Often varicose veins near the surface of the skin are too large to treat with sclerotherapy and are too small to treat with laser ablation or EVLT. 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.

BENEFITS OF MICROPHLEBECTOMY:
• Minimally invasive
• Usually only requires local anesthesia to numb the skin over the vein
• Performed through a series of small punctures
• It is frequently used in combination with sclerotherapy (if a portion of the vein’s course goes deeper under the skin’s surface)
• Little or no down time — usual daily activities resumed immediately following the procedure
• Compression dressing usually worn for one week following the procedure
• Patients asked to avoid strenuous activities for one week

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.

POSSIBLE RISKS AND COMPLICATIONS OF MICROPHLEBECTOMY: