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What is a Phlebectomy? (Pronounced Flee-Bek-Tomy)

A phlebectomy is a minor surgical procedure whereby superficial varicose veins on the surface are removed using small incisions. The entire procedure is done under local anaesthetic.

How is it performed?

A duplex ultrasound is first done to confirm the location of many of the superficial veins. These veins are then marked on the leg. Local anaesthetic is then injected in the skin and around the veins to be removed under ultrasound guidance. Small incisions are then made, 1 mm in size. From these entry points the veins are pulled out using a special instrument. Once completed, steri-strips are used and no sutures are required. Stockings are placed on the treated leg and walking is advised, straight after.

Frequently Asked Questions

Is it painful?
As the entire procedure is done under local anaesthetic, most patients feel no discomfort and tolerate it very well. There are also no scars after the procedure.

Recovery time?
After the procedure there can be some heaviness and aching in the leg. This usually settles after a few days. For discomfort, paracetamol or Nurofen is all that is needed.

Is it effective?
Phlebectomies are very effective and provide a better cosmetic effect. Often after ultrasound guided sclerotherapy and even Endovenous laser ablations, there can be a large amount of trapped blood that gives rise to pigmentation. A phlebectomy reduces this therefore, giving a great result.

Common Side Effects

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