Venous Treatment - Stab Avulsion Phlabectomy

This procedure eliminates the varicose branches of the saphenous veins or other isolated varicose segments. The procedure is performed in the office under a local anesthetic consisting of a dilute solution of lidocaine with epinephrine which is injected along the length of the affected segment and branches. With special hooks, the varicosities are extracted through stab wounds made with 2 mm microsurgical blades. When fully healed, no scars are visible. Bruising or small hematomas can form, but resolve over a short period of time. Post-operative pain is minimal and most patients report no pain. Routine activities are not restricted, and exercise is allowed after five to ten days. There are no preprocedure requirements or restrictions, and patients can drive after the procedure.