What is flebectomy?
Flebectomy is a minimally invasive procedure that removes varicose veins close to the surface of your skin. You might also hear it called ambulatory phlebectomy, microflebectomy, or phlebectomy by puncture.
During the procedure, a surgeon will make tiny cuts in your skin and use a special tool to remove the problem veins. The goal is to relieve the pain and discomfort that varicose veins can cause, improve the appearance of your legs, and address any underlying issues with blood flow.
If you’re considering flebectomy, it’s important to talk to a vein specialist. They can assess your situation and determine if it’s the right treatment option for you. They’ll also check for any other circulatory problems that might be contributing to your varicose veins.
Understanding varicose veins and the need for phlebectomy
What are varicose veins?
Varicose veins are those bulging, twisted veins that pop up near the surface of the skin, often in the legs. You may experience pain, swelling, fatigue, and a heavy sensation in your legs if you have varicose veins.
Varicose veins are often caused by chronic venous insufficiency, a condition in which the valves in your veins don’t work as they should. Your risk goes up if other members of your family have varicose veins. Other risk factors include age, being female, pregnancy, obesity, and spending a lot of time sitting or standing.
When is phlebectomy recommended?
Phlebectomy is typically recommended when you have bulging varicose veins that are close to the surface of the skin. It’s often part of a treatment plan that includes other treatments for varicose veins.
The Phlebectomy Procedure: A Step-by-Step Guide
If your doctor has recommended a phlebectomy to treat your varicose veins, you may want to know what to expect.
Preparation for the Procedure
A detailed consultation with a vein specialist or interventional radiologist is key. The doctor will ask about your medical history, allergies, and any medications you’re currently taking.
You’ll also get pre-procedure instructions, which may include temporarily adjusting your medications. Be sure to wear comfortable, loose clothing to your appointment and leave your jewelry at home.
The Procedure Itself
First, local anesthesia will be administered to numb the area being treated. Next, the doctor will make a few tiny incisions, often smaller than a pencil eraser.
Then, a specialized hook or small scalpel will be used to extract the varicose veins through the incisions. The procedure usually takes less than an hour to perform.
Finally, the doctor will close and bandage the incisions. Stitches aren’t usually required, and compression bandages or stockings will be applied to the area.
What to expect after a phlebectomy
You’re usually awake for a phlebectomy and will likely be able to go home the same day.
After the procedure, your doctor will likely recommend wearing compression stockings for a few weeks. Be sure to follow your doctor’s instructions about how long to wear them and how much compression they should provide.
Most people recover quickly and can resume their normal daily activities within a day. You should avoid strenuous activity for a few days, however.
It’s important to attend all follow-up appointments so your doctor can check on your progress and address any concerns. Let your doctor know right away if you notice any side effects or changes.
Benefits, Risks, and Alternatives to Phlebectomy
Like any medical procedure, phlebectomy has upsides and downsides. Here’s a look at the procedure’s benefits, possible risks, and alternative treatments.
Benefits of Phlebectomy
- Minimally invasive nature: Phlebectomy is considered a minimally invasive procedure, so scarring is minimal and recovery is generally quick.
- High success rate: The procedure is successful more than 90% of the time in properly selected candidates.
- Symptom relief and aesthetic improvement: Phlebectomy can provide immediate symptom relief and improve the look of your leg.
Potential Risks and Complications
- Common side effects: Temporary skin discoloration is possible following phlebectomy.
- Rare complications: The risk of infection is low (less than 1 in 1,000), and other complications like bleeding, nerve damage, and blood clots are rare.
Alternative Treatment Options
- Sclerotherapy: Sclerotherapy involves injecting a solution into the problem vein, causing it to collapse and fade.
- Radiofrequency Ablation (RFA) and Endovenous Laser Treatment (EVLT): RFA and EVLT use heat to seal off the affected vein.
To Conclude
Flebectomy is a minimally invasive procedure that effectively removes bulging varicose veins. It offers a relatively quick recovery and can dramatically improve the appearance of your legs.
However, like any medical procedure, the best outcomes are achieved with a personalized treatment plan. To determine whether phlebectomy is right for you – and to address any underlying vein problems that may be contributing to your varicose veins – it’s essential to consult with a qualified vein specialist. They can assess your specific situation and recommend the most appropriate course of action.