The surgical technique used for selective phlebectomy
followed the 4-step approach.
In addition, large varicose clusters that communicate with the incompetent saphenous vein can be avulsed during the same procedure by stab phlebectomy
. Transilluminated power phlebectomy
(or TriVex) may also be used to remove clusters of varicosities with fewer incisions and decreased operative time.
Advances in the treatment of varicose veins: ambulatory phlebectomy
, foam sclerotherapy, endovascular laser, and radiofrequency closure.
Peter Lawrence, MD, chief of vascular surgery at the UCLA School of Medicine, uses a crochet hook to remove varicose veins from lower extremities in a new outpatient procedure called light-assisted stab phlebectomy
The minimally invasive TRIVEX procedure uses a technique called transilluminated powered phlebectomy
that allows a surgeon to see, accurately target, and remove varicose veins, then visually confirm the extraction.
requires some special hooks and other tools.
requires special hooks and other tools.
If larger, we would do something called an ambulatory phlebectomy
, whereby we make tiny incisions and extract the tiny veins.
* Ambulatory Phlebectomy
: This technique involves removal of an undesired vein through a series of tiny punctures or incisions along the path of the enlarged vein.
Cutaneous varicose veins were excised in the same operating session using mini phlebectomy
and stripping are probably the best known procedures; however, they are more of a collection of procedures than single techniques.11
These treatment programs may include conservative treatment techniques like compression stockings, or minimally invasive procedures such as Endovenous Laser Ablation (EVLA), Sclerotherapy, or Ambulatory Phlebectomy
, all performed in the office under local anesthesia.