What is Ambulatory Phlebectomy?
An ambulatory phlebectomy is an outpatient procedure performed to remove varicose veins through small micro-incisions in the skin. Since veins are extremely collapsible, even the largest affected veins can often be removed through tiny incisions using the ambulatory phlebectomy procedure.
Benefits of Ambulatory Phlebectomy
This minimally invasive treatment does not require sutures or general anesthesia and can easily be performed in the doctor’s office with minimal downtime. It also has fewer risks and less associated pain than with traditional surgical treatment.
Dangers of Untreated Varicose Veins
Some patients seek treatment for their varicose veins for cosmetic purposes, while others are concerned about the potential risks of their damaged veins. Untreated veins can lead to the following:
They can also affect the flow of oxygen-depleted blood between the lower legs and the heart. Ambulatory phlebectomy treats symptomatic and asymptomatic veins and can relieve both cosmetic and medical concerns in one simple procedure.
Ambulatory Phlebectomy Procedure
The ambulatory phlebectomy procedure is performed under local anesthesia on an outpatient basis. Dr. Brar will first identify the veins to be treated to ensure precise removal and to help preserve the health of surrounding veins and tissue. Multiple tiny 2 to 3 mm incisions will be made in the targeted areas, and a surgical micro-hook will be inserted to extract the varicose veins section by section. This procedure takes 30 minutes to 2 hours to perform depending on the amount of varicosities that are being removed.
After damaged veins have been removed, other healthy veins in the leg will absorb the excess blood and reinstate a normal blood flow. Functioning will not be affected by removing the damaged veins, as there are many surrounding veins to take over.
Does an Ambulatory Phlebectomy Hurt?
Patients generally do not experience any discomfort during the procedure. Following treatment, compression stockings will be worn for the next 3 weeks to help minimize swelling and discomfort and to help ensure an excellent cosmetic outcome.
Vein Treatment Patient Testimonial
“Dr Brar is so wonderful! I appreciate how she explains everything to help me understand everything. The total overall care was outstanding.”
What is the Recovery Process Like?
Patients will be able to walk and carry on with normal low-impact activities immediately after the ambulatory phlebectomy procedure. Patients can return to work 1 to 2 days after the procedure, but vigorous exercise and heavy lifting should be avoided for at least one week. The incisions from this procedure do not require sutures, heal on their own, and are often barely visible after 6 to twelve months and often even sooner.
How Soon Will I See Results?
Most people see effective results from an ambulatory phlebectomy, with damaged veins being completely removed. Any associated symptoms such as pain or discoloration should be relieved immediately after the procedure. Ambulatory phlebectomy offers permanent effective results for most patients, although it is possible for new varicose veins to develop. You can help minimize the risk of varicose veins by losing weight and maintaining an active life.
Risks and Side Effects of Ambulatory Phlebectomy
Although an ambulatory phlebectomy is considered a safe procedure, there are certain risks and complications associated with any surgical procedure. Some of these complications include bruising, swelling, and incomplete removal of damaged veins, which may lead to further inflammation and irritation. Temporary swelling and bruising can be minimized with compression stockings, icing, and over-the-counter medications. The most serious complication of this procedure is the development of a blood clot in a deep vein, but this risk is extremely rare and is minimized by wearing compression stockings and by staying active.
Who Is Not A Good Candidate for Ambulatory Phlebectomy?
Patients who are allergic to local anesthesia, those who cannot wear prescription-strength compression stockings, and those who are not able to walk for at least 30 minutes per day should not undergo the ambulatory phlebectomy procedure. Any active infections or rashes should be thoroughly treated before this procedure as well.