Phlebectomy – Ambulatory and Micropuncture
What does the word “phlebectomy” mean? The word comes from combining the following Greek words:
- “phleb” or “phlebo“ meaning “vein” (from the Greek verb “phlein” meaning “to flow”)
- “ek” meaning “out of, away from”
- “tome” meaning “cutting”
Phlebectomy literally means “cutting out vein,” or “removing vein” (pronounced: flee•bek•to•mee) and is used to treat phlebitis.
At Advanced Vein Care Center, we perform phlebectomy on an outpatient basis with local anesthetic, which is sufficient. Phlebectomy is performed through small 1–3 mm needle punctures in the skin, rather than the traditional 12.7–25.4 mm scalpel incisions for vein stripping, hence the term “ambulatory micropuncture phlebectomy.” In our practice, we refer to this as ambulatory phlebectomy or AP.
After removing larger varicose veins, the puncture marks are so small, they do not require stitches. Phlebectomy scars are barely visible for some people, and for others, they blend in with their natural skin freckles. They are noticeable only on patients who are very pale with no freckles or skin pigmentation.
It is very important to note that AP is a supplemental procedure to EVLT. Varicose veins on the skin surface arise from an underlying vein source that is refluxing. In other words, varicose veins that are treated by phlebectomy are only the surface manifestation of an underlying venous insufficiency. As such, it does not make sense to simply remove the varicose veins without treating the underlying refluxing veins. For this reason, most insurance companies cover AP only after the EVLT procedure is performed. Therefore, phlebectomy should be considered as an associated procedure to EVLT. And as one might expect, the benefits and risks of AP are very similar to those of EVLT.
Ambulatory Micropuncture Phlebectomy: Questions & Answers
Before, During, and After Questions & Answers
Before the Procedure: Preparation
The rest are the same as for AFTER-Endovenous Laser Treatment in terms of the following:
- Pain management
- Return to work
- Return to activity and exercise
- Concerns about bruising and redness
- Travel by car or airplane for prolonged periods
We look forward to answering any remaining questions you may have about vein removal and ambulatory phlebectomy. Our friendly and informed Springfield, MA office can be reached by phone at 413.732.4242 or fill out the form below.