Ambulatory phlebectomy

Ambulatory phlebectomy is a treatment for superficial varicose veins. The procedure involves the removal of the varicose veins through small 2-3 mm incisions in the skin overlying the veins. The procedure may be performed in hospital or outpatient settings. The procedure may be performed with tumescent local anesthesia, such as with lidocaine.

Complications are uncommon, but include paresthesia, bruising, and hematoma.

Graded compression stockings are usually worn for 1-2 weeks after the procedure. Patients usually return to normal light activity immediately after the procedure. This procedure is often used as an adjunct to EVLT or other endovenous ablations of the greater saphenous vein.