Miniphlebectomy / Microphlebectomy
Mini-phlebectomy (also known as micro-phlebectomy or stab avulsion phlebectomy) is a procedure to remove varicose veins below the saphenofemoral and saphenopopliteal junctions. Mini-phlebectomy is performed when the veins have competent valves or after incompetent valves are treated by radiofrequency ablation. The veins are usually superficial just below the skin and often budge or are ropey and are symptomatic. These veins are too large to be treated with sclerotherapy.
The procedure usually is performed in the doctor’s office with light sedation (oral valium or other sedative) and local anesthesia. Several tiny incisions less than ¼ inch are made in the skin to allow removal of varicose vein segments. The incisions are closed with steri-strips (tape) or a stitch. Patients tolerate the procedures well, have minimal discomfort and there is a low incidence of complications when following the physician’s pre and postoperative care instructions. Patients are encouraged to resume walking after the procedure.
Complications although rare, include:
- Allergic reaction to oral medications and anesthetic
- Dimpling of the affected area
- Pigmentation (discoloration of the skin)
- Blood clot
Miniphlebectomy is not performed if the patient has an infection on the infected limb, severe edema (swelling), or anticoagulated (blood thinners) or during pregnancy.