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Ambulatory Phlebectomy From U.S. Dermatology Partners

What Is Ambulatory Phlebectomy?

Varicose veins are abnormal, bulging veins that most often occur in the legs. In the past, these problematic veins were treated with invasive surgery, but today, many minimally-invasive procedures are available to patients.

Ambulatory phlebectomy is an outpatient procedure that removes superficial veins following the ablation of deeper ones.

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How Does Ambulatory Phlebectomy Work?

During an ambulatory phlebectomy, superficial tributary veins are removed through small, slit-like incisions in the skin.

A small (2 to 3 mm) incision is made on the leg to expose abnormal vein segment. The vein is then clamped and removed from the incision.

This virtually painless procedure is performed in your doctor’s office and requires local anesthesia. The incisions are so small that often no stitches are required.

 

Who Is a Candidate for Ambulatory Phlebectomy?

 

The procedure is often performed to remove superficial tributary veins after deeper veins have been ablated.

Varicose veins most often occur in those who are over 50 years old or those who are obese. They are more prevalent in women and are often linked to other symptoms such as pain, leg swelling, skin thickening, ulceration and itching.

How Should I Prepare for Ambulatory Phlebectomy?

Before your procedure, remember to:

  • Drink plenty of fluids (unless there are restrictions).
  • Let your doctor know if you have a history of blood clots, if you are taking any blood thinners or if you are pregnant.

What Happens After My Procedure?

Patients are able to walk immediately after the procedure and can return to their normal routine without delay.

Some patients may experience temporary bruising, swelling or inflammation as a result of the procedure. There can also be some skin numbness caused by disruption to adjacent sensory nerves. Typically, the treated area will be wrapped for 24 hours after the procedure.

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*Results may vary by individual

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