Surgical removal of varicose veins under local anaesthesia
Ambulatory Phlebectomy, is a minimally invasive surgical technique to remove bulging surface “branch” varicose veins under local anaesthetic. This is done through small incisions in the skin using a surgical blade. The affected vein is then grasped with a “hook”, and removed via the incision, and this process is repeated at various intervals.
Dr Luke Matar at The Vein Clinic has modified the existing technique (popularised by Swiss dermatologist Robert Muller in the 1960s). At The Vein Clinic Dr Matar uses ultrasound guidance, to place the anaesthetic and the “hook” more accurately, and to visualise the veins beneath the skin.
Benefits of Ultrasound Guided Ambulatory Phlebectomy
Ambulatory Phlebectomy in combination with the ultrasound guidance makes vein removal an easier process. It also improves the success rate, compared with the standard vein surgery procedure. Small incisions can often simply be closed with “steri-strips”, and they usually heal with virtually no scarring.
This phlebectomy procedure combines the best of all technologies and even if may sound a bit daunting to patients at first, it is usually very well tolerated. It also allows for the most effective treatment of varicose veins, with the lowest chance of additional follow-up requirements.
Ultrasound guided ambulatory phlebectomy is performed on a “walk in walk out” basis. As a patient you can return to your normal activities immediately, avoiding strenuous activity for about a week.
Ambulatory phlebectomy, just like any other surgical procedure, involves risks of complications, such as bleeding, bruising , wound infection, temporary swelling, discomfort and venous thrombosis.
Dr Matar will perform a thorough ultrasound and clinical assessment to give you a clear understanding of your vein problem, and to make sure you fully understand the available treatment options and associated risks and benefits of the various options.
Check out a case study on our Venaseal (glue treatment for veins) page, where a combination of sclerotherapy and phlebectomy were used to help a 59 year-old patient.
What to expect at the Vein Clinic Perth
Phlebectomy is offered as one of the treatment options at The Vein Clinic, and may be part of your treatment plan, depending on your personal situation.
Dr Matar has a particular interest and expertise in minimally invasive vein treatment options, such as EVLA (Endovenous Laser Ablation), Venaseal (glue treatment for veins), and foam sclerotherapy.
Often various treatments can be combined to create the best possible outcome, with the least downtime so you can keep living your everyday life without hospital admission.
Ambulatory phlebectomy usually provides the best cosmetic outcome and fastest relief from large bulging surface veins that may be difficult to treat with sclerotherapy alone as these photos taken before and 6 days following treatment show.