Ambulatory Phlebectomy: The 'Stab' Phlebectomy

Updated on: August 18, 2014

Patients suffering from varicose veins in the Chicago, Illinois area have found success through ambulatory phlebectomy, a procedure that utilizes tiny incisions to remove problem veins. Varicose veins may be very embarrassing and troubling for some patients due to their aesthetically unappealing appearance, as well as the pain and heaviness they may cause in the legs. Patients often turn to minimally invasive alternatives to varicose vein stripping, such as ambulatory phlebectomy, to reduce their risk of certain complications and for reduced recovery and downtime.

Ambulatory phlebectomy is performed by first having the patient stand. This allows the doctor to easily identify and mark varicose veins that will be treated. The patient then assumes the supine position and an antiseptic solution prepares the leg for the procedure. A topical anesthetic is injected into the treatment area for patient comfort.

Tiny incisions are then made over the problem veins and vein hooks are used to remove the veins. Incisions are small enough that they do not require sutures to properly heal. The incisions also allow fluids to drain after the procedure. Pads are put into place to absorb the fluids and a bandage is applied to the area.

A compression bandage may be required for about one to two days after ambulatory phlebectomy to aid in healing. Patients may be advised to walk after the procedure so that the contraction of muscles in the legs rids the area of excess fluids. Compression stockings are often required once the compression bandage is removed. These are typically worn for one to three weeks. Standing for prolonged periods and engaging in strenuous activities should be avoided following ambulatory phlebectomy, although most patients are able to return to work and other normal activities in about one to three days. Patients should always follow the doctor's specific recovery and downtime instructions, however.

As with any medical procedure, patients are encouraged to discuss the possible risks and complications with the appropriate medical professional. Bleeding and infection are the most common complications associated with this procedure, while discoloration of the skin, numbness and tingling are other possible complications, although these usually resolve themselves. If these side effects persist, patients should see inform t heir doctor immediately.

Because only tiny incisions are used in this procedure, there is a reduced risk of permanent scarring. The risks associated with this procedure are fewer than those associated with most surgical or stripping procedures because of the small size of the incisions used. In some instances, darker skinned patients may require a longer time before the scars fade.

Patients who are suffering from varicose veins and who are interested in ambulatory phlebectomy are encouraged to discuss this and other treatment options with a vein specialist in the Chicago area. This is often the best resource for further information regarding varicose veins and vein treatments. A consultation with a vein specialist is helpful in determining one's own candidacy for treatment.

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