What is microphlebectomy?

Microphlebectomy, also known as stab phlebectomy, is a minimally-invasive procedure done in the office to remove larger superficial varicose veins.  It is done under local anesthesia (lidocaine).  The procedure is done after the varicose vein to be treated is mapped out or outlined on the skin.  Numbing medication is injected along the tract of the vein.  Various small puncture incisions are created along the tract of the vein.  A sterile surgical crochet hook is inserted into these puncture incisions and the vein is lifted out.  Gentle traction is used to remove the vein through these small puncture incisions.  The incisions are then closed with steristrips or skin glue. 

Why is microphlebectomy used?

Microphlebectomy is the recommended treatment for large surface varicose veins that cannot be effectively treated with sclerotherapy.

What to expect during and after the procedure

Microphlebectomy is an office procedure performed under local anesthesia (lidocaine).  Patients may experience minor discomfort during injection of the local anesthesia, however should experience little to no discomfort during the procedure.  Some bruising of the skin is expected after the procedure.  Compression stockings are required to be worn for 2 weeks after the procedure and help to prevent discomfort and bruising.   Normal activity is allowed after the procedure.  Strenuous exercise or heavy lifting should be avoided for about a week following the procedure.  A two week follow up appointment is required to check the incisions and healing.  Usually one vein is excised at a time. 

If you are interested in microphlebectomy, visit Texas Heart and Vein clinic for a consultation with our providers.  You can also call our Humble or Houston location. Fill out the form on our website to schedule an appointment.