The microphlebectomy procedure involves the removal of the varicose veins through multiple small 2–3 mm incisions in the skin overlying the varicose veins. First the veins are marked with the patient in standing position. Then the patient is positioned on the operating table and local anesthesia is applied. Incisions are made using a surgical blade. The most important instrument for this technique is the vein retractor or microphlebectomy hook. There are two ways by which the veins can be grasped. Into the vein itself with a sharp instrument or around the vein with a blunt instrument. The microphlebectomy hook is inserted through an incision and the varicose veins is hooked, extracted, and subsequently fixed with a clamp (e.g. Mosquito clamp). Next the vein is pulled out by turning or “wenching” the exteriorized part of the vein and moving the clamps as the vein is pulled out further. Dependent on the amount of varicose vein that has been removed the next incision is made 5 to 10 cm. along the pre-operative markings.
Microphlebectomy is the minimally invasive surgical technique recommended for treatment for large surface varicose veins used in conjuction with endovenous closure. Approx. 60 minutes.
Begin taking the prescribed antibiotic the day before your procedure. We recommend you wear comfortable, loose-fitting clothing to your appointment.
Prior to arrival, prescribed topical ointment may be applied to the affected leg. Any anti-anxiety medication prescribed by your physician should be brought with you to your appointment. Do not take this prior to arrival. Be sure to arrange for a driver after your procedure. Upon arrival, you will be taken to a private exam room. AI3 Vascular staff will be available to answer any questions at this time.
Next, your physician will outline the veins to be treated with a marker. A member of our staff will wash your leg with sterilizing solution and place sterile drapes over your leg so that only the treatment site is visible to the physician. The abnormal or diseased veins are accessed and removed through a series of pinhole perforations using a special set of instruments. Small bandages or steri-strips are placed over the puncture sites and a bandage and compression stocking are placed on the treated leg. Patients are asked to walk for 20 to 30 minutes immediately following treatment to promote blood flow to the treated leg(s).