Will Ambulatory Phlebectomy Help Get Rid of Varicose Veins?

Updated on: August 18, 2014

Varicose veins are a troubling condition for those in Traverse City, Michigan or anywhere in the country for that matter. Not only do they lead to embarrassment or self-consciousness for many due to their unsightly appearance, but varicose veins may be a cause of pain and heaviness in the legs and can be quite uncomfortable. Many seek treatments and procedures to help them overcome this condition, although some are scared off by invasive surgical procedures while others do not find conservative methods of relieving symptoms such as exercise or weight loss to be all that effective. While surgical options may be the best option in some cases and conservative treatments have helped many find relief, there is a middle ground that many find helpful.

Minimally-invasive options such as ambulatory phlebectomy have been instrumental in helping countless patients find relief from varicose veins. Most minimally-invasive treatment options do not require a general anesthetic nor do they require a stay in the hospital in most cases. Patients are typically allowed to return to normal activities within a few days or a week or two at the most, while some are able to resume their normal routine immediately after treatment. With ambulatory phlebectomy, patients are able to return to work in one to three days in most cases, but should avoid prolonged standing and heavy lifting for the first few weeks.

To begin this procedure, the patient will stand so the veins to be removed may be marked using a surgical marker. The patient then assumes the supine position and the leg is prepared with an antiseptic solution and a local anesthetic is injected into the treatment area. Next, tiny incisions are made over the veins and vein hooks are used to remove the problem veins. The incisions used are so small that they do not require sutures and even allow for the drainage of excess fluid postoperatively. Pads to absorb the fluid are put into place next to the skin and a compression bandage is used to wrap the leg.

The compression bandage should be kept in place for about 24 to 48 hours to aid in the healing process. The patient is often encouraged to walk shortly after the procedure as the contraction of the surrounding muscles helps to rid the treated area of excess fluid, reduces the risk of blood clots and helps the healing process. Compression stockings may be worn for about one to three weeks once the compression bandage is removed to continue to aid in the healing process.

As with just about any other medical procedure, there are certain risks associated with ambulatory phlebectomy. These may include bleeding and infection, although because of the small incisions used with this procedure, these risks may be much less than with traditional vein stripping procedures. Most incisions heal without scarring, although individuals with darker skin may require a longer period before the areas fade completely. Other possible risks include discoloration of the surrounding skin, numbness and tingling, although these typically go away on their own. All patients should speak with a vein specialist in the Traverse City area regarding possible risk factors before undergoing treatment.

Insurance may cover the cost of treatment, but patients may be required to first try more conservative treatment options such as wearing compression stockings, losing weight or exercising before insurance will cover the cost of ambulatory phlebectomy. The case of each patient may be different, so those interested in ambulatory phlebectomy should seek consultation with a vein specialist and should speak with their insurance company to determine if the procedure will be covered.

Learn more about ambulatory phlebectomy in Traverse City, Michigan.

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