Minimally Invasive Treatment for Larger Varicose Veins
We may recommend a procedure called microphlebectomy (“my-crow-fla-beck-ta-mee”) if you have larger varicose veins. This minimally invasive, in-office procedure takes about one hour and requires little or no down time. No general anesthetic is required, and there is very little risk of infection or other complications.
Or we may use foam sclerotherapy to effectively treat varicose veins that feed leg ulcers. The in-office procedure doesn’t require anesthesia and generally takes less than one hour.
We mark the veins to be treated with a skin marker and wash the leg with a solution to kill any germs on the skin. We then numb the skin over the veins to be treated. We use a small hook to locate the problem veins and bloodlessly pull it through the skin to remove the vein. We repeat this process for all problem veins. You may feel a slight pulling sensation during the procedure but shouldn’t have any pain.
If we should use foam sclerotherapy, we inject a foam mixture to replace the blood in the vein being treated. This means the active ingredients stay in direct contact with the vein wall longer, allowing the foam to work more effectively than liquid agents, which can get diluted by blood flow. Also, the foam is visible on ultrasound, and its placement, spread, and effects can be guided and tracked more effectively.
What Are The Results?
The small incisions are usually closed with paper tape without the need for stitches. You can usually return to work in one or two days. The small punctures heal rapidly. There is minimal scarring, and you can expect an excellent cosmetic result.