Ambulatory Phlebectomy

What is Ambulatory Phlebectomy?

Ambulatory Phlebectomy is a minimally invasive technique for the removal of residual bulges and varicose veins. This technique differs significantly from vein stripping and should not be confused with that procedure.

Due to advances in other techniques, it should be noted that ambulatory phlebectomy procedures are rarely required and seldomly recommended by the physicians at Virginia Vein Care.


Nationally Recognized

Vein Specialists

How does ambulatory phlebectomy work?

The procedure is performed under local anesthesia. Bulging veins are removed through tiny punctures that typically leave no scars and require no sutures.

How long is the treatment?

Ambulatory Phlebectomy usually takes 30 – 60 minutes. After treatment, patients will wear a compression bandage or compression stocking for a week or more. Patients are able to walk and drive immediately after the surgery and while wearing the compression bandage or stocking.

Side Effects

Patients may experience bruising, swelling, and inflammation. Allergic reactions to the anesthetic are also possible, but not common.

Things to Consider Before an Ambulatory Phlebectomy Procedure

Our vascular specialists will look over your medical history and conduct a physical exam, beginning with a Duplex Ultrasound scan. During this time, you can discuss your expectations, potential risks, and outcomes of the procedure with our vein specialist.

We will evaluate several factors pertaining to your condition, including:

  • Are the varicose veins the primary concern or are they connected to other veins that need to be treated first?
  • Are there blood clots in the superficial or deep veins that need to be addressed?
  • Would another procedure be better suited to your unique vein problem?


Possible Complications related to Ambulatory Phlebectomy

  • Temporary bruising or swelling
  • Allergic reaction to the local anesthesia
  • Numbing of the skin due to injury to nearby sensory nerves
  • Inflammation caused by small segments of vein that remain in the skin

What can I expect after having an ambulatory phlebectomy procedure?

Ambulatory phlebectomy is an outpatient procedure, so you should be able to walk immediately after the surgery and go about your normal routine. You will need to wear graduated compression stockings as instructed by your vein specialist. Any temporary bruising or swelling in the affected area is normal. Pain is usually minimal so long as the compression stockings are worn.



Ambulatory Phlebectomy is Not Your Only Option

In years past, ambulatory phlebectomy was a more popular choice for getting rid of varicose veins. Today, however, other treatment options are available such as sclerotherapy and endovenous laser treatment. While milder cases of varicose veins can respond to at-home treatments including weight loss, exercise, leg elevation, and compression stockings, the vein disease that lies at the heart of varicose veins is progression, so call Virginia Vein Care if you live in Northeast Virginia to speak with a vein specialist about your options.

We have offices located in McLean, VA, and Purcellville, VA so schedule your consultation today!