A microphlebectomy is an outpatient procedure performed to remove varicose veins through small, slit-like incisions in the skin. When varicose veins near the surface of the skin are too large to treat with sclerotherapy, microphlebectomy is the preferred treatment. Since veins are extremely collapsible, even the largest affected veins can often be removed through tiny punctures in the skin using the microphlebectomy technique. This minimally invasive treatment does not require sutures or general anesthesia and can easily be performed with minimal downtime. Microphlebectomy involves less pain and fewer risks than traditional surgical treatment.
Reasons for Microphlebectomy
Some patients seek treatment for their varicose veins for cosmetic purposes, while others are concerned about the potential risks of their damaged veins. Untreated veins can lead to pain, inflammation, and discoloration. They can also cause complications such as thrombophlebitis. Microphlebectomy treats symptomatic and asymptomatic veins and can relieve both cosmetic and medical concerns in one simple procedure. After damaged veins have been removed, other healthy veins in the leg will absorb the excess blood and reinstate a normal blood flow. The function will not be affected by removing the damaged veins, as there are many surrounding veins to take over.
Recovery from Ambulatory Phlebectomy
Some bruising, discomfort, and mild swelling are to be expected after a microphlebectomy. Swelling and pain can be minimized with compression stockings and over-the-counter pain medications. Patients will be able to return to normal activities in 48 hours (about 2 days). Patients should wear compression stockings for two weeks after the microphlebectomy procedure. They can usually return to work the next day, although exercise and heavy lifting should be avoided for about two weeks.
The incisions from this procedure do not require sutures and are able to heal on their own. Some patients may experience mild skin pigmentation at the site of the varicose vein, but this usually goes away after a brief time. Most people see effective results from a microphlectomy since damaged veins have been completed removed. Microphlebectomy offers permanent effective results for most patients, although it is possible for new varicose veins to develop, particularly in patients with a family history of varicose veins. The risk of recurrence can be minimized if the patient maintains a proper weight and an active lifestyle.
