Ambulatory Phlebectomy for Your Veins

Ambulatory Phlebectomy for Your Veins

Posted on December 9, 2018 by Texas Vein & Wellness Institute

Ambulatory Phlebectomy for Your Veins

Ambulatory Phlebectomy has a much scarier name than what it actually is. In fact, in many cases, it’s the best course of treatment for varicose veins that bulge on or is near the surface of your skin. This procedure is extremely effective, yet requires tiny incisions and short recovery time. Here are some answers to commonly asked questions about ambulatory phlebectomy that should put you at ease.

What is Ambulatory Phlebectomy (AP)?

AP may also be known as microphlebectomy or stab phlebectomy. It is also the procedure that has taken the place of what was known as vein stripping. AP removes varicose and larger spider veins with small, slit-like incisions in the skin. This minimally invasive procedure doesn’t require sutures or heavy sedation, just local anesthesia.

Who is the ideal candidate for AP?

A candidate must have large varicose veins in their legs that need removal. The ideal candidate is also in good health, a non-smoker, and a healthy weight. In order to qualify for this procedure, the veins must be large and visible to the eye. You might not be a good candidate for AP if you have a blood clotting disorder. We can discuss whether you’re a good candidate in a consultation.

What happens during the AP procedure?

An AP procedure is an outpatient procedure that takes place in our office. The procedure itself only takes 45 to 60 minutes. Your provider will mark the targeted veins, then administer a local anesthetic. This anesthetic ensures you won’t feel any pain or discomfort during the procedure.

From there, your provider will make teeny-tiny incisions (2-3mm) over the targeted vein to collapse them. At this point, they can then remove pieces through the tiny holes. The incisions are so small that they don’t require stitches, just small bandages. After the procedure, we’ll apply compression bandages over the area. You will wear these for one week to help minimize swelling and discomfort.