Ambulatory phlebectomy, also known as microphlebectomy, is a minimally-invasive procedure used to treat large bulging varicose veins near the skin surface. This treatment is used for veins that are either too small to treat with endovenous ablation therapy or too big for sclerotherapy.

The interventional radiologist makes small incisions in the leg, and collapses and removes the enlarged varicose veins via the incisions. Ambulatory phlebectomy can be combined with endovenous laser therapy (EVLT) for more extensive varicose vein treatment.

Diagnosis and Treatment

Patients undergo a physical exam, provide their medical history, and have a leg evaluation. An ultrasound is used to evaluate the blood flow through the legs. The results of the ultrasound help determine if the procedure will be beneficial for your condition.

Be sure to tell your doctor if you:

  • Are a diabetic
  • Have a coagulation disorder
  • Are taking medications
  • Are taking herbal supplements
  • Are allergic to local anesthetics like Lidocaine Procaine or Benzocaine
  • Are pregnant

Ambulatory phlebectomy is performed on an outpatient basis and takes approximately two hours. Once the leg is prepped, the areas numbed with a local anesthetic. The veins are collapsed and the bulging veins are removed. When the procedure is complete, the incisions are covered with a compression wrap.

Recovery

After the procedure, patients need to wear compression hose for about two weeks. The incision scars should fade within a few months

Most patients are able to stand and walk following the procedure. Patients may return to work next day and resume regular activities provided the compression stockings are worn. However, strenuous activity should be avoided for about two weeks following the procedure.

A follow-up visit will be scheduled in seven to ten days after your procedure.