Ambulatory microphlebectomy is a minimally invasive method of removing large, bulging varicose veins through tiny openings in the skin. It can be a good option when visible veins are too large for sclerotherapy or too twisted for certain catheter-based methods. For people dealing with vein disease, microphlebectomy may reduce prominent veins without traditional vein-stripping surgery.
At South Austin Vein Center, Michael M. Di Iorio, MD, and Candice Di Iorio, MSN, APRN, FNP-C, WHNP-BC, provide vein care in Austin and Bee Cave, TX. Dr. Di Iorio is board-certified in vascular and interventional radiology and diagnostic radiology and has performed more than 20,000 vein procedures. Candice is a double board-certified nurse practitioner with more than 20 years of nursing experience.
How Does Ambulatory Microphlebectomy Work?
During ambulatory microphlebectomy, local anesthesia numbs the skin around the vein. The provider then makes very small openings alongside the bulging vein and, using specialized instruments, removes sections of the vein through those openings.
Because the openings are tiny, they typically leave minimal to no visible scarring. The care takes place in the office rather than an operating room.
Removing a problem surface vein doesn’t stop your leg from circulating blood normally. Blood continues circulating through healthier, functioning veins.
When Is Microphlebectomy Used?
Microphlebectomy is generally used for larger varicose veins close to the skin’s surface. These veins can appear raised, rope-like, or twisted.
At South Austin Vein Center, we may consider this approach when a bulging vein is too large for sclerotherapy and isn’t straight enough for radiofrequency ablation. Your vein evaluation typically includes an examination and venous ultrasound to identify the source of the problem before determining your treatment plan.
Microphlebectomy may also be part of a broader plan when more than one type of abnormal vein is present. Other options at the practice include radiofrequency ablation, VenaSeal™, Varithena®, and sclerotherapy.
What Is Recovery Like After Microphlebectomy?
Recovery is usually fairly short. Some temporary bruising, tenderness, or swelling may occur around the areas where the veins were removed. You can generally resume normal activities after several days.
Find Out if Microphlebectomy Fits Your Vein Care Plan
Bulging varicose veins don’t always require a major operation. Dr. Michael Di Iorio and Candice Di Iorio care for people with vein disease at South Austin Vein Center in Austin and Bee Cave, TX. To learn whether microphlebectomy or another option fits your needs, contact us or call 512-614-1025.
