What is Minimally Invasive Microphlebectomy?

During a microphlebectomy procedure, a doctor makes small incisions in the skin near the varicose veins. A special tool, such as a hook or forceps, is then used to gently remove the affected veins through these tiny incisions. Unlike older methods such as vein stripping, which required large incisions and general anaesthesia, microphlebectomy is performed under local anesthetic in an outpatient setting. Compared to endovenous laser ablation, microphlebectomy offers a different approach to removing varicose veins, often complementing other treatments like radiofrequency ablation. This modern technique allows for the precise removal of the diseased vein with minimal discomfort.

Benefits of Minimally Invasive Treatment

Microphlebectomy is a highly effective treatment for varicose veins, offering several benefits:

• Minimally Invasive Treatment: The procedure involves small incisions, leading to minimal scarring and does not require sutures or general anaesthesia, resulting in minimal downtime and less pain.

• This treatment provides significant relief from painful varicose veins.

• Local Anesthesia: It is performed under local anaesthesia, reducing the risks associated with general anaesthesia.

• Quick Recovery: Patients typically experience less discomfort and a quicker return to normal activities compared to traditional vein stripping.

• Effective Results: It allows for the removal of diseased veins without the need for extensive surgery or prolonged recovery time.

• Large Varicose Veins: Microphlebectomy is particularly effective in treating large varicose veins, as it enables the precise removal of the largest veins first, ensuring comprehensive treatment.

Post-Procedure Care

Patients undergoing microphlebectomy may be advised to wear compression stockings following the procedure to promote healing, improve circulation in the legs, and prevent blood clots. This can help reduce swelling, alleviate symptoms such as heaviness and aching, and prevent complications like ulcers or blood clots.

Improving Venous Health for Varicose Veins

Overall, microphlebectomy is a safe and efficient way to address superficial varicose veins and improve both the cosmetic appearance and function of the venous system. Combined saphenous ablation and radiofrequency ablation are often used as complementary treatments to enhance the effectiveness of microphlebectomy. By removing the bulging veins and restoring proper blood flow, patients can experience relief from symptoms and a reduced risk of complications associated with chronic venous insufficiency.

Consultation and Treatment

Initial Consultation:

The first step in the microphlebectomy process is a thorough consultation with a qualified doctor. During this consultation, the surgeon will:

1. Medical History Review: Assess your medical history, including any previous treatments for venous disorders and current medications.

2. Physical Examination: Conduct a detailed physical examination of your legs to evaluate the extent of varicose veins and any associated symptoms.

3. Diagnostic Tests: Utilise diagnostic tools such as ultrasound to map the veins and assess blood flow, ensuring an accurate diagnosis and treatment plan.

4. Discussion of Symptoms: Listen to your symptoms, such as pain, swelling, heaviness, or cosmetic concerns, to understand how varicose veins are impacting your life.

5. Treatment Options: Explain the various treatment options available, including microphlebectomy, and determine the most suitable approach based on your condition and preferences.

Pre-Procedure Instructions:

Before undergoing microphlebectomy, you may receive specific pre-procedure instructions, such as:

– Avoid Certain Medications: You may be advised to avoid blood-thinning medications or supplements that can increase bleeding risk.

– Hydration and Diet: Stay well-hydrated and follow any dietary recommendations provided by your surgeon.

– Comfortable Clothing: Wear loose, comfortable clothing on the day of the procedure to accommodate post-procedure bandages or compression stockings.

– Transportation: Arrange for transportation to and from the clinic, as you may experience some numbness or mild discomfort after the procedure.

The Microphlebectomy Procedure:

Microphlebectomy is typically performed in an outpatient setting under local anesthesia. The steps involved include:

1. Preparation: The treatment area is cleansed and marked for precise incisions.

2. Local Anesthesia: Local anesthesia is administered to numb the area and ensure your comfort throughout the procedure.

3. Incisions and Vein Removal: Small incisions are made near the varicose veins, and a special hook or forceps is used to gently remove the affected veins.

4. Closing Incisions: The tiny incisions are closed with adhesive strips or small sutures, and a sterile dressing is applied.

Post-Procedure Care:

After the procedure, you will receive detailed post-procedure care instructions, which may include:

– Compression Stockings: Wear compression stockings as directed to promote healing, reduce swelling, and improve circulation.

– Activity Restrictions: Avoid strenuous activities and heavy lifting for a few days, but light walking is encouraged to maintain blood flow.

– Wound Care: Keep the incisions clean and dry, and follow any wound care instructions provided by your surgeon.

– Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your healing progress and address any concerns.

Recovery and Results:

– Healing Time: Initial healing typically occurs within 1-2 weeks, with full recovery in a few weeks.

– Symptom Relief: Patients often experience immediate relief from symptoms such as pain and heaviness, with continued improvement over time.

– Cosmetic Benefits: The cosmetic appearance of your legs will gradually improve as the incisions heal and swelling subsides.

Risks and Side Effects of Microphlebectomy

Microphlebectomy is a minimally-invasive procedure with a high success rate and low risk profile. However, like any medical procedure, it carries certain risks and potential side effects. It’s important to be aware of these to make an informed decision.

Common Side Effects:

1. Bruising: Temporary bruising around the incision sites is common and usually resolves within a few weeks.

2. Swelling: Mild to moderate swelling may occur, which can be managed with compression stockings and typically subsides within a few days to weeks.

3. Pain or Discomfort: Some discomfort or pain at the treatment sites is normal, often described as similar to muscle soreness, and can be managed with over-the-counter pain relievers.

4. Redness and Itching: The treated areas may become red or itchy as they heal, which is usually temporary.

Potential Risks and Complications:

1. Infection: Although rare, there is a risk of infection at the incision sites. Proper wound care and hygiene are crucial to prevent this.

2. Bleeding: Minor bleeding or hematomas (collections of blood outside of blood vessels) can occur, but significant bleeding is uncommon.

3. Scarring: While microphlebectomy leaves minimal scarring, there is a small risk of developing noticeable scars, especially if proper wound care is not followed.

4. Nerve Damage: Rarely, nerve damage may occur, leading to numbness or tingling in the treated area. This is typically temporary but can be permanent in rare cases.

5. Deep Vein Thrombosis (DVT): There is a very low risk of developing blood clots in the deeper veins, which can be serious. Wearing compression stockings and following post-procedure care instructions can help minimize this risk.

6. Allergic Reaction: An allergic reaction to the local anesthesia or other materials used during the procedure is possible but rare.

7. Recurrence: In some cases, new varicose veins may develop over time, requiring additional treatments.