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microphlebectomy (ambulatory phlebectomy)
Microphlebectomy is a surgical procedure that allows the removal of short segments of varicose veins through tiny incisions. Normally performed under local anesthesia, tiny incisions are made over the designated veins and are then removed using specially designed instruments. Microphlebectomy is an office-based procedure and can be performed on most varicose veins, with no need for stitches and minimal to no scarring.
Once the procedure is completed, external compression is applied to the treated areas and patients are encouraged to wear elastic bandages and support stockings for a few days. Patients normally return home the same day of surgery and can return to work within a few days.
transilluminated phlebectomy
Like the more traditional ambulatory phlebectomy, transilluminated power phelbectomy involves removing the malfunctioning vein through tiny incisions. During the procedure, the vein is viewed using a transilluminating light and is then removed with a small powered surgical device. Performed on an out-patient basis under local anesthesia, the procedure usually takes less than an hour, depending on the extent of the damaged vein.
While traditional varicose vein surgery is a "blind procedure," meaning that surgeons cannot always see the vein or confirm removal, The TriVex System, used during the procedure, has a unique feature that allows the surgeon to quickly and accurately target and remove the vein and then visually confirm its complete extraction.
This new process makes varicose vein removal more effective, complete and less traumatic for patients, by reducing the number of incisions required to perform the procedure and the duration of the surgery.
Again, once the procedure is completed, external compression is applied to the treated areas and patients are encouraged to wear elastic bandages and support stockings for a few days. Patients normally return home the same day of surgery and can return to work within a few days.
surgical ligation & stripping
While surgical ligation and stripping has been practiced for many years, it is no longer a recommended method of treatment unless medically necessary. It has been replaced by minimally invasive technologies, such as laser and radiofrequency ablation.
During surgical ligation faulty valves in the varicose vein are isolated and tied off, causing blood circulation to flow into healthy veins adjacent to it. Surgical stripping removes the vein entirely due to extensive valve failure.
Today, minimally invasive surgeries are just as effective, with a 90% success rate with good to excellent results. Such procedures can be performed in office with minimal to no incapacity under local anethesia and allow for immediate resumption of activity. Surgical ligation and stripping cannot be performed in office.
[ Possible Risks and Complications of Surgical Treatments ]
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