When is a Microphlebectomy Performed?
If you have numerous bulging surface veins, Dr. Siragusa, a board certified vascular surgeon may recommend a microphlebectomy. This procedure is generally performed after correcting the underlying circulation problem with either radiofrequency ablation or endovenous laser ablation.
How is a Microphlebectomy Different from a “Vein Stripping” Procedure?
Unlike the more dated surgical procedures such as “vein stripping,” microphlebectomy involves only local anesthesia and the use of very tiny puncture hole. The veins are then removed through the miniscule pinholes, openings so small that no general anesthetic, IV, or stitches are required during the procedure. Although minimally invasive and performed in our office, microphlebectomy is extremely effective, as the diseased veins are completely removed, giving excellent cosmetic results and relief from symptoms. Overall, microphlebectomy procedures are comfortable for patients, require no hospitalization, and have an extremely low risk of infection or complications.
What Should I Expect After a Microphlebectomy Procedure?
Following the procedure, your leg will be bandaged, and you will be instructed to remove your bandages the following day. Patients are always thrilled and amazed upon removing their bandages to find that their varicose veins are literally gone. Patients are instructed to wear compression stockings during the day for 5 days following the procedure. This is important to achieve the best results and to promote faster healing. You will be encouraged to walk following the procedure to ensure good circulation in your legs, but should avoid vigorous exercise for about 5 days.
Are Microphlebectomy Procedures Covered by Insurance?
Generally, microphlebectomy is covered by medical insurance as long as it is deemed “medically necessary”—if the patient has chronic venous insufficiency with symptoms of pain, swelling, skin ulcers, bleeding, muscle cramping, etc. To complete the treatment of your vein problems, Dr. Siragusa may recommend an accompanying procedure to address the smaller veins, such as sclerotherapy or ultrasound-guided foam sclerotherapy. Microphlebectomy remains a very safe and effective procedure, which will give you the results you desire, for a significant improvement in the way your legs look and feel.