should be worn for about a day or two after treatment and the patient will be encouraged to walk shortly after the procedure. The contraction of surrounding muscles in the area is helpful in ridding the area of excess fluid, reducing the risk of blood clots and contributing to the overall healing process. When the compression bandage is removed, compression stockings should be worn for about one to three weeks to continue to aid in the healing process. Patients may return to work after about one to three days, but should avoid heavy lifting and prolonged standing in the first few weeks.

As with most treatment options, there are certain risks and complications of which patients should be aware. Bleeding and infection are the most common complications associated with ambulatory phlebectomy, but these complications are less common than with traditional vein stripping because of the size of the incisions used. Other potential complications may include discoloration of the surrounding skin, numbness and tingling, although these typically resolve on their own. Interested individuals should speak with a vein specialist in the Lakeland area to ensure they fully understand the potential risks and complications associated with ambulatory phlebectomy.

The procedure may be covered by insurance companies, although patients may be first required to try more conservative options such as compression stockings, weight loss and exercise. Those interested should first speak with a vein specialist and their insurance company to determine if their insurance will cover the cost of treatment. The overall cost of the procedure will depend on the extent of the varicose veins that are being treated.

Learn more about ambulatory phlebectomy in Lakeland, Florida.

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