What Is Microphlebectomy?

Microphlebectomy is a micro-surgical procedure in which varicose veins are removed from the legs. This procedure can remove both asymptomatic and symptomatic superficial veins; it is often performed along with endovenous ablation. The procedure lasts about 30 minutes. For this procedure, tiny incisions through which the varicose veins are removed. A local anesthetic is used during the procedure. Since the incisions are small, there is not usually a need for stitches but steri-strips can be used to close the incisions.

During the procedure, the doctor will use a fine, hook-shaped instrument to grab the vein and remove it. The bulging veins are removed by segments through the small incisions; the incisions are roughly 2 to 3 mm in size. Both small and large varicose veins can be removed through this technique. According to most patients, the only pain they experience during the procedure is the prick of the needle from the anesthetic being injected. Most patients are fine taking over-the-counter pain medications, but some patients will be prescribed a prescription-strength medication for a few days following the procedure.

Following the procedure, you can walk right out of the office; many patients even return to work the same day. You may experience some bruising, swelling, and minor discomfort, which is normal and will go away. Rarely, some patients will experience a skin-nerve injury, but overall microphlebectomy is known to be a safe procedure.

Normal daily activities can be resumed a few days after the procedure, but strenuous exercise, swimming, and hot tubs should be avoided for at least 7 to 10 days. Light activity, like walking or biking, is encouraged to stimulate blood flow in the veins, reduce pressure in the veins, and reduce the chance of a blood clot developing.

You will be instructed to wear compression stockings or bandages after the microphlebectomy. Based on your procedure and history, the doctor will instruct you on how long you should wear the stockings.

Since the varicose veins have been removed, they should not come back, unless new varicose veins develop based on your medical history. There will be little to no scarring from this procedure.