Microphlebectomy is a procedure that’s performed on an outpatient basis, usually in the comfort of a doctor’s office. Those wanting microphlebectomy should have a consultation with our doctor to see if you’re a candidate for the procedure. When our expert staff determines that the procedure can go ahead, the veins are photographed, then marked off to help our vein doctor during the operation. Then, the area to be treated is prepared and numbed with a local anesthesia. Sometimes the anesthesia is mixed with epinephrine to cause the vein to narrow, which makes it easier to remove.
Next the vein expert inserts a fine needle just above the varicose vein. The resulting puncture allows for a tiny hook to be inserted into the surgical site. This allows the affected vein to be grasped and simply pulled out of the body. The punctures are then cleaned. They can be closed either with a tiny suture or a bandage, which keeps scarring to a minimum. The stitches might even be internal. A pad is then put over the surgical site to absorb any drainage. Microphlebectomy usually takes less than an hour.
The patient might be fitted with a compression stocking that can ease whatever swelling or cramps the patient may experience, but other than this there’s not much down time after microphlebectomy. The patient is able to walk around soon after the procedure. However, they should expect some pain and bruising for a few days after the operation and should rest and not go immediately back to work. They should try and keep the leg that was operated on elevated and if they were given a compression bandage they should keep it on for 24 hours straight after the operation. After that they should wear it when they walk around for the next two weeks or so.
People who have never dealt with vein issues tend to assume that varicose and vascular veins are
only a problem for the elderly, and that the problem is merely cosmetic. However, this couldn’t be
further from the truth.