Ambulatory Phlebectomy (AP)
When you have a varicose vein near the surface of the skin that is too large to treat with sclerotherapy and too small for laser ablation, at Vein Center Houston we use ambulatory phlebectomy to remove it. Also known as microphlebectomy or stab phlebectomy, this procedure is very effective at removing the vein, yet requires only minuscule incisions and minimal recovery.
What is Ambulatory Phlebectomy (AP)?
This procedure uses small, slit-like incisions in the skin to remove varicose and larger spider veins. This procedure takes the place of what was formerly known as vein stripping. Ambulatory phlebectomy is minimally invasive, and doesn’t require sutures or general anesthesia.
“Dr. Kapusta and his team are truly the best! I’ve gone to him twice to get my ugly varicose veins fixed. It’s the best thing I ever did to give me my confidence back. Dr. Kapusta and his staff are so friendly and professional, and the best part is I have beautiful legs now!” – A.M.
Who Is a Good Candidate for Ambulatory Phlebectomy?
The best candidates for this procedure have large varicose veins in their legs. In order to be treated, these veins must be both large and visible to the eye. Patients for this procedure will ideally be in good health, be of a healthy weight, and are non-smokers. You might not be a good candidate for ambulatory phlebectomy if you have a blood clotting disorder.
How Is Varicose Vein Treatment Performed?
This is an outpatient procedure at Vein Center Houston. The procedure takes from 45 to 60 minutes. Here’s what’s involved.
Dr. Mario Kapusta begins the procedure by marking the targeted veins. Next, the treatment area is injected with a local anesthetic, ensuring there isn’t any discomfort during the procedure.
Dr. Kapusta then makes tiny incisions (only about the size of the tip of a ballpoint pen, 2-3mm) over the targeted vein. Through these incisions he inserts a surgical hook to extract the damaged vein section by section. This may seem impossible, but because veins collapse, we can easily remove the pieces through these minimal holes. The incisions don’t require sutures, just small bandages. After your procedure, we apply compression bandages over the treated areas. You will wear these for one week to help minimize swelling and discomfort.
How to Prepare for Phlebectomy Treatment
During your pre-op consultations, Dr. Kapusta will provide you with instructions on how to prepare for this procedure. You may be asked to make changes to your regular medication schedule or rituals. On the day of your treatment, you will be asked to wear loose-fitting clothing.
Ambulatory Phlebectomy Results
Your minor incisions won’t require sutures; they will be barely visible in 6-12 months. You’ll have some swelling and bruising, and there can be mild skin pigmentation changes over the treated area, but this clears in a short time in most cases. Because your vein is removed, the visual issues and raised skin of your varicose vein will be gone. These results are permanent, although you can still develop other varicose veins.
Varicose Veins Treated With ELAS & Ambulatory Pheblectomy
Recovery from Ambulatory Phlebectomy
This procedure does not require a difficult recovery. Patients usually have some bruising, swelling, and minor discomfort in the treatment area. Diligent wearing of your compression bandages and then compression stockings can minimize these effects. You’ll wear these for one week. Over-the-counter pain medications are usually all that is necessary for any discomfort. Patients can walk and get back to normal activities immediately, but should avoid exercise and heavy lifting for a couple of weeks. Patients can return to work the next day.
Phlebectomy of Variscose Veins Risks
Ambulatory phlebectomy with Dr. Kapusta is a safe, effective procedure. There are some potential risks, but they are rare:
- A nerve injury to the skin, though these usually resolve with time
- Severe bleeding or swelling
- Numbness or pain in the feet
- Thrombophlebitis (inflammation causing a blood clot)
Schedule a Consultation
If you have medium to large varicose veins, Ambulatory Phlebectomy (AP) treatment can be a great option for you. To learn more about this treatment, call (713) 349-8346 to schedule a consultation at our practice, Vein Center Houston.