Ambulatory-Phlebectomy
Acadiana Vascular Clinic:
Vein Center of Louisiana
Lafayette, LA
Acadiana Vascular Clinic:
Vein Center of Louisiana
Lafayette, LA
Ambulatory-Phlebectomy
An ambulatory phlebectomy, also known as micro-phlebectomy or stab avulsion, is a minimally invasive surgical procedure used to remove superficial varicose veins or large, symptomatic varicosities located close to the skin’s surface. The term “ambulatory” refers to the fact that patients can walk and resume most of their normal activities shortly after the procedure, as it is a less invasive treatment with minimal downtime.
During an ambulatory phlebectomy, the patient is placed under local anesthesia to numb the treatment area. The surgeon then makes a series of tiny incisions or needle punctures along the path of the affected vein, typically no larger than 2-3 millimeters. These incisions are so small that they often don’t require sutures and leave minimal scarring.
The surgeon then uses a small, specialized hook-like instrument to gently tease out and remove small sections of the targeted vein. The vein is carefully extracted through the incisions in segments, effectively eliminating the problematic vein from the circulatory system. As the treated vein is removed, blood flow is naturally rerouted to healthier, functional veins, improving circulation and relieving symptoms associated with venous insufficiency.
Following the procedure, the patient’s leg is wrapped in a compression bandage, and they are encouraged to walk immediately. This early mobilization helps to promote blood flow, minimize the risk of blood clots, and reduce swelling. Most patients can resume normal activities within a few days, although strenuous activities should be avoided for a few weeks.
Ambulatory phlebectomy is considered a safe and effective treatment option for removing superficial varicose veins, offering both symptom relief and cosmetic improvement. The minimally invasive nature of the procedure, combined with the ability to walk and resume normal activities soon after treatment, makes it an attractive option for many patients seeking relief from varicose veins.
While “micro-phlebectomy” and “ambulatory-phlebectomy” are terms that are used interchangeably, an ambulatory phlebectomy focuses on the fact that an individual can walk almost immediately after the procedure has been performed, while micro-phlebectomies refer to the size of the innesions and the minimally invasive nature of the procedure.
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