Ambulatory Phlebectomy

We may suggest ambulatory phlebectomy if you have bulging superficial varicose veins that you wish to be removed with good cosmetic results. This technique is intended to treat branch veins near the surface and is best used when the main superficial vein trunks are healthy or have been previously treated by endovenous laser or surgical stripping.

Ambulatory phlebectomy is performed in a doctor's office or clinic under local anaesthetic. After "freezing" the skin tiny (2mm) incisions are made over the veins to be removed. The veins are pulled out using special hooks and clamps. The number of incisions depends on the number and pattern of branches to be removed. When completed the incisions are closed either simply using special tape or a single tiny stitch. A compression stocking or bandage is then applied and you can then leave the office and resume most regular activities.

Following ambulatory phlebectomy you can expect some minor temporary bruising and minimal discomfort for a few days. We suggest you refrain from vigorous physical activity for one week but there are no other restrictions. Healing varies from person to person and is affected by skin type and pigmentation, however most people treated with ambulatory phlebectomy will have an excellent cosmetic result with barely visible scars.


Alternatives to ambulatory phlebectomy include standard vein ligation, conventional or duplex-guided sclertotherapy.

Advantages - permanent removal of veins with instant results, local anaesthetic, minimal pain and quick recovery, excellent cosmetic results in most people.

Disadvantages
- requires incisions which may result in infection or poor healing in a small number of people. Limited to treated superficial, branch varicose veins.
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