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What Is Microphlebectomy?

Microphlebectomy is a 30-minute, micro-surgical procedure where varicose veins are removed from the legs. Both asymptomatic and symptomatic superficial veins can be removed during this procedure; it is often performed along with endovenous ablation. Microphlebectomy is known to be a very safe procedure.
During a mircophlebectomy, tiny incisions (2 to 3 mm) are made, and the varicose veins are removed through these incisions. A local anesthetic is used for the procedure.

After making the incisions, the doctor will use a fine, hook-shaped instrument to grab the vein(s) and remove it. The bulging veins are removed segment by segment through the small incisions; small and large varicose veins can be removed through this technique. Since the incisions are tiny, steri-strips can be used to close the incisions. There is little to no-scarring from these incisions.

Most patients do not experience pain during the procedure, besides the prick of the needle for the anesthetic. Over-the-counter pain medications work well for any pain experiencing following the treatment. Depending on the severity of the pain, a doctor may prescribe a medication for a few days after the procedure.

Patients recovery quickly from a microphlebectomy; many people even go back to work the same day. The incision site may have some discomfort and bruising – this is normal and will go away. In rare cases, a patient will experience a skin-nerve injury in the area. Strenuous exercise and other activities, swimming and hot tubs should be avoided for at least 7 to 10 days. However, light activity like walking or biking is encouraged to get the blood flowing, reduce pressure in the veins, and reduce the chance of the development of a blood clot.

After this procedure, patients will wear compression stockings. The doctor will determine how long and how often the patient should wear them, based on symptoms, procedure, and history.

Once the diseased veins/varicose veins have been removed, they will not return; however, if new varicose veins appear, you will need the procedure again. The procedure cannot prevent the future development of varicose veins.

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