The process of Phlebectomy is an invasive surgical procedure that is used to remove surface vein varicose. Basically, there are two types of phlebecomy: Ambulatory and Transilluminated Powered Phlebecomy.
An Ambulatory Phlebectomy is performed by using local anesthesia. First, anesthesia fluid is injected into the affected area of varicose vein. The doctor then puncture the skin next to the varicose vein with the help of a scalpel or needle, then insert a small hook from that opening, grasps the vein from it and removes it. The area is then covered with the help of a compression bandage, compression stocking is also used sometimes for it. There is no need for any stitches and even the scars are undetectable. The patient is able to walk after few hours of the procedure. The only possible risk of the Ambulatory procedure is the allergic reaction to anesthesia or localized numbness.
Transilluminated powered Phlebectomy
TIPP is a similar process to Ambulatory Phlebectomy but is a little more invasive. It is performed in an operation theater, it is performed in an outpatient’s basis and a local anesthesia is used so that the patients do not feel anything during the process. Two small incisions are made near the varicose veins, the surgeons then insert a tumescent canula illuminator (TCI) that makes the veins visible. Local anesthesia is infused in the skin; this loses the vein surrounding the tissue. The vein remover instrument is the sent to the vein; the vein is cut into small pieces and removed. The local anesthesia allows the patients to come back to the normal state in few hours and they can go home the same day. They can return to the normal day’s activity in no time and they can resume work in a few days. However, arduous activities should be avoided for up to two weeks. There are risks of infection after each surgery so it is better to avoid any activity which much results in them for a few days just to be sure.