What is Ambulatory Phlebectomy (A.P)?
Ambulatory Phlebectomy is an in-office surgical procedure using local anesthesia to remove the larger, bulging varicose veins of the legs using minute (1-2 mm or 1/16 of an inch) incisions.
Who founded this procedure?
Robert Muller M.D. was a Swiss Dermatologist who began performing Ambulatory Phlebectomies during the mid-fifties in Neuchatel Switzerland. It is now standard practice in most of the world to remove tortuous varicose veins by this procedure.
What are advantages of having the Ambulatory Phlebectomy procedure vs. Standard Vein Stripping?
Standard vein stripping involves significant downtime and discomfort. Typically, it is performed under general anesthesia in a hospital setting. On the other hand, Ambulatory Phlebectomy is now the new, go-to treatment for Vein Therapy. It is minimally-invasive and offers a permanent solution with less pain. The scars of standard vein stripping are eliminated with Ambulatory Phlebectomy. These are replaced by 1-2 millimeter virtually invisible incisions. There is no hospitalization required, no general anesthesia, greatly decreased morbidity, no downtime, and work can be resumed the following day. Most discomfort can be easily managed with OTC medications and ice packs.
How long does the procedure take?
The A.P. procedure can take anywhere from one to three hours depending on the severity. Usually the procedure takes approximately 1-1/2 hours.
Will all of the varicose veins be removed at once?
This depends on the extent and severity of each patient’s condition. Typically, this type of outpatient procedure is done in stages.
Is Ambulatory Phlebectomy my only option?
Usually, A.P. is the last stage for treatment of twisted, bulging varicose veins. For many patients, there are less invasive procedures using injections, laser therapy, or radiofrequency. However, it is all dependent on the complexity and severity of your case. During your consultation, Dr. Murray will provide you with best course of action for your treatment plan.
Are bandages used to wrap the legs?
Yes, bandages and compression stockings are used.
Will I be able to drive myself home?
Is it possible to shower after the procedure?
The only exception to showering is if the varicose veins go up into the groin region. At that point, a shower bag will need to be used.
Will there be stitches?
There are no stitches. The incisions are so small, Steri-Strips will suffice.
Will bruising occur?
Yes. Any bruising that occurs is usually very light to moderate.
Is there pain after the procedure?
Less than 2% of our patients tell us they took anything for pain and it was usually only Tylenol or Ibuprofen.
What is the total recovery time?
Two weeks after the procedure, the compression stockings are eliminated, and the Steri-Strips removed.
What is the patient satisfaction rate?
95% to 98% of all patients are extremely happy they chose Ambulatory Phlebectomy over standard vein stripping. When standard stripping patients see Ambulatory Phlebectomy results, most wish they had chosen A.P. instead of vein stripping. The results are so much better overall with Ambulatory Phlebectomy.
What if a future heart surgery is required and I removed the veins from a previous Ambulatory Phlebectomy procedure?
The vein we are removing is a diseased vein which is already dilated and of no use in heart surgery. It cannot be put back into such a vital organ as the heart and be expected to function normally.
Will my insurance company pay for this procedure?
This will depend on the quality of your insurance program. However, with rare exceptions, this is a covered medical procedure. Please call the office to find out if your health insurance is accepted.
*Individual Results May Vary