Ambulatory Phlebectomy

In Traverse City & Cadillac, MI

What Is Ambulatory Phlebectomy Treatment?

Ambulatory phlebectomy is a method of surgical removal of surface varicose veins. Ambulatory phlebectomy is usually performed in a doctor’s office using local anesthesia. The area surrounding the varicose vein clusters is flooded with anesthetic fluid. A needle is then used to make a puncture next to the varicose vein and a small hook is inserted into the needle hole and the varicose vein is grasped and removed. The punctures typically leave nearly imperceptible scars. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period. Ambulatory phlebectomy is often performed in conjunction with minimally invasive endovenous catheter procedures.

Who Is A Good Candidate For An Ambulatory Phlebectomy?

Phlebectomy is an excellent option for patients with large, ropy veins at or near the surface of the skin. This option offers superior cosmetic results, typically in one setting that may take multiple visits with other options with other techniques such as sclerotherapy. Patients who need to be on blood thinners and patients with deeper veins or patients with abundant loose skin such as after significant weight loss may be better served by other treatments

Benefits Of Ambulatory Phlebectomy

A Microphlebectomy is an excellent procedure for removing bulging varicose veins quickly and efficiently. Because Dr. Heeringa removes the affected vein completely, all of the associated symptoms are eliminated immediately. These procedures are typically very well tolerated and are done under local anesthetic here in the office. The veins are actually removed through needle punctures as opposed to incisions and thus no sutures are needed and patients typically return to normal the next day. Most patients report post-op pain as only being a 2 or 3 on a 1-10 scale and they typically only need to take over-the-counter pain medications for a day or two. In contrast to foam sclerotherapy, a large area can be treated in a single session with a phlebectomy where it would take multiple visits to treat similar veins with sclerotherapy.

Patient Testimonial

“I went to see Dr. Heeringa last spring to have my veins evaluated. I was very hesitant because 16 years earlier, I had varicose vein stripping that involved out-patient surgery, and 3 weeks off of work at the age of 28. I was told it wouldn’t be my last surgery. This experience was quite different! All I can say is WOW! The procedures were done in the office and I was back to work the next day. After having procedures on both legs, there is a noticeable difference! I used to come home from work and my feet and legs were so swollen and sore, I was done for the day. Now I have more energy. I also noticed that my blood pressure has been better. This summer, I had to buy new shoes because my feet are not swollen like they use to be. I would recommend Northern Michigan Vein Specialists and Dr. Heeringa to anyone!” – Theresa

How Do I Prepare For My Ambulatory Phlebectomy?

There really isn’t any preparation necessary for these procedures other than showering prior to showing up for your procedure. You’ll need to wear compression stockings afterward for two weeks, so you’ll want to purchase these beforehand. Since only local anesthesia is necessary, you don’t have to worry about fasting prior to your treatment. Many patients drive themselves to and from the appointment. For patients who are anxious, an anxiolytic may be prescribed if desired.

How Is Ambulatory Phlebectomy Performed?

For the phlebectomy procedure, the physician will mark out the varicose veins with the patient standing. Then, when the patient is laying down, a dilute numbing medicine or tumescent anesthesia is infiltrated into the skin and around the veins. The doctor will then use a needle to make tiny holes adjacent to the marked veins and then remove the veins through these needle holes.

How Long Does An Ambulatory Phlebectomy Take?

These are outpatient procedures at our Northern Michigan Vein Specialists offices in Traverse City or Cadillac. They typically take between one and two hours depending on how many varicosities you have.

Results Of Phlebectomy

Your varicose vein has been removed, so your results are immediate and permanent. There will be some slight swelling and minor bruising, but this resolves within a few days. There can be some change in skin pigmentation over the removed vein, but this also clears quickly. While no vein procedure prevents the development of future varicose veins, the veins removed with a phlebectomy have been permanently removed and are gone for good!

Ambulatory Phlebectomy Recovery

After the procedure, the patient will have his or her leg wrapped with compression bandages which will be left on for 24 hours, and after that the patient can switch back to compression stockings which are to be worn daily for the next two weeks. Most patients are able to go back to work the following day and typically need nothing more than over-the-counter medicine for pain such as Tylenol or ibuprofen.

How Long After An Ambulatory Phlebectomy Can I Start Exercising Again?

Amazingly, you can walk the same day as your treatment and you are encouraged to remain active. You can use an elliptical, walk more, or ride a bike within two days, in most cases. Don’t overdo it, though. You should hold off on strenuous exercise and any moderate to heavy lifting for two weeks. Patients usually return to work the next day.

Phlebectomy Alternative Treatment Options

Alternatives would be sclerotherapy or foam sclerotherapy but that often would require multiple sessions, sometimes over several months.

Risks Of Ambulatory Phlebectomy

Like the other treatments offered here at Northern Michigan Vein Specialists, complications are rare and typically minor. Risks include bleeding, bruising, numbness and tingling. As with any procedure, it is important to discuss potential risks and benefits with your physician beforehand.



Schedule a consultation today!

We proudly serve patients from Traverse City, Cadillac, Manistee, Big Rapids, Houghton Lake, Grayling, Sault Ste. Marie MI and surrounding areas with Ambulatory Phlebectomy treatments. Call today for your consultation at (231) 946-1488 or complete a Contact Form here! You can also find directions to our Traverse City and Cadillac, MI offices by clicking here. We look forward to serving you!

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880 Munson Ave, Suite A, Traverse City, MI 49686

440 Cobb St Cadillac, MI 49601

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