Varicose Vein Surgery

guys-legsVaricose vein surgery is described with the medical terms microphlebectomy and also 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.

Before the procedure, the varicose veins are marked on the skin. The leg is cleansed and draped.  A injection of numbing solution is given.  Then, 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 do not bleed.   In addition, the veins are no longer large and bulging as they do not contain blood.  Think of removing a deflated balloon.   After the varicose vein surgery, it is possible the nicks in the skin may require stitches, however, usually no stitches are required.

After the procedure, walking is encouraged.  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 Dr. Anne Bartel, our vein specialist in the Mequon clinic.   You can expect to go back to your normal routine in a day or two.

Microphlebectomy is often combined with other minimally invasive vein procedures such as laser vein ablation or radiofrequency vein ablation and sclerotherapy.