The ambulatory phlebectomy is also known as stab phlebectomy or micro phlebectomy. It is a process to eliminate the varicose and spider vein by tiny, slit-like incisions in the skin. Since veins are tremendously collapsible, even the major affected veins can be detached by the minor incisions using the ambulatory phlebectomy process. The ambulatory phlebectomy includes fewer risks and is less painful than traditional surgical treatment.

Why Is There A Need To Conduct Ambulatory Phlebectomy?

The ambulatory phlebectomy can be conducted when an individual is experiencing difficulties from varicose veins, like cramping, persistent pain, or skin discoloration. A specialist undertakes this process to determine which medication options suit a person according to their medical and present condition. The ambulatory phlebectomy might not be ideal for people with clotting issues, blood-thinning, or severe edema in the same area as varicose veins.

Medical And Cosmetic Reasons For Conducting Ambulatory Phlebectomy.

Individuals go worried about the risk of their damaged veins, while others seek treatment for their varicose veins for cosmetic reasons. The untreated vein can lead to inflammation, pain, and discoloration. They can disturb the streaming of oxygen-depleted blood between the heart and lower legs. The ambulatory phlebectomy treats asymptomatic and symptomatic veins and can release medical and cosmetic concerns in a straightforward process. The damaged veins will replace the healthy veins in the leg to restrain the blood flow.

How To Prepare For Ambulatory Phlebectomy?

The preparation of ambulatory phlebectomy is not a lengthy or complicated process. The process will include local anesthesia, and the patient will not have to do any fasting before the procedure. Before the process, the healthcare advisor will prescribe the patient a muscle relaxant. Moreover, after the process, the patient will have to wear compression stockings for at least one week.

Is There A Need For Stitches After The Ambulatory Phlebectomy Treatment?

There is no need for stitches in the ambulatory phlebectomy treatment, as in this process, typically, tiny incisions are made which are most likely to heal by themselves. After the treatment, the healthcare advisor will place bandages over the incisions to safeguard the skin as it heals.

Possible Aftercare After An Ambulatory Phlebectomy.

After treating ambulatory phlebectomy, the only aftercare the patient must perform is wearing compression stockings. According to the patient’s condition, the healthcare advisor may suggest the patient wear compression stockings for up to two weeks. With the help of compression, the patient’s blood flow to the vein would become better.

Will There Be A Need To Conduct Another Ambulatory Phlebectomy In The Future?

In the process of ambulatory phlebectomy, the specialist will remove the poor functioning vein, and this damaged vein would not have any chance of returning. However, the condition that leads the patient’s vein to transform and weaken into a curly varicose vein is still present. It would mean there are chances of developing other veins in the future.

Will The Patient’s Health Insurance Cover An Ambulatory Phlebectomy?             

In most cases, the insurance provider covers these treatments. They are not deemed elective. Procedures like vein stripping surgery are much easier on the survivor, which is easier for the insurance company.

What Is The Procedure Of The Ambulatory Phlebectomy Process?

The procedure of ambulatory phlebectomy is performed on an outpatient basis. The entire procedure takes at least forty-five to sixty minutes. At the beginning of the process, the specialist will first find the damaged vein and ensure a precise excretion of the vein. Identifying the damaged vein will aid in preserving the health of surrounding tissues and veins. The healthcare advisor will inject a local anesthetic into the skin at the beginning of the process. A surgical hook will be inserted to remove the damaged vein. In this process, no stitches are required. The veins are so collapsible that even the large ones may be excreted by the tiny incisions used in this process.

Is There Any Examination Required Before An Ambulatory Phlebectomy?

Before the ambulatory phlebectomy process, the patient will have a detailed study and consultation with the vein specialist. After studying the patient’s condition, the consultant will explore the severity of varicose veins and might consider the merit of other medications like sclerotherapy to improve comfort and appearance.

How Do Get Recovery From Ambulatory Phlebectomy?

After the ambulatory phlebectomy, the patient might experience discomfort, swelling, and bruising. The swelling and pain can be treated with medications and compression garments. Individuals can continue with their daily activities after the ambulatory phlebectomy. However, the individual would have to wear compression stockings for the first week. Most individuals experience effective outcomes of ambulatory phlebectomy since damaged veins have been removed. The risk of reappearance can be minimized if the individual maintains a healthy weight and active lifestyle.

Is Ambulatory Phlebectomy Painful?

The process of ambulatory phlebectomy is not painful. The aesthetic injection will numb an individual’s skin across the vein and keeps the patient from experiencing tiny incisions to grab the damage. This procedure results in soreness, but it can be treated with medication.

What Are The Possible Risks Of Ambulatory Phlebectomy?

The process can include some risks linked with the surgical procedure. Individuals may sometimes encounter irritation and inflammation due to incomplete excretion of poorly functioning veins. The risk factors of ambulatory phlebectomy are as follows:

  • Severe swelling or bleeding.
  • Nerve damage to the skin.
  • Post-surgical infection.
  • Pain or numbness in the feet.
  • Adverse reaction to sedative or anesthetic.

Before ambulatory phlebectomy, the patient’s condition should be analyzed in detail, and the consultant must also note down the allergic reaction an individual might experience during the process. If someone is allergic to anesthesia or cannot wear compression stockings, they should not undergo ambulatory phlebectomy treatment.


  • retrieved on 3 September 2022
  • retrieved on 3 September 2022
  • retrieved on 3 September 2022
  • retrieved on 3 September 2022