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Microphlebectomy: A Treatment for Varicose Veins

Overview of Microphlebectomy
A microphlebectomy is a minimally invasive procedure that removes varicose veins. It is one of several varicose vein treatments we offer at Legacy Vein Clinic. The procedure causes little discomfort, and patients have a short recovery time. Microphlebectomy is also referred to as phlebectomy, stab avulsion, and ambulatory phlebectomy. 

How Microphlebectomy Works and What to Expect
Microphlebectomy is typically done on an outpatient basis, and the entire procedure takes less than an hour. Because veins are highly collapsible, microphlebectomy works for veins of all sizes. The doctor will identify which veins need to be removed and then use a local anesthetic to numb the surrounding area. It might sting slightly before becoming numb. They will make tiny incisions next to the vein so that they can insert a small hook under the skin. When the doctor inserts the hook, they will remove the vein in sections until it is fully removed.

Patients generally do not feel any pain during the procedure because of the anesthetic. You will not need any stitches; the incisions are small enough to heal on their own. The doctor will cover the incisions with a compression bandage.

What to Expect After the Procedure
Most people are able to resume normal activities within 24 hours of phlebectomy. It is typically recommended that you avoid strenuous activities for a week following the procedure. Your doctor might instruct you to wear compression stockings for up to two weeks. They will give you specific post-procedure instructions based on your age and health conditions.

It is common to experience bruising, mild pain, soreness, slight bleeding, and/or tingling in the leg. These symptoms should go away within two weeks.

Success Rate of Microphlebectomy
Microphlebectomy has a long-term success rate of over 90%. When performed by an experienced physician, the procedure is safe and highly effective. It improves the appearance of the skin and helps with varicose vein pain. Many patients choose microphlebectomy because it is quick, minimally invasive, performed with local anesthesia, and relatively painless.

Associated Risks
There is a less than 1 in 1,000 chance of developing an infection requiring antibiotic treatment. Some people experience skin pigmentation at the site of the vein, but it is typically temporary. If you develop any signs of infection after the procedure (redness, swelling, fever, etc.), you should contact your healthcare provider immediately.

Microphlebectomy at Legacy Vein Clinic
Legacy Vein Clinic serves the South Bend community from our center in Mishawaka. If you are interested in microphlebectomy for varicose veins, please contact us at 574-272-5347 to schedule a consultation.

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