Microphlebectomy is also known as ambulatory phlebectomy. Microphlebectomy is a minimally invasive procedure used to remove the larger bulging varicose veins near the skin surface. This procedure can be performed at the same time as a vein ablation but can also be done at as separate procedure.
The varicose veins are marked on your skin. Your leg is cleaned and numbed. A small nick in the skin is made over the varicose veins. Using a special hook the veins are removed. The blood supply is disrupted before removing the veins. Therefore, the veins are small and do not bleed. Think of removing a deflated balloon. The nicks in the skin may require stitches.
After the procedure, you can walk immediately. A compression stocking is worn for 7 days and nights and then during the day for the next week. Mild bruising and swelling can be expected post-procedure. If you have stitches, you will need to return to the vein clinic in a week to have the stitches removed. There is little to no scarring with microphlebectomy. Complications are uncommon and should be discussed with your doctor. You can expect to go back to your normal routine in a day or two.