What is the recovery time after cauterizing veins with microphlebectomy?

How long does it take one to recover after vein surgery?

The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice, diagnosis or treatment by a qualified health care provider.


Replied on 9/15/2010

By: Vanish Vein and Laser Center  |  John Landi,MD,FACS,RPVI,RPhS, Diplomate ABVLM
Naples, FL

Microphlebectomy does not use cautery to treat veins. The recovery time following microphlectomy is about 2 weeks but by the next day after the procedure you should be able to return to most routine activities except for swimming or strenuous exercise.

Replied on 10/8/2009

By: Heart and Vein Center  |  Rodolfo D. Farhy, MD, FACC, FAHA
Lathrup Village, MI

There is essentially no recovery time for ambulatory phlebectomy. All the patients walk out by themselves from the office. Most of them can go back to usual activities the next day. They must wear compression stockings for two weeks.

Replied on 10/5/2009

By: VeinCare Centers of Tennessee  |  Stephen F. Daugherty, M.D.,F.A.C.S.
Clarksville, TN

After microphlebectomy, we ask our patients to elevate their legs for the first 2 to 3 hours and then to walk later in the day. Most daily physicial activity is well tolerated the day after surgery. We ask our patients to avoid vigorous physical activity for one week post-op.

Showering is allowed beginning 48 hours after surgery, but we ask patients to avoid tub baths, whirlpools, swimming pools, or activity which may soil their legs for two weeks post-op. A few patients need mild narcotic medication intially, but most patients take non-steroidal anti-inflammatory drugs such as ibuprofen or Aleve for a few days after surgery.

Replied on 10/2/2009

By: Vein Specialists  |  Joseph G. Magnant, M.D., F.A.C.S.
Fort Myers, FL

Recovery after sealing of the leaking veins with laser or radiofrequency is variable depending on the patient's pain perceptions and tolerance. In general however my patients can usually return to work within 3-4 days and a significant percentage of them have returned the same afternoon or the following morning. After microphlebectomy, which is removal of bulging tortuous varicose veins, it might take a little longer to make it back to work, but only by a day or two.

Replied on 10/2/2009

By: General Vascular Surgery Group  |  Michael D. Ingegno, M.D.
Robert O’Neil Gingery, M.D.
Lamont D. Paxton, M.D.

San Ramon, CA

We do not "cauterize" veins with micro phlebectomy, but simply remove the collapsed superficial veins after ablating/closing the incompetent feeder vein (with Laser or Radiofrequency). Patients are walking immediately after a period of relaxation with the legs elevated at home for a couple of hours. Light duty can be resumed the next day, with vigorous exercise at a week.

Replied on 10/2/2009

By: Angelo N. Makris MD   |  Angelo N. Makris, M.D. Interventional Radiology Center
Oak Brook, IL

The recovery time is almost non-existent. Patients walk out of the office and all patients are given a prescription for Motrin. It is rare that a patient needs anything stronger. I do not advocate bedrest after this procedure. Most people are back to their normal routine within
24-48 hours.

Replied on 10/2/2009

By: VeinSolutions - Edina  |  
Edina, MN

Most patients can resume normal activity (with the exception of vigorous exercise) within a few days after having phlebectomies. We do want patients to rest and elevate for the first two days after the procedure, but walking a few times throughout the day is encouraged beyond that point.

Replied on 10/2/2009

By: The Kimmel Institute  |  Dr. Richard Kimmel
Boca Raton, FL

The question is a little unclear.

"Cauterizing" refers to applying radiofrequency energy to a bleeding vessel or other tissue for hemostasis to stop the blood. This is most routinely done during open surgical procedures.

A microphlebectomy involves making 1-2 mm incisions or needle sticks in the area of a dilated abnormal vein, and then inserting a surgical hook (like a crochet hook) to tease out the vein. There is no cauterization involved in this procedure. The bleeding that occurs is minimal and easily controlled with direct pressure for a few minutes.

That said, we advise 2 weeks of recovery without strenuous activity due to the multiple tiny cuts in the skin required to complete the procedure. Patients can resume normal activities, including returning to work, in one or two days, depending on how they feel.

More Questions on Microphlebectomy

Is microphlebectomy effective in treating varicose veins? (14 answers)
I’ve heard microphlebectomy is a newer surgical treatment method for varicose veins. What exactly is it, and is it as effective as other surgical or minimally-invasive treatment options?

Is microphlebectomy the same thing as ambulatory phlebectomy? (12 answers)
I have large varicose veins on both legs and am trying to figure out what the best treatment is. Microphlebectomy and ambulatory phlebectomy both are surgical procedures, and they sound kind of the same. Which is better?

Can the blue tint in my leg still be a vein after microphlectomy? (12 answers)
A part that was left in my leg after microphlectomy looks blue but concave. Could the remainder of the space where the vein was taken out be a blue tint? I am paranoid there is still vein left.

How long do I have to wear compression hose after microphlebectomy? (11 answers)
I am 6 days post op from microphlebectomy. How long should I wear compression hose? Everyone seems to really vary with this answer...

Does microphlebectomy cause scarring? (10 answers)
I've heard microphlebectomy described as minimally invasive, but from what I understand it's still surgery. Wont there still be scars?

When would microphlebectomy be used instead of ELA? (9 answers)
It seems like ELA is less invasive.

Should I get Microphlebectomy and Endovenous Ablation to ensure my varicose veins do not come back? (9 answers)
I have multiple large superficial veins on my legs. Should I get microphlebectomy to get rid of the veins themselves, and then ELA so they don't come back? Or will ELA be enough that I wont need microphlebectomy?

