Phlebectomy

spider veins

A phlebectomy procedure involves accessing and disrupting a vein through tiny incisions in the skin. As a result of a phlebectomy, the vein will scar and eventually disappear, and the blood is naturally diverted to other healthy veins in the leg. Phlebectomy therapy may take up to an hour or so, depending on the scope of the treatment. A local anesthetic is administered, and a small blade is used to make micro-incisions in the skin. For the majority of patients, these small incisions cause no pain, and the incisions are not noticeable. Patients may resume regular activities following the procedure.

For varicose veins that are not treatable with sclerotherapy, a minimally invasive procedure called an ambulatory phlebectomy is recommended. An ambulatory phlebectomy is an hour-long, in-office procedure that does not require general anesthesia or IV medications.

During an ambulatory phlebectomy, the surgery sites are cleaned, and sterile drapes are placed over the areas. The skin is numbed using a local anesthetic, and sometimes a numbing agent is injected near the veins to constrict them, making them easier to remove. Next, tiny 2-6 mm slits are made in the skin, and a small hook is inserted to detect the varicose vein and pull it through the slit. The patient can feel a slight tugging, but it usually does not hurt. The large varicose veins are then removed. If the slits are large enough, they are internally sutured; otherwise, the skin is disinfected, and an adhesive bandage is applied to hold the slits closed. Gauze is also placed over the slits to absorb any drainage, and compression hose are worn to hold everything in place. This dressing is worn for the next 24 hours to aid in healing and recovery.

During the recovery, patients will become bruised at the surgery sites. Patients may also feel slight discomfort and mild to moderate pain. Our doctor will prescribe you the appropriate medications to help manage the pain. Be sure to keep your leg(s) elevated in the coming 24 hours after the procedure. We also recommend wearing the compression hose for up to two weeks after the ambulatory phlebectomy.

North Jersey Cardiovascular Consultants, LLC

  • Bloomfield Office - 329 Belleville Ave., Bloomfield, NJ 07003 Phone: 973-748-3800 Fax: 973-748-3540
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  • Millburn Office - 96 Millburn Ave, #200B, Millburn, NJ 07041 Phone: 973-762-2782 Fax: 973-762-1946

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