How Does Ambulatory Phlebectomy Remove Varicose Veins?

Updated on: August 18, 2014

Varicose veins are a condition that affects many patients in Sioux Falls, South Dakota and throughout the nation. Those suffering from these problem veins are encouraged to seek the consultation of a medical professional in the community to determine which treatments may provide the best chances of success. The bulging, purplish appearance of this venous condition often causes embarrassment and self-consciousness in patients, while the pain and heaviness often associated with varicose veins can be just as troubling. Ambulatory phlebectomy is a minimally-invasive procedure that utilizes tiny incisions to remove unwanted varicose veins.

To begin ambulatory phlebectomy, the patient first stands. It is in this position that the varicose veins are easiest to identify and mark. The physician then uses a surgical marker to mark the problem veins for removal. The patient then lies on his or her back and an antiseptic solution is used to clean the treatment area. A local anesthetic is then used to numb the area for patient comfort during the treatment.

With the area numb, the tiny incisions are made along the problem vein. Vein hooks are then used to remove the portion of the vein. No sutures are required as the incisions used in this procedure are very small. The incisions even allow any excess fluid to drain after the procedure. Pads to absorb the fluid are placed next to the leg and a compression bandage is used to wrap the leg after all veins have been treated. Those interested in ambulatory phlebectomy are encouraged to discuss the procedure in greater detail with a vein specialist in the Sioux Falls community.

The compression bandages should be worn for about one to two days to aid in healing. The patient is also encouraged to walk shortly after the procedure has been completed. The contraction of the muscles in the legs helps to get rid of the excess fluid in the treated areas. Compression stockings should be worn for about one to three weeks after the compression bandages have been removed. Most patients are able to return to work and assume other normal activities after one to three days, although patients should avoid strenuous activities and prolonged standing for the first few weeks.

There are some risks associated with ambulatory phlebectomy that patients should discuss with a vein specialist prior to undergoing this procedure. As with many procedures, there is a slight risk of bleeding and infection with ambulatory phlebectomy. Because only small incisions are made in this procedure, the risk is much smaller than with other procedures. In most cases, the incisions heal without scarring, although darker skinned individuals may require more time for the area to fade completely.

Other complications associated with this treatment include discoloration of the skin surrounding the treatment area, numbness and tingling. For more information about these possible risks and complications, patients should speak with a trained vein specialist.

The cost of this procedure varies depending on the extent of the area being treated. In many cases, insurance will cover the cost of ambulatory phlebectomy. However, conservative treatment options such as weight loss, compression stockings and exercise may be required before insurance will pay for the procedure. Each case is different and patients are encouraged to discuss their case with a medical professional and their insurance company.

Learn more about ambulatory phlebectomy in Sioux Falls, South Dakota.

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