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Ambulatory Phlebectomy | Traverse City, MI

What is Ambulatory Ambulatory Phlebectomy | Traverse City, MIPhlebectomy Treatment?

Ambulatory phlebectomy is a method of surgical removal of surface varicose veins. Ambulatory phlebectomy is usually performed in a doctor’s office using local anesthesia. The area surrounding the varicose vein clusters is flooded with anesthetic fluid. A needle is then used to make a puncture next to the varicose vein and a small hook is inserted into the needle hole and the varicose vein is grasped and removed. The punctures typically leave nearly imperceptible scars. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period. Ambulatory phlebectomy is often performed in conjunction with minimally invasive endovenous catheter procedures.

Ambulatory Microphlebectomy

Phlebectomy or micro phlebectomy is the removal of superficial veins.  While traditionally this was done through small incisions, we are now able to remove these veins through needle holes and therefore sutures are not required and there is no scarring.  This is the standard of care for large ropy superficial veins and is often done at the same setting as a radio frequency ablation.  The benefit of a phlebectomy is that it can remove the diseased veins and can typically be done in one session thus yielding quicker results.  Alternatives would be sclerotherapy or foam sclerotherapy but that often would require multiple sessions, sometimes over several months.

How is ambulatory phlebectomy performed?

For the phlebectomy procedure, the physician will mark out the varicose veins with the patient standing. Then, when the patient is laying down, a dilute numbing medicine or tumescent anesthesia is infiltrated into the skin and around the veins.  The doctor will then use a needle to make tine holes adjacent to the marked veins and then remove the veins through these needle holes.

What is the recovery process after ambulatory phlebectomy like?

After the procedure, the patient will have his or her leg wrapped with compression bandages which will be left on for 24 hours and after that the patient can switch back to compression stockings which are to be worn daily for the next two weeks.  Most patients are able to go back to work the following day and typically need nothing more than over the counter medicine for pain such as Tylenol or ibuprofen.

What are the risks associated with ambulatory phlebectomy?

Like the other treatments offered here at Northern Michigan Vein Specialists, complications are rare and typically minor.  Risks include bleeding, bruising, numbness and tingling.  As with any procedure, it is important to discuss potential risks and benefits with your physician beforehand.


We proudly serve patients from Traverse City, Cadillac, Manistee, Big Rapids, Houghton Lake, Grayling and surrounding areas with advanced ambulatory phlebectomy procedures. Call today for your consultation at 231-946-1488 or complete a Contact Form here!

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