Ambulatory phlebectomy is a minimally invasive procedure performed to treat medium to large painful and unsightly varicose veins. The procedure involves the removal through tiny incisions of varicose veins that can be seen and felt just under the surface of the skin.

How does the procedure work?

You are given a local anesthesia and your interventional radiologist makes several tiny incisions with a small needle. The varicose vein is gently grasped with a hook and forceps and pulled through the tiny incisions, one section at a time. The body automatically routes blood to nearby, healthy veins. The incisions are so small that no stitches are required, and they generally fade away with time. The procedure is done on an outpatient basis and takes one to two hours. Varicose veins removed during phlebectomy should not come back.

What happens after the procedure?

You will walk around the office for 15 minutes to check for postoperative bleeding and to ensure proper fitting of your compression stockings. The stockings are worn continuously for three days and then during the daytime only for four weeks to minimize swelling, bruising and discomfort, and to allow for proper healing. You will need to be driven home after the procedure, but you can typically return to work and most normal activities after 24 hours.

Am I a good candidate for ambulatory phlebectomy?

Ambulatory phlebectomy is a safe and effective therapy for many patients with varicose vein pain. However, it is not appropriate for people who are allergic to local anesthesia, have more serious circulatory problems, are unable to wear compression stockings for varicose veins or unable to walk or stand for extended periods.

Contact UR Vein Center to learn more or to schedule an appointment at our Warren or Edison locations.

Return to top