Key Points about Ambulatory Phlebectomy

  • During an ambulatory phlebectomy, varicose veins are removed through tiny incisions.
  • This procedure is an option when other treatments have not been successful. 
  • Most people return home the same day as the procedure. 
  • An ambulatory phlebectomy is performed by a vascular surgeon. 

Overview

Varicose veins are enlarged, sometimes twisted veins near the surface of the skin. Sometimes, they can cause pain. An ambulatory phlebectomy may be an option for people with varicose veins who haven’t had success with other treatments. During an ambulatory phlebectomy, varicose veins are removed through tiny incisions.

Candidates for ambulatory phlebectomy for varicose veins

If you have varicose veins and have tried other treatment options – such as compression stockings or lifestyle modifications – without relief from your symptoms, your vascular specialist may recommend this procedure.

Expectations from ambulatory phlebectomy for varicose veins

You will need to undergo a physical exam to ensure that you’re healthy enough to undergo the procedure. In most cases, you won’t need to make any other special preparations for the treatment.

Local anesthesia (pain prevention at the procedure site) can help reduce pain and be an option to bring you comfort. If you are feeling nervous or anxious, you may be under light sedation to help you relax.

Your vascular surgeon will start by marking the areas of your skin where the varicose veins will be removed. The surgeon makes tiny cuts in the skin near the veins to remove the varicose veins. After the veins have been removed, your surgeon uses bandages to close the incisions. Most people won’t need stitches.

Recovery from ambulatory phlebectomy for varicose veins

Most people who receive this treatment can return home the same day. You should take it easy for a few days and should wear compression stockings for at least a week. Some patients notice light bruising or experience minor swelling in the areas where the varicose veins were removed. 

You may experience very mild pain, but the pain should not interfere with your daily activities. We provide specific post-surgical instructions, so you know how to care for yourself post-procedure.

Common conditions requiring ambulatory phlebectomy for varicose veins

If you have varicose veins, your vascular specialist may recommend you undergo an ambulatory phlebectomy to remove them.

When to seek care

If you think you may need to undergo an ambulatory phlebectomy, start by voicing your concerns and symptoms to your primary care provider. From there, your doctor may suggest seeing a cardiologist for more specialized treatment. 

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