Ambulatory phlebectomy is a procedure
that consists in the removal of varicose veins on the surface
of the legs. It can be performed at Dr. Camacho’s office
under local anesthesia. The phlebectomy treatment involves
making tiny punctures or incisions through which the varicose
veins are removed; these incisions are so small that no stitches
are required afterwards. Veins are very collapsible, which
means that even large veins may be removed through the tiny
incisions used in this technique. The patient is able to walk
following the procedure. Ambulatory phlebectomy is recommended
for medium and large varicose veins.
Most patients experience little to
no discomfort and generally don’t even need pain medication
after the treatment. In fact, you may stand and walk right
after treatment, then return to work the next day.
Versión Español: Flebectomía
Ambulatory phlebectomy may be used
to remove both asymptomatic and symptomatic superficial veins
from the skin. Usually, treated veins are the larger, bulging
(raised) and varicose veins, although smaller veins may also
be removed with using this treatment. An ambulatory phlebectomy
procedure may be combined with other therapies in the treatment
of venous diseases..
who are allergic to the local anesthesia, who are not able
to walk on their own and who cannot wear the compression stockings
(due to arterial circulation problems) are not adequate candidates
for this treatment. Any active infection or rash in the treated
areas needs to be resolved before any kind of treatment can
If you have any questions, Dr. Camacho
will be more than happy to help you during your initial discussion.
a vein removal surgery (ambulatory phlebectomy), Dr. Camacho
will begin by numbing the area with a local anesthetic; this
means that the procedure is virtually pain free. Small incisions
(as small as 1mm) are made on the outside of the vein. The
doctor will then insert a tiny hook into the incision and
a small portion of the varicose vein is removed. This is repeated
until the entire vein has been eliminated. Ambulatory phlebectomy
is a quick procedure, and because the incisions are so tiny,
no stitches are required.
treatment, you will most likely have to wear a compression
bandage and/or compression stocking. Dr. Camacho will tell
you on how long you will need to wear any bandages or hose;
this time frame actually varies from patient to patient depending
on their individual circumstances. Sometimes, it is recommended
for you to walk or bike after treatment. By doing so, you
can reduce the pressure in the veins, increase the flow in
the veins and reduce the risk of any blood clots forming.
and swelling can be expected but they are only temporary.
You can walk immediately after surgery and carry on normal
daily activities except for heavy exercise and/or heavy lifting.
You must follow the activity restrictions and wear the compression
stockings as directed by Dr. Camacho. The small incisions
heal well without sutures and after six to 12 months, they
are practically imperceptible. Your varicose veins are physically
removed and therefore should not come back. However, you must
keep in mind that depending on other factors such as family
and personal history, new varicose veins may develop over
As with any type of surgical intervention, complications are
unusual, but they sometimes do happen. However, they are usually
minor and can be reduced by precisely following Dr. Camacho's
instructions before and after the procedure. When it comes
to ambulatory phlebectomy, the following are related complications:
or soreness - If you have more than the average
amount of bruising, swelling or inflammation after the procedure,
you can experience temporary tenderness and soreness that
may last longer than the average 1-3 days. All of these problems
are temporary and they resolve completely given enough time.
Nerve irritation - Occasionally,
nerves that are adjacent to the extracted vein can be irritated
by the procedure. This can lead to a small area of numbness
or an area that just doesn't "feel right" where
the sensation in your skin is mildly altered. Although some
mild irritation of surrounding nerves happens in about 5%
of patients, it is almost always mild and resolves completely
after some time. In extremely rare cases, the nerve irritation
can persist and be problematic.
Infection at an incision
site - Rarely, a mild superficial infection
can develop at an incision site. This is usually just a minor
complication which slows down the healing of the incision
and does not normally lead to any more serious consequences.
sure to ask Dr. Camacho concerning any risks you might have
to face when undertaking this surgery. However, you must keep
in mind that our certified group of doctors works full-time
to prevent such scenarios from happening, since we value the
health of our patients above anything else.
information given in this website should be considered an
introduction to a ambulatory phlebectomy surgery. Before deciding
on submitting yourself to the procedure described above, we
highly recommend you contact Vascular Surgery Costa Rica directly,
so we can answer any specific question you might have.