Microphlebectomy is a minimally invasive procedure in which a large surface of varicose vein is removed through a series of miniature incisions that need no stitches. Microphlebectomy is recommended when the size and pressure of blood in a vein in too great for Sclerotherapy. Microphlebectomy may be used to remove both symptomatic and asymptomatic superficial veins from the leg.
Microphlebectomy is an office-based procedure performed under local anesthesia. The varicose veins are removed through a series of miniature incisions that require no stitches, and leave no scars.
Compared to traditional vein stripping, this technique has virtually no scarring or side effects. It is performed in the office. A local anesthetic is used and patients have very little “down time” following the procedure.
After the vein is removed, the leg is wrapped with an ace bandage and the patient can get up and walk around the office prior to going home. The patient is asked to keep the leg elevated and stay off the leg for the first day. Although strenuous activity should be limited for two weeks, patients can go back to work and normal activity after 24 hours. A support stocking is worn for two weeks after surgery to minimize swelling and allow for proper healing.
Results of microphlebectomy for varicose veins are excellent from both a cosmetic and symptom relief viewpoint. The procedure is often combined with other treatments such as endovenous laser therapy and sclerotherapy for optimal results.