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Ambulatory Microphlebectomy
Ambulatory Microphlebectomies are used to remove smaller varicose veins. This procedure should not be confused with vein stripping. Microphlebectomies can be done as the only treatment for your varicose veins or to remove residual varicose veins after an ablation procedure.
Before the Procedure
You will be given a prescription for a mild analgesic (pain killer) to take after the procedure if you need it. You may request a sedative if you want. Both prescriptions will be given to you at your pre-procedure office visit. Take the sedative before you leave your house the day of your procedure.
The Procedure
Your veins will be marked while you are standing. Local anesthesia is injected along the course of the varicose veins. This will make the area numb. Skin incisions as small as 1 mm are made over or next to the varicose veins and the veins are gently removed using a small hook. Some incisions may be closed with glue but they are usually so small that they close on their own. No stitches are normally required.
Your leg is either wrapped in an ace wrap or a stocking is placed. You will be able to walk normally and leave shortly after the procedure is complete. You can go back to work and return to your normal activities the next day. Vigorous exercise is limited during the healing process. Bruising may occur and is part of the process. You may limit the amount of bruising by using Arnica, an herbal medication, which can be obtained from our office.
After the Procedure
isks and complications are rare. You should call Vanishing Veins if you experience severe bleeding or swelling, increasing leg pain, numbness of the feet or fever.
