Microphlebectomy is a minimally invasive procedure used to treat varicose veins that are too large to treat with sclerotherapy and too small for laser ablation. Also known as stab phlebectomy, microphlebectomy uses tiny punctures to remove damaged veins and divert blood flow to healthy veins. This can relieve the painful symptoms and unsightly appearance associated with varicose veins.

Microphlebectomy is performed under local anesthesia in your doctor’s office. A series of small incisions, 2-3mm, are made after a dilute local anesthesia solution is injected into the area. A fine instrument is inserted through the small opening to grasp the vein. The varicosity is teased from the surrounding tissues and removed. No sutures are needed for the tiny incisions. An ace wrap and a compression stocking are worn for a few days. Return to normal activities is expected within 24 hours.

There is little to no downtime after this procedure, with most patients able to return to work and other normal activities the very same day. However, strenuous activities should be avoided for a week. There are virtually no scars left after this procedure because of the tiny incisions used. Although microphlebectomy is considered a safe procedure, there are certain risks associated with any surgical procedure.

These risks may include mild discomfort and bruising for a few days after the procedure, or in rare instances, a skin nerve injury. These side effects are usually mild and go away on their own over time. If you are suffering from varicose veins, ask Dr. Dietzek about microphlebectomy to find out if this procedure is right for you.

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