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Stab Phlebectomy – What Is It? And What Are Its Benefits And Risks?

Stab phlebectomy is a varicose vein removal operation.

Ambulatory phlebectomy, micro phlebectomy, and stab avulsion are other names.

It is a low-risk remedial operation generally performed after a more definitive varicose vein surgery such as radiofrequency ablation (RFA) or endovenous laser therapy (EVLT).

Stab phlebectomy is often used to treat more prominent varicose veins that are not amenable to newer technology.

This operation is used for symptomatic varicose veins and aesthetic surgery to enhance the legs' look.

Smaller varicose veins are often treated with radiofrequency, laser, or sclerotherapy.

What Is Stab Phlebectomy?

Stab Phlebectomy is a procedure used to remove big bulging veins from the surface of the legs.

This is an outpatient operation that is done under local anesthesia.

Small incisions are made immediately over a big varicose vein, and the vein is subsequently removed in pieces.

Often, just a few incisions are necessary to improve the visual look of the veins.

The Stab Phlebectomy treatment is often combined with Radiofrequency Ablation or Endovenous Laser.

Stab Phlebectomy should not be confused with "vein stripping," a classic procedure of eliminating varicose veins.

"Vein stripping" is the surgical removal of the whole greater saphenous vein, which is a painful process that typically renders patients immobile for weeks.

Stab Phlebectomy, on the other hand, is minimally invasive and painless.

Most persons who have had a Stab Phlebectomy operation may return to regular activities within 1-2 days.

Candidate For Stab Phlebectomy

Stab phlebectomy treats varicose veins that remain following RFA or EVLT.

As a result, almost all candidates have previously had vein ablation.

Approximately 10% of individuals who receive vein-ablation will still need stab phlebectomy because they have symptomatic varicose veins.

Our standard strategy is to wait two or three months following radiofrequency or laser ablation.

Most persons will experience severe shrinking or loss of their veins at that time.

However, a tiny percentage of patients will still have substantial varicosities.

It is critical to understand that this does not imply that the surgery did not succeed.

Instead, it is frequently owing to the creation of new channels that emerge between veins; hence, the veins do not vanish.

This is often due to "perforator veins," which are veins that connect the superficial and deep vein systems.

In this situation, we often elect to remove the remaining veins.

This is accomplished by a surgery known as stab phlebectomy or ambulatory phlebectomy.

Red blood cells are floating on black background
Red blood cells are floating on black background

Stab Phlebectomy Procedure

Stab phlebectomy is often done in the operating room under local anesthