Vascular Surgery/Microphlebectomy

Treats discolouration, undesirable appearance, or continuous pain for varicose veins

Microphlebectomy, also referred to as Ambulatory Phlebectomy, is occasionally recommended for the treatment of varicose veins because not all veins can be treated with Sclerotherapy, EVLA or RFA.

What is microphlebectomy?

Microphlebectomy is a minimally invasive and minor surgical procedure technique that is usually performed under local anaesthesia. Typically performed through a pinhole puncture, the technique permits the removal of large varicose veins and results in very little patient recovery time. In some cases, this procedure is performed in conjunction with ultrasound guided sclerotherapy.

Microphlebecotmy is a very popular treatment and effective to treat large surface varicose veins. Commonly, the veins treated with this method are those that are not helped using sclerotherapy. Usually, microphlebecotmy is only necessary if veins are producing complications for patients, such as discolouration of the area, undesirable appearance, or continuous pain.

Microphlebectomy is a minimally invasive procedure performed through a pinhole puncture. It removes varicose veins and, in some cases, can be performed in conjunction with ultrasound guided sclerotherapy.

During your microphlebectomy procedure, you will be under local anaesthetic therefore no pain or discomfort will be felt during your procedure. After surgery, you may feel some minor tenderness in the treated area which should be quite mild but appropriate painkillers can be prescribed to help with this.

Procedure Overview 

  • Minimally invasive procedure used to remove larger varicose veins
  • Typical procedure carried out under local anaesthetic
  • It usually takes around 30-60 minutes
  • Strenuous activity has to be avoided for 1-2 weeks post-treatment
  • Patients may experience some tenderness and bruising post-treatment but this should quickly fade
  • You will have an initial consultation with an expert specialist in this area
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A typical microphlebectomy procedure takes between 30-60 minutes.

Following a microphlebectomy, strenuous activity should be avoided for 1-2 weeks. However, you will be able to walk and continue your normal routine after the procedure. For around a week following the procedure, it will also be important to wear compression bandages or socks depending on the area treated in order to prevent blood clots.

Following a microphlebectomy some patients may report bruising, swelling, scarring, pain, tenderness and numbness. However, these side effects are not evident in all patients and if they do arise, they should be gone after around 3 weeks.


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