Microhook Phlebectomy

Additional Information

Our Microphlebectomy procedure in Phoenix, Arizona is a minimally invasive way to treat and get rid of unwanted small varicose veins. This procedure is also referred to as ambulatory phlebectomy or stab avulsion. This procedure requires the use of a specialized hook to remove the veins through a series of tiny incisions.

Most recently, we have been able to perform ambulatory phlebectomy in our Phoenix office using just local anesthesia and light sedation for the outpatient procedure. The skin incisions can be as small as 1 mm and do not require stitches. Scarring is usually minimal or non-existent and we ask that patients temporarily wear a compression garment before and after the procedure. This will help minimize any discomfort or swelling.

The incisions generally heal within a two-week time frame. Patients are generally able to resume walking and other normal activities the following day after the microhook phlebectomy procedure. After we have completed the process, we ask that patients stay off their feet as much as possible, and preferably keep them elevated.

The long-term results of stab avulsion are excellent and it is great for those who are wary of having a more complicated procedure performed. This minimally-invasive technique has proven highly effective for giving patients the results they desire without the pain, discomfort or scarring associated with less advanced techniques.

If you wish to get rid of your extraneous small varicose veins, please call (602) 264-7741 today to learn more. We gladly offer consultations in order to answer all of your questions and see if stab avulsion is right for you. Consultations are usually covered by insurance, but please check with your provider to verify coverage.


Frequently Asked Questions

How does the procedure actually work?
Skin incisions or needle punctures as small as 1 mm are used to extract veins with a phlebectomy hook. A hook is inserted into a micro-incision in the leg. A section of the vein is hooked and then removed through the incision. With this procedure, a compression bandage is worn for one week. This minimizes swelling and discomfort and allows for proper healing.

What is the recovery and post-operative care like after ambulatory phlebectomy?
Patients can go back to work and normal activity after 24 hours. They are asked to keep the leg elevated and stay off their feet for the first day. Also, a support stocking is worn for six week.

What are the side effects of ambulatory phlebectomy?
Compared to traditional vein stripping, this technique has virtually no scarring or side effects. Also, because it is an in-office, minimally invasive procedure performed under local anesthesia, patients have very little “down time” and virtually no problems after the procedure. Skin pigmentation at the site of the varicose vein can occur and is usually temporary.

How successful is ambulatory phlebectomy?
Long-term results after phlebectomy are excellent when the procedure is performed for the appropriate indications.