Ambulatory Phlebectomy is a minimally invasive procedure used to remove varicose veins on the surface of the leg. This procedure involves making very small punctures or incisions in the skin near the affected vein. Veins are very collapsible and are easily removed through these tiny incisions. Phlebectomies can easily be done on an outpatient basis using local anesthetic.
The incisions that are made require no stitches and patients rarely report any pain during the procedure. When the procedure is complete, your leg will be wrapped in a snug compression wrap. You will be instructed to wear prescription strength graduated compression stockings for two to three weeks after the procedure. As long as you wear these stockings, you can resume almost all normal activity the day after the procedure.
The long term results of phlebectomy are excellent when performed for the correct medical reason. Success in greater than 90% of patients has been observed. These procedures are done in our Vein Clinic located at the Blue Ridge facility.
Consutative appointments can be made by calling 919-781-1437 or you can submit your information online – select “Request a Vein Consult” above.
Frequently Asked Questions
A local anesthetic, usually lidocaine unless the patient is allergic and an alternative takes its place, is used to de-sensitize the treatment area and the procedure itself is not painful. There will be little to no discomfort for the first week after the procedure.
Micro-incision entry points are sufficiently small such that they do not require stitches and merely leave barely noticeable tiny puncture mark scars.
You may resume normal activities including exercise within 3-4 days of the Ambulatory Phlebectomy. Many patients return to work and normal activity after a day of light activity and keeping the leg elevated. Strenuous and high impact activities should be limited for two weeks, and you will likely be asked to wear a compression stocking during that time to prevent recurrence.
Compared to traditional vein stripping, the phlebectomy technique is minimally invasive, almost always devoid of significant side effects. Bruising will appear in many cases, but usually dissipates within a month.
Ambulatory Phlebectomy requires no preparation except bringing your prescription strength compression stockings with you. Our physician will write you a prescription for these at your consult appointment.