- WHAT IS PHLEBECTOMY?
This procedure is also known as “Ambulatory Phlebectomy,” “Stab Phlebectomy,” or “Mini Phlebectomy.” Phlebectomy literally means removal of veins. This is a minimally
invasive method of removing varicosed veins that are just under the skin of the legs. The skin is numbed by injecting a local anesthetic solution. Then, small skin incisions (one eight of an inch)
are made, though which the underlying diseased veins are brought out and removed by vein hooks. The incisions are closed and compression bandages are applied. The cosmetic results are usually
excellent. Frequently, phlebectomy is combined with sclerotherapy or endovenous laser treatment (EVLT).
- WHAT TO EXPECT DURING PHLEBECTOMY?
- You will first stand up in flat form or sit up on a table with the legs hanging down inside the Procedure Room.
- The skin of the leg will be cleansed with alcohol solution. “Vein Mapping”, or locating the diseased veins using a Vein Viewer,
is performed. Then, the locations of the injections and incision sites are marked.
- If vein injections or sclerotherapy is combined with phlebectomy, the tiny injection needles are placed into the veins at this time.
- You will then lay down on the procedure table and the vein injections or sclerotherapy is performed. Foam solution is painlessly introduced into the needles
already in place to seal it shut. All the needles are removed. This process takes about 10-15 minutes.
- You will take the Valium at this time.
- The leg, ankle and foot will be prepped and draped in a sterile fashion.
- The previously marked incision sites are numbed by local anesthesia injections using tiny needles.
- After the incision sites are numbed, small incisions are made using a pointed instrument. The size of the incision depends upon the size of the vein to be
- More anesthetic solution (tumescent solution) is painlessly injected around the diseased vein.
- The diseased or varicosed veins are brought out of the incision by gentle traction using specially designed vein hooks. Segments of veins are
removed from each incision. This process is virtually bloodless.
- The incisions are closed by approximating the skin edges using small strips of tape or a single dissolvable stitch.
- The skin is again cleansed with antiseptic.
- Well-padded compression bandages are applied.
- The whole procedure takes approximately 1 to 1 ½ hours.