Ambulatory Phlebectomy is done as an office procedure under local anaesthesia. The vein to be treated is marked, the area is prepared and tiny incisions are given on the skin and the vein is pulled out with special hooks. Stitches are generally not required. After, the treatment leg is bandaged. The scarring is usually minimal surgically tying veins of (ligation) and pulling them out (stripping) are other procedures which is slowly becoming less popular because of general anaesthetics, hospitalizations, downtime and high recurrence rate.
Ambulatory phlebectomy is usually performed in conjunction with ultrasound guided scleretherapy and endovenous laser treatment to address visible bulgy veins.
Veincare is very conscious of cosmesis and accordingly depending on the patient’s age the incisions are planned in such a way that stitches are not required. The incisions are closed by steristrips. After one week of procedure the steristrips are removed.
It is increasingly rare that surgery is used as a treatment for varicose veins. Modern non-surgical techniques, including endovenous laser treatment, ultrasound guided sclerotherapy and normal sclerotherapy, and microsclerotherapy have largely replaced surgery and may soon eliminate invasive procedures altogether. Why the change?
- Surgery requires both general anaesthesia and hospitalisation, which increase patient risks.
- Lengthy downtime for recovery requires missed time from work.
- Surgery typically results in scarring.
- Varicose veins treated with surgery have a higher rate of recurrence than non-surgical treatments.
- Surgery costs more.
In short, non-surgical techniques are more effective and efficient with less expense… it’s easy to see why both doctors and patients are embracing outpatient treatments for varicose veins.
It is important to be aware that none of these treatments offer a foolproof cure for varicose veins, which are by their nature chronic and prone to recurrence. Early treatment can help avert costly and debilitating complications including stains, dermatitis, thrombophlebitis, leg ulcers and other venous diseases.