Microphlebectomy is a surgical procedure that removes unwanted veins. Although ELVT and sclerotherapy remain the most popular vein treatments, microphlebectomy is useful for removing intermediate and large veins on the body. If the veins are too large to treat with sclerotherapy, or too small to remove with a laser, then Dr. Feledy may recommend microphlebectomy.
How does the microphlebectomy surgery work?
Microphlebectomy can remove small veins or bulging varicose veins, including major tributaries, perforators and reticular veins. After performing small (as small as one mm) incisions or needle punctures, Dr. Feledy can extract the veins with a phlebectomy instrument. He can perform this extraction technique in a variety of ways, including the conventional technique or the more recently developed pull-through cannulation technique. Long segments of vein can be removed with less trauma than the techniques of the past.
Dr. Feledy may also recommend microphlebectomy in cases where vein biopsy is indicated, or in areas where sclerotherapy is known to be less effective or safe (near the eye, for example).
The conventional microphlebectomy method uses a topical numbing cream to control discomfort. The doctor performs small incisions or punctures on top of the vein. He then inserts a hook to remove the vein through the incision. After placing a small stitch and adhesive strip, the procedure is complete.
What can I expect after microphlebectomy?
Patients generally tolerate the procedure very well, and achieve excellent results. The vein removal treatment is performed with the patient under local anesthesia and patients can walk immediately following the procedure. After surgery, you will need to wear a compression garment for about 48 hours, followed by special support hose for six weeks. If leg veins have been treated, Dr. Feledy may advise you to keep your leges elevated as much as possible.
Are there side effects or risks with microphlebectomy?
Like all surgical procedures, there are risks with microphlebectomy. Possible side effects include postoperative bruising, transient hyperpigmentation, temporary phlebitis, superficial clot formation, minor infection, scarring and allergic reaction.
Microphlebectomy has reduced risks when compared to traditional venous ligation and sclerotherapy (for large veins). The small incision or puncture size typically results in little or no scarring.