Ambulatory Phlebectomy

Ambulatory Phlebectomy is a minimally invasive approach to the treatment of larger varicose veins not amenable to endovenous radiofrequency ablation. Ambulatory Phlebectomy involves removing bulging superficial veins through a series of tiny incisions with local anesthetic. Following Ambulatory Phlebectomy procedure most patients can expect to return to normal activities.

What are the benefits of ambulatory phlebectomy over other procedures?
Ambulatory phlebectomy offers excellent results treating large superficial varicose veins. This procedure is performed on an out-patient basis in the Hallmark Health Vein Center. Ambulatory Phlebectomy offers a short to immediate recovery period with little to no-downtime.  

How is ambulatory phlebectomy performed?
The leg is sterilized and the leg is prepared with an antiseptic solution and a local anesthetic is injected along the veins. The anesthetic numbs the area for the ambulatory phlebectomy procedure. Once the entire area to be treated has been injected with the anesthetic solution, tiny incisions are made over the veins, removing the vein in small sections. The incisions for ambulatory phlebectomy procedures are so small they do not require sutures. These incisions allow the excess fluid to drain post operatively. When all the veins targeted for treatment on one leg have been completely removed, pads to absorb the fluid are placed next to the skin and compression stockings are worn afterwards.

What is the recovery process after ambulatory phlebectomy?
It is important to ambulate soon after your ambulatory phlebectomy to reduce the risk of complications and contribute to the healing process. Compression hose are worn for a period of time afterwards until the leg is healed. Most patients are back to work within 1 to 3 days. The only activities to be avoided in the first few weeks are prolonged standing and heavy lifting.

What are the risks associated with ambulatory phlebectomy?
Ambulatory Phlebectomy has minimal risks associated with it when compared to traditional vein stripping. Incisions are tiny and heal and fade within 6-12 months following the procedure.  Discoloration of the skin may occur and typically resolve in a short period of time.

Will my insurance cover the ambulatory phlebectomy?
Most Insurance companies often cover the cost of treatment in part and or in full based on medical necessity. Our Vein Center patient liaison will work closely with you on any insurance coverage issues. 


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Hallmark Health Vein Center
Melrose-Wakefield Hospital
585 Lebanon Street
Melrose, MA 02176


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