Ambulatory Phlebectomy

Ambulatory phlebectomy is a surgical procedure in which a special hook is used to remove surface varicose veins. A series of tiny incisions are made along the damaged vein or veins and a phlebectomy hook is used to remove them from the body.


Ambulatory Phlebectomy: An Overview

How It Works: Ambulatory phlebectomy works by removing damaged veins from the body with a tool called a phlebectomy hook.

What It Treats: Varicose veins of all sizes are treated with ambulatory phlebectomy; however the procedure can only be performed on veins located near the skin’s surface.

Pros: Ambulatory phlebectomy usually only requires one treatment and can be performed under local anesthesia. There is little to no downtime and the procedure can be used in conjunction with other vein treatments.

Cons: Skin irritation may occur.

Alternatives: Microphlebectomy and Transilluminated Powered Phlebectomy are alternatives. Vein stripping and ligation are more invasive methods of vein removal.

Type of Procedure: This minor surgical procedure is minimally invasive and can be performed in a doctor’s office setting. For extensive vein removal a general anesthesia may occasionally be used.

Recovery Process: Recovery is fast and individuals can resume normal activities within a few hours. It is advised to avoid strenuous exercise. The vascular specialist performing the vein removal will apply a compression bandage which must be worn for a few days. When the bandage is removed the use of compression stockings helps promote a healthy recovery.

Results: Removal of the damaged veins results in a noticeable decrease in bulging and unsightly veins.

Side Effects: Bruising, swelling, and skin blisters are possible side effects of Ambulatory Phlebectomy. Rarely blood clots, infections at incision site, and nerve damage may occur.

Cost/Insurance: Consult your health care practitioner and insurance provider to verify cost and coverage of any vein treatments.

Consult Your Doctor: You should bring any documents necessary to give your doctor an accurate medical history, including recent illnesses and any allergies that you have. Make a list of the medications and supplements that you are currently taking as well as the symptoms that you are feeling. Write down any questions that you have ahead of time and bring them with you. Make sure you understand your doctor’s answers.