Is there any risk in not doing microphlebectomy after the closure procedure? (9 answers)
My leg feels a lot better after 2 months (not perfect) but some bulging veins remain. Could I worsen my condition if I don't remove the bulging veins? How would blood flow out?

Is microphlebectomy safe for removing varicose veins near the inner ankle bone and foot? (9 answers)

Can the same results be achieved if a microphlebectomy is done before endovenous laser ablation? (8 answers)
My doctor didn't notice the saphenous vein was abnormal until right before the microphlebectomy was to be done. He suggested that we could do the endovenous laser ablation later on. Will the same results be achieved if the microphlebectomy was done first?

Does microphlebectomy require a longer recovery time than endovenous ablation techniques? (8 answers)
Do the incisions take longer to heal?

When should one have microphlebectomy versus endovenous ablation procedures? (8 answers)
I want to have my varicose veins on my legs addressed. Are there certain circumstances where microphlebectomy is better than endovenous ablation? Or vice versa?

Will I need to take antibiotics after my Microphlebectomy procedure? (8 answers)
Is the risk of infection very high?

How long before Microphlebectomy should I stop taking aspirin? (8 answers)
I’ve heard that taking aspirin could complicate the procedure. I take aspirin daily, but I want to make sure it doesn’t affect my vein procedure. What is a safe period of time to allow for the drug to be out of my body?

What kind of anesthesia is used during Microphlebectomy? (8 answers)
Will I be put under? What is typically used for pain?

How does Microphlebectomy work? (7 answers)
How can the large veins be pulled out of such small little incisions?

What kind of Varicose veins are best treated with Microphlebectomy? (7 answers)
I have some smaller, superficial varicose veins (they aren't as small as spider veins), and also two larger, more ropy varicose veins, all on the same leg. Can microphlebectomy treat both types of veins, or should I look into ablation procedures?

What is the recovery and post-operative care like after microphlebectomy? (7 answers)
What is the length of recovery?

Does no compression hose after small microphlebectomy sound right? (7 answers)
I have 2 small reticular veins that are varicose. My doctor is going to do a Microphlebectomy. He said due to the size it won't even be necessary to wear compression hose after. He also stated there is no chance of DVT. Does this sound accurate?

Why am I experience pain in my pelvic/vaginal area after a VNUS closure and phlebectomy? (7 answers)
I had a VNUS closure with phlebectomy on my right leg (near the knee and calf region). This was 10 days ago and I am still experiencing low pelvic pain and vaginal discomfort more each day. Why is this happening?

Is numbness after microphlebectomy normal? (7 answers)
Ten days after microphlebectomy I still have numbness and tingling on the top and medial aspect of my right foot and ankle. What is this from and will it resolve?

How long after laser ablation and microphlebectomy can I swim, shave and use self-tanner? (5 answers)
I had a laser ablation and microphlebectomy for a large varicosity from the inner thigh to the lower shin. When will I be able to shave my legs, go swimming and use lotion with a tanning agent?

Pain 5 weeks after phlebectomy? (5 answers)
I had some phlebectomy's 5 weeks ago (2 at the ankle, 1 over the knee, 1 medial superior calf). I have burning pain & tenderness over some of the remaining posterior veins in the calf. DVT was ruled out. How long does phlebitis last? is this normal?

Can I expect a lot of bruising after Microphlebectomy? (5 answers)
How bruised will my legs be after the Microphlebectomy procedure?|

PE after microphlebectomy (4 answers)
I've have PE after this procedure. I'm currently on Dabigatran 150 mg 2/day for 3 months. I never had DVT before and I'm very active . I'm very nervous how long I'm in danger of another PE related to the same proc.

Under eye veins (4 answers)
Is there any danger to having veins under the eyes removed? Should this procedure be avoided if the patient has circulatory problems? How wide are the incisions for removing under eye veins? What is the cost of this procedure typically?

Yellow fluid is draining from one of the incisions made during microphlebectomy, is this normal? (4 answers)
I had a microphlebectomy a week ago. The doctor inserted a lot of fluid in the veins to deaden them. I am now having a lot of drainage from one of the cuts. It is yellow in color. Is this normal, or is it something I should be concerned about?

I have small pieces of tissue coming from the microphlebectomy incision sites, should I be trimming it? What to do about pain? (4 answers)
I have small pieces of tissue coming from several incision sites. I can pull them and trim some, but then they bleed a little. Should I be trimming this tissue? Also, what about the incision site on top of my foot that hurts a lot and sends shooting pain down my foot?

How do I get rid of the bulging veins on the side of my forehead? Is microphlebectomy an option? (3 answers)

About how long after a Microphlebectomy does it take the remaining vein to clot (go away)? (3 answers)
Can you give me a approximate time for the remaining vein to clot?

Why would my doctor recommend both RF and microphlectomy? (2 answers)
I am a big built, 6'2 healthy man. My right leg has large looking veins and after having an analysis, it was recommended that I have RF, followed by microphlebectomy. Is microphlebectomy really necessary? If so, why?

Should I put an ointment on the incision site after a microphlebectomy? (1 answer)
I just had a microphlebectomy on my left leg yesterday and my leg is pretty sore, especially on my knee where he took out a vein. I still have gauze on them but was wondering if I should put bacterium or neosporin ointment on all the little cuts.

No compression hose after small microphlebectomy (1 answer)
I have 2 small reticular veins that are varicose. My doctor is going to do a Microphlebectomy. He said due to the size it won't even be necessary to wear compression hose after. He also stated there is no chance of DVT. Does this sound accurate?

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