An ambulatory phlebectomy is a procedure that removes bulging veins through tiny incisions. It is usually performed on large veins that bulge above the surface of skin. Many patients have this minimally invasive operation when these veins lead to other complications.
How is a Phlebectomy performed?
Phlebectomy is a minimally invasive procedure that uses either a needle or small scalpel to remove varicose veins that lie just beneath the surface of the skin. Varicose veins most commonly appear on the legs. The procedure starts by making tiny punctures or incisions in the skin near the varicose vein. Veins have the ability to be collapsed and large veins can be removed through these tiny incisions.
Be sure to tell your doctor about any recent illnesses, medical conditions, allergies and medications you’re taking. Your doctor will give you instructions on how to prepare, including any changes to your regular medication schedule. This procedure is usually done within your physician’s office using a local anesthetic and requires little to no special preparation. We recommend to leave jewelry at home and to wear loose, comfortable clothing. You may be asked to wear a gown when you arrive.
5 Things you should know about Ambulatory Phlebectomy:
- Ambulatory phlebectomy is the ideal procedure for bulging veins.
When the affected vein is removed from the body, all of the associated symptoms are immediately eliminated.
- The procedure is minimally invasive.
This surgical procedure requires small incisions and local anesthetic. However, because this procedure is minimally-invasive, it can be performed in your doctor’s office. No overnight hospital admission or anesthesia is required.
- Recovery time is minimal.
When the procedure is completed you will be able to go home the very same day. You may experience some swelling, bruising, and mild pain around the incision site. Your doctor will also ask that you wear compression stockings. Your doctor may recommend that you return to you normal activities within 24 hours.
- Complications are rare, but possible.
Like all surgical procedures, this one carries a small risk of complications. Possible complications of this procedure include an allergic reaction to the local anesthetic used, nerve injury, inflammation, bruising and infection. A patient who experiences complications should report their symptoms their doctor immediately.
- Ambulatory phlebectomy is not the only treatment option available.
Although ambulatory phlebectomy is a popular treatment choice, it’s not the only option when suffering from abnormal or bulging veins. Other treatment options available include endovenous laser treatment, transdermal laser, and sclerotherapy. Some mild cases of varicose veins may also respond to at-home remedies, such as weight loss, elevation of the legs, increased exercise, and compression stockings.
How long does ambulatory Phlebectomy take?
The Ambulatory Phlebectomy procedure takes approximately one hour. The management of patients following surgery for varicose veins has changed substantially during the last forty years, from a routine inpatient stay and advice to remain off work for up to six weeks, to day case surgery and advice to return to normal activities as rapidly as possible. Recent advancements in the treatment for varicose veins has highlighted the importance of minimal disruption to activity. Treatments such as radiofrequency and sclerotherapy often suggest that the recovery from surgery is painful and prolonged.
Is ambulatory Phlebectomy painful?
Before the removal of veins starts, the skin and the tissue over the vein will be anesthetized with a local anesthetic infusion. This part will cause transient, mild pain as all local anesthetic injections do. But this will render the skin and the vein painless during the rest of the procedure making the removal of the vein itself does not hurt.
Most patients report that recovery pain after phlebectomy is less than that after endovenous laser ablation therapy. This may also be because most phlebectomy procedures are done within days after EVLT. Some patients say opposite, in that recovery pain is more severe than the recovery pain after an EVLT procedure. Pain after the phlebectomy procedure is mostly mild discomfort.
If you or someone you know is suffering from the effects of bulging veins, contact our office to get in touch with a specialist. To book an appointment, call (412) 312-4666 or visit us online at veinspecialistsofpittsburgh.com. We are located at 333 Allegheny Ave #200, Oakmont, PA 15139.