Is Ambulatory Phlebectomy an Option for Removing Varicose Veins?

Updated on: August 18, 2014

Varicose veins are burdensome and quite troublesome for patients throughout Stockton, California and in other parts of the country. Varicose veins appear as bulging and unsightly. They are often purplish in color and may lead to self-consciousness in some patients due to their aesthetically unappealing appearance. Pain and discomfort may accompany some varicose vein conditions as well. Treatment, therefore, is very important for many patients. Ambulatory phlebectomy is a varicose veins treatment that has successfully helped patients throughout the community overcome the condition in a safe manner.

Ambulatory phlebectomy involves a series of tiny incisions along the vein through which vein hooks may be used to remove the vein. Other veins will then carry out blood flow once the problem vein has been removed. The patient begins the procedure standing up so that the specialist performing the procedure may mark the varicose veins using a surgical marker. The patient will then assume the supine position and an antiseptic solution will be used to prepare the area followed by a local anesthetic to provide for patient comfort during the treatment.

Once the treatment area is numb, the physician will begin making incisions over the veins. Vein hooks are then used to remove the veins. Sutures are not required with this procedure, as the incisions made are very small. The incisions even allow for excess fluid to drain after the procedure. Pads are put in place once treatment is complete to absorb the fluids and a compression bandage is applied to aid in healing. It will be worn for a couple of days following treatment.

Individuals are encouraged to walk soon after the procedure, as the contraction of the muscles helps to rid the area of excess fluid, reduces the risk of blood clots and aids in healing. Compression stockings are worn for one to three weeks to aid in healing after the compression bandage is removed. Patients are usually able to resume normal activities and return to work after one to three days, although strenuous activities and heavy lifting should be avoided in the first few weeks.

Complications such as bleeding and infection have been associated with ambulatory phlebectomy, although this is much less common than other procedures because the incisions used are so small. Most incisions heal without scarring, although those with darker skin may require a longer period before the marks completely fade away. Some of the other risks associated with ambulatory phlebectomy include discoloration of the surrounding skin, numbness and tingling.

Ambulatory phlebectomy may be covered by insurance if it is used to treat varicose veins that are causing negative symptoms such as pain, heaviness or discomfort. To determine if insurance will cover the cost of the procedure, those interested should speak with their physician in Stockton, as well as their insurance company. Before ambulatory phlebectomy, patients may be first required to try more conservative approaches to treating the symptoms of varicose veins such as exercise, weight loss and the use of compression stockings.

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