What is Phlebectomy?
Vein Surgery is also referred to as Phlebectomy. It is a technique for removing tortuous, large Varicosities and Varicose Veins. This procedure is also referred to as Vein Surgery.
Phlebectomy is a common minimally invasive procedure for Vein Removal involving several tiny cuts (incisions) that are made in the skin through which the affected veins are removed.
Vein Removal Surgery yields excellent results, both short and long-term.
Benefits of Phlebectomy
The procedure is minimally invasive. As it is a minor operation, it is a convenient treatment, and it can be done at a clinic.
For suitable candidates, the success rate is very high with low risk.
This treatment is extremely useful for patients that have suffered through residual clusters of Spider Veins or with large Varicose Veins. It is also good for removal of Non-Truncal Tributaries.
When is Vein Surgery Required?
If Endothermal Ablation Treatments and Sclerotherapy are unsuitable for you, you'll usually be offered a surgical procedure called a Phlebectomy.
These surgical techniques are generally reserved for the largest and most unsightly veins.
Types of Phlebectomy
Vein Stripping (rare)
Ambulatory Phlebectomy (APh)
Ambulatory Phlebectomy is an outpatient procedure that removes Superficial Veins through small, slit-like incisions in the skin.
In some instances, a needle is used to carry out this procedure. A small hook specifically made for this procedure is then used to remove the veins. It’s a minor procedure that generally doesn’t require a stay in the hospital and can easily be done at your local clinic.
The procedure involves manual Ligation or removal of abnormal veins through small incisions approximately 2-3 mm in length. The small incisions are closed using adhesive tape and there is no need for skin-sutures.
A very detailed vein examination is needed before the procedure is carried out. Particular care is needed, noting the patient’s medical history and checking for contra-indications for anaesthesia. An Ultrasonograph scan is needed before carrying out Phlebectomy.
The patient will be asked to stand up as the physician maps out the locations of Refluxing Vessels. A large needle or a small blade may be used to make a micro-incision on the skin. The Phlebectomy hook is then inserted in the micro-incision for extraction.
The affected veins are identified with a surgical marker. Tumescent Anaesthesia may be applied before Phlebectomy. Besides numbing the patient, this both pushes the vein to the skin and minimises post-operative bleeding.
Procedure Time: Approximately 45 minutes. Anaesthesia: Only local anaesthetic is used and sedation is not required.
Phlebectomy requires a small incision to remove Varicose Veins on the surface of the leg. Using the Phlebectomy hook, the vein is gently dissected. Using the needle or a scalpel, cutaneous incisions are made near the Varicose Veins. The incisions should follow the skin lines, vertically-oriented if along the thighs or legs.
When liberated, the vein can be captured by use of the harpoon of the hook and completely removed with the use of the forceps. A sterile gauze strip is then used for local compression. The whole vein is taken out through one incision after the other. No skin closure is needed due to minimal invasion.
Recovery: The procedure leaves small scars approximately 2-3 mm in size. It results in minimal after-procedure pain and a quick recovery period.
Success of Vein Surgery
Success rates for Phlebectomy for Varicose Veins are 90% and above in various reports.
The condition of the patient will be properly assessed six weeks after surgery. The doctor can then assess if additional procedures are needed or advised.
Similar to any other treatment and dependent on the patient's background, new Varicose Veins may still develop over time.
Recurrence of Varicose Veins
When the the Diseased Veins are manually removed, there is a good chance of non-recurrence, although patients with a family history of Veins Disease may see them return in time.
Where the compression bandage is worn for the first week, or as directed, healing from Vein Removal Surgery is quick and involves very little, if any, pain.
Phlebectomy Cost Details
A Phlebectomy costs upwards of $900 for a single treatment.
Ligation Therapy (LIG)
Ligation means the surgical tying of veins through a small incision in the skin. Ligation may be used in conjunction with Vein Stripping, or Removal of the Vein.
Vein Stripping is a surgical procedure done under general or local anaesthetic to aid in the treatment of Varicose Veins and other manifestations of Chronic Venous Disease.
Vein Stripping surgery is the last resort of treatments. Vein Stripping is generally done for removing a thickened and hardened vein. The Vein Stripped (pulled out from under the skin using minimal incisions) is usually the the large vein in the leg (Great Saphenous Vein.)
The Surgeon makes two small incisions, one in the groin at the top of the affected vein and the other either in your calf or ankle. The Surgeon then advances a thin, flexible plastic wire through the vein from the groin incision to the incision in ankle or calf.
This flexible wire is tied to the Saphenous Vein and then pulled out bringing the entire vein with it.
For other damaged veins, tiny incisions are made over the damaged veins, and the veins are removed or tied off. The incisions are closed with sutures.