Ambulatory phlebectomy, also called mini, micro, or stab avulsion phlebectomy is recommended when the size and pressure of blood in a vein is too great for sclerotherapy, and the skin characteristics of the patient make it difficult for sclerotherapy to achieve the desired cosmetic results. The ambulatory phlebectomy procedure bridges the gap between sclerotherapy and more invasive procedures.
Ambulatory phlebectomy is an in-office surgical technique performed under local anesthesia. The procedure involves removing the faulty vein or perforator through minute punctures that require no stitches and leave no scars. A patient that opts for a mini-phlebectomy can walk out of the office and participate in normal daily activities immediately after the procedure. Mini-phlebectomy is often performed in conjunction with Endovenous Laser Ablation (Endolaser, EVLT) and other techniques.
The sections “What to Expect During” and “Post Treatment” for a Ambulatory Phlebectomy are the same as the Endolaser procedure (See Endovenous Laser Ablation).