Ambulatory Phlebectomy: Removing Large Superficial Varicose Veins

Individuals in the Newton, Connecticut area who are interested in treatment for large superficial varicose veins may find the treatment they're looking for through ambulatory phlebectomy—a procedure that utilizes tiny incisions through which problems veins may be removed using vein hooks. Varicose veins may be very troubling for those suffering from them and finding relief is often important to many of those suffering from this condition. It may lead to embarrassment for some due to the unsightly appearance of the condition, while others may be also bothered by the pain and heaviness in the legs often associated with varicose veins.

Ambulatory phlebectomy will begin with the patient standing to allow the specialist to easily identify the varicose veins. The veins being taken out are marked using a surgical marker and the patient will then assume the supine position. Next, the leg is prepared using an antiseptic and a local anesthetic is injected along the veins that are being treated. With the treatment area numbed from the local anesthetic, tiny incisions are made over the veins, which are then removed using vein hooks. Because the incisions used with this procedure are so small, they do not require sutures. The incisions even allow excess fluids to drain postoperatively. Once the veins targeted for removal have been successfully removed, pads are placed next to the skin to absorb excess liquids and the leg is wrapped with a compression bandage.

The compression bandage is left in place for about a day or two to help aid in the healing process. Patients are often encouraged to walk shortly after the procedure, as the contraction of the surrounding muscles may be helpful in ridding the treatment areas of excess fluids, reducing the risk of blood clots and may help to contribute in the healing process. When the compression bandage is removed, compression stockings may be worn for about one to three weeks to continue to aid in the healing process. Patients are typically able to return to work and other normal activities within one to three weeks, but should avoid heavy lifting and prolonged standing.

As with just about any procedure, there are certain risks associated with ambulatory phlebectomy that should be discussed with a Newton area vein specialist. The most common complications associated with many procedures are bleeding and infection. Because smaller incisions are used with ambulatory phlebectomy, these complications are less common than with traditional vein stripping procedures. The incisions usually heal without scarring, but darker skinned individuals may require more area before the areas fade completely. Other potential problems following ambulatory phlebectomy include discoloration of the surrounding skin, numbness and tingling.

Insurance may cover the cost of treatment, but first may require that patients try more conservative methods of treatment such as wearing compression stockings, weight loss and exercise. If these conservative methods are not successful in relieving symptoms of varicose veins, then insurance may cover the cost of treatment. Patients should discuss this with a specialist in Newton and their insurance company.

Learn more about ambulatory phlebectomy in Newton, Connecticut.