Microphlebectomy is a minimally invasive procedure that is used to remove varicose veins that are not caused by saphenous vein reflux. During the microphlebectomy procedure, small incisions are made into the patient’s skin. A small hook is used to locate the vein and pull it up through the skin to be removed. Microphlebectomy produces little to no scarring, and the clinical results are excellent.
The microphlebectomy procedure takes about one hour to perform. First, while the patient is standing, the veins are marked, so the doctor can visualize them better. The leg is then washed with a solution to kill germs, and the treatment areas are numbed with a topical anesthetic.
Small incisions of about 1mm are made above the area where the vein is located. They are spaced approximately 5 to 10cm apart, depending on the severity of the veins being treated. A small hook is then inserted into the incision to pull up the vein. This process is repeated several times until all of the marked veins have been removed. The treatment areas are then cleansed and covered with a small adhesive strip and absorbent pad.
After the microphlebectomy procedure is complete, you may experience mild to moderate pain. You will be asked to wear compression stockings continuously for the next 24 hours. After that, you will only be required to wear the stockings for approximately one to two weeks when you are up and about to minimize bruising.
For 24 hours following the procedure, you should rest and keep your legs elevated as much as possible. Normal daily activities can be resumed after that. Daily walking is recommended, but you should avoid strenuous aerobic activity for five to seven days. A few days after treatment, you will be required to return to the clinic for a follow up appointment, during which the doctor will examine the incisions and possibly change the dressings.
The results of microphlebectomy are usually excellent. Initially, some of the treated veins may become dark, hard, and lumpy, but this will resolve in one to three months. Avoid direct sunlight exposure immediately after the procedure and for the next three months or so, apply sunscreen with an SPF of 30+ to your legs to prevent darkening of the skin.
Mild complications that have been associated with microphlebectomy include bruising, swelling, superficial clot formation, mild allergic reaction, and permanent pigment staining of the skin.
Microphlebectomy is a quick, simple outpatient procedure. It produces excellent cosmetic results when performed alone or in conjunction with other vein treatments. There is minimal pain, blood loss, and recovery time after microphlebectomy. Since the incisions are so small, the procedure causes minimal scarring.
Treatment is quick and takes less than an hour. General anesthesia is not required to perform the procedure. Only a topical anesthetic is necessary. Most patients are able to return to work the next day.
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