Phlebectomy for Veins

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Bulging varicose veins can be removed using a technique called phlebectomy, sometimes also referred to as stab avulsions. This involves making a small cut in the skin, usually only 3-5 mm long, and physically removing the offending vein by grabbing and hooking it and pulling it out.

The incision leaves a small scar but in most cases it is barely noticeable and fades away over time.

This technique causes some pain but is well tolerated, with the major advantage in that the troublesome veins are physically removed immediately with one treatment. It is often performed in conjunction with another surgical procedure, such as saphenous vein ligation and stripping, so that the phlebectomies are performed whilst under a general anaesthetic.

Some clinics choose to perform phlebectomy under local anaesthetic, which allows the patient to be awake with a shorter recovery time, but this requires multiple injections of local anaesthetic to numb the areas where veins are being removed. This can be tolerated for a small number of veins but can be very troublesome with large veins or extensive varicose veins.

An alternative to phlebectomies are injection sclerotherapy to surface veins.