What is phlebectomy?
An ambulatory phlebectomy is a procedure to remove varicose veins (veins that are enlarged and exposed). The operation is performed under local anesthesia where small incisions are made in the affected veins.
There is no specific preparation required before undergoing an ambulatory phlebectomy.
Why use it?
A phlebectomy is used to treat veins that have begun to bulge and become prominent bulges on the surface of the skin. Although varicose veins can appear anywhere, they are most common in the legs, as being upright means there is more pressure on these veins.
To prevent blood from circulating backwards, the veins contain valves that only allow blood to circulate in one direction. In varicose veins, these valves no longer function properly allowing blood to circulate backwards and cause the vein to enlarge. People may opt for treatment for cosmetic reasons or if varicose veins become painful, uncomfortable or pruritic (itchy sensation).
However, for more severe cases of varicose veins, a phlebectomy may be recommended.
What does it consist of?
An ambulatory phlebectomy can often be performed under local anesthesia and does not require a prolonged hospital stay. The veins are removed through multiple small incisions in the skin. Only the parts of the skin that have incisions need to be numbed with local anesthesia. The scars from these incisions are very small and the procedure is usually done in 30 minutes to an hour.
There are few complications that can arise from this procedure, but sometimes patients may experience short-term pain, infection or changes in skin color.
How to prepare for this?
There is no specific preparation required before undergoing an ambulatory phlebectomy, however, patients are advised to wear loose-fitting clothing and avoid jewelry. They may also be asked to wear a gown for the procedure.
Postoperative care
Because the incisions made are so small, no stitches are required and the leg will be wrapped in a compression bandage. Stockings or compression bandages are usually required for a couple of weeks after the operation. You can return to daily activities within 24 hours. For more information, consult with a specialist.