Ambulatory Phlebectomy (AP)

An Ambulatory Phlebectomy is for the treatment of the bulging and superficial varicose veins.

Ambulatory Phlebectomy

During this procedure you will receive a local anesthetic around the bulging vein to numb the skin’s surface. Tiny skin punctures are made so that the veins can be interrupted and/or removed through the needle puncture.

The needle holes are small; therefore, stitches are not required. Also there will be no cutting with a scalpel to reduce the risk of scarring.

The tiny needle hole will be visible post AP and will fade away in a few months depending on the patient’s skin type and location of the AP.

Patients may experience bruising, redness and a feeling of warmth in the areas of treatment. These issues will typically resolve within weeks.

Two compression wraps will be applied over the treated vein. The top wrap can be removed 6 hours post AP but the bottom wrap must be worn for 3 days. While you are wearing the wrap it is important to keep it dry and clean to avoid the risk of infection.

You may also experience bleeding from the Phlebectomy site after the wrap comes off. If you encounter bleeding or oozing, apply moderate constant pressure for 30 minutes and elevate the leg.

Hard focal lumps under the puncture site are also common which can be small segments of the remaining vein or scar tissue that will soften up and dissolve over time. An AP does not require fasting or stopping your medication.

This procedure takes 1 hour.

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