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I have dorsal foot varicosities, as well as varicose GSV and LSV's receiving these veins. Has anyone done microphlebectomy of the foot veins (with/out EVLT) and had more good than bad experiences with this procedure here? Thank you!
Not recommended. One should treat the source veins first or simultaneously with the microphlebectomies.
It's important to treat the underlying problem first.
Michael D. Ingegno
If GSV refluxing it needs to be fixed first.
Yes, I have performed microphlebectomies on the dorsum of the foot many times. Providing adequate care is taken isolating the nerves of the foot, there shouldn't't be a problem. I recommend taking care of any saphenous incompetence and varicose veins higher in the leg first to decrease pressure on foot veins. Post-op discomfort can be present for a little longer but results will much appreciated. We actually do these for cosmetic reasons also.
Norman N. Bein MD FACS RVT
If you have reflux of the GSV and SSV then these should be treated with EVLT before the foot veins are treated. If you do not have reflux then the foot veins can be treated as a cosmetic procedure. These can be treated with laser ablation if large enough, sclerotherapy or microphlebectomy. In my experience, large foot veins do respond to laser ablation but sclerotherapy usually requires follow up evacuations and microphlebectomies can result in lymphoceles or nerve damage.