Lumps in leg after VNUS and phlebectomy

Had a phlebectomy and VNUS done 4 weeks ago. I have lumps all along where the vein used to be (ranging from pea size to walnut size). They were painful & had them drained twice now. I still have lumps. What can be done? Will these resolve?

Answers from doctors (4)


Vanish Vein and Laser Center

Published on Jun 02, 2012

These "lumps and bumps" are common and normal after a closure procedure and after microphlebectomies. The hard areas along the treated vein are due to the vein contracting and the hard areas from the microphlebectomies are due to trapped blood within the sites. Drainage of these is appropriate. The next step to treat them would be wet heat to the areas and an anti inflammatory agent such as ibuprofen.

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Answered by Vanish Vein and Laser Center

These "lumps and bumps" are common and normal after a closure procedure and after microphlebectomies. The hard areas along the treated vein are due to the vein contracting and the hard areas from the microphlebectomies are due to trapped blood within the sites. Drainage of these is appropriate. The next step to treat them would be wet heat to the areas and an anti inflammatory agent such as ibuprofen.

Published on Jul 11, 2012


Advanced Vein Center

Published on Feb 02, 2012

The lumps are remaining vein fragments. They usually resolve with time but
if large and painful they should be evacuated or an attempt made to remove
them.



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Answered by Advanced Vein Center

The lumps are remaining vein fragments. They usually resolve with time but
if large and painful they should be evacuated or an attempt made to remove
them.



Published on Jul 11, 2012


Lafayette Regional Vein & Laser Center

Published on Feb 02, 2012

This is a good question...and not so uncommon
Although it is wonderful when no bumps are present after phlebectomy, invariably due to complex anatomy and the imperfect nature of phlebectomy, bumps may be noticed.

The bumps represent a missed/skipped/retained vein section, or a small hemorrhage in the pocket where the vein used to be. If the bumps appear scarred on ultrasound, in time they simply shrink and the skin becomes smooth. If there is flow in the region, you may need additional treatment with chemical ablation (sclerotherapy).

In my practice, when we see the bumps, the course is dependent upon what the ultrasound findings show. If the bump represents an organized scar, we expect the skin to be smooth by the three month mark. I would expect you will be seeing your surgeon in the coming weeks, so that would give you some time to see what happens to the bumps and determine if further treatment may be necessary.
Best wishes

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/824_1499970480.jpg
Answered by Lafayette Regional Vein & Laser Center

This is a good question...and not so uncommon
Although it is wonderful when no bumps are present after phlebectomy, invariably due to complex anatomy and the imperfect nature of phlebectomy, bumps may be noticed.

The bumps represent a missed/skipped/retained vein section, or a small hemorrhage in the pocket where the vein used to be. If the bumps appear scarred on ultrasound, in time they simply shrink and the skin becomes smooth. If there is flow in the region, you may need additional treatment with chemical ablation (sclerotherapy).

In my practice, when we see the bumps, the course is dependent upon what the ultrasound findings show. If the bump represents an organized scar, we expect the skin to be smooth by the three month mark. I would expect you will be seeing your surgeon in the coming weeks, so that would give you some time to see what happens to the bumps and determine if further treatment may be necessary.
Best wishes

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Jan 30, 2012

These lumps are likely thrombophlebitic veins that will resolve with time.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/977_1408044083.jpg
Answered by Angelo N. Makris MD

These lumps are likely thrombophlebitic veins that will resolve with time.

Published on Jul 11, 2012


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