Does Ambulatory Phlebectomy Hurt?

October 14, 2020 Dr Zil

When it comes to medical procedures, whether it’s a simple injection or a complex surgery, often there is the concern that it will be painful. Varicose vein treatment variest depending on the size of the damaged vein, one of the less-complex treatment options for small veins is ambulatory phlebectomy. If you have heard of this treatment option and are considering it, you may have wondered firstly what it is and secondly, does ambulatory phlebectomy hurt?

How do varicose veins develop?

Veins are responsible for carrying oxygen-rich blood from around the body, back up to the heart. However, when vein valves, or vein walls, become damaged they can lead to Chronic Venous Insufficiency. As well as swelling and skin discolouration, one of the symptoms of CVI is varicose veins. When blood is not able to flow back up to the heart, it begins to reflux or pool, forming twisted, enlarged vessels you know as varicose veins.

Varicose veins: who is most vulnerable?

The most common reason why varicose veins form, is unfortunately out of your control. Both maternal and paternal genetics play a significant factor in your vulnerability to vein disease. Your unique genetic profile determines the strength of your vein walls, valves and muscle density – all of which provide support to your circulatory system.

Another significant contributor which is not within your control is age. As each year passes, the aging process results in wear and tear on blood vessels and vein valves that regulate healthy blood flow. When this happens, the faulty valves start allowing small amounts of blood to flow back and reflux in your veins instead of being returned to the heart.

Learn more: Varicose vein causes.

Treating varicose veins

Treatment for varicose veins ranges from self-care options for pain and symptom management, non-surgical treatments such as those which are offered at The Vein Institute, and in-hospital surgical procedures.

Our level of comfort during a procedure isn’t just important for how we feel at the time, it can also have a big impact on the aftercare and recovery of the affected area. Especially when you hear the words incision and removal, it’s understandable to be apprehensive.

If your doctor recommends ambulatory phlebectomy, it’s important to know that not only is the procedure itself safe and effective, it’s also relatively pain-free. To help you understand how it works and how you’re safe from pain, we’ve outlined how it works below.

Diagram of veins. One vein is normal with no disease. The other has damaged vein valves causing varicose veins to appear.

Does ambulatory phlebectomy hurt?

Try saying it five times fast and you might be a bit flabbergasted. While it might sound like something complicated and overwhelming, it’s a relatively simple procedure. It is the surgical removal of surface-level varicose veins, using keyhole surgery to make tiny incisions as small as 1mm. Through these keyhole incisions, small sections of the vein are removed with the aid of an ultrasound machine.

This is done under local anaesthesia, which means the most pain you’ll feel is a light pinprick of the needle for a second. This also means it can be done very quickly (usually just a few minutes) and leaves no scarring.

This procedure is most often done alongside sclerotherapy, which is a procedure to seal off and remove the deeper varicose veins in the legs. This procedure is also relatively pain-free and quick, meaning there’s no need for general anaesthetic or a hospital visit.

So why should I have it done?

If you’ve got varicose veins, there’s an initial cosmetic concern of how the veins look, which is what often prompts people to start exploring their options. However, varicose veins can often indicate a more serious underlying issue, most often venous insufficiency. By undergoing the removal of current varicose veins and following treatment with compression stockings and lifestyle changes, you give your veins the best chance at long-term recovery.

Ambulatory phlebectomy in combination with sclerotherapy offers minimal intrusion and a pain-free experience which you can have done in the day and then walk out and head home comfortably with very minimal risk (bruising and mild swelling and some mild numbness are the main risks which are relatively unlikely).

Seek expert advice

The doctors at The Vein Institute specialise in varicose vein treatment. We offer patients a comprehensive treatment program to treat varicose veins, with non-surgical laser treatment techniques. The benefits of laser treatment to patients are;

  • Walk-in walk-out treatment
  • 98% success rate
  • Extremely effective
  • Can be performed at a clinic (no hospitalisation)
  • No general anaesthetic
  • Medicare rebates apply
  • No downtime or time away from work

To book a consultation and discuss our treatment program, call  1300 535 017. Or, make an enquiry via the Contact Us page.