Varicose Vein Surgery- Microphlebectomy is a procedure performed to address bulging, twisting varicose veins that cannot be treated with endovenous laser treatments. Often it is combined with endovenous laser treatment and sclerotherapy of spider veins.
First, the bulging veins are marked on the surface of the skin with a marking pencil. Next, local anesthetic is used to numb the area around the ropy vein. A small micro-incision is made, allowing a small hook like instrument to be inserted just below the surface of the skin and remove the diseased vein segment by segment, as it extends down the leg. Your leg will then be ace wrapped for 48 hours. Some bruising can occur.
After 48 hours you will then wear thigh high graduated compression stockings for 2 weeks. You should resume normal activities as soon as the following day. Pain can be controlled with Naprosyn. The incisions heal in 1 -2 weeks. Since they are so small they do not require suture for closure. Long term they are not noticeable.When treated, these ropy veins are permanently gone. However, if you have a family history you could form new ropy veins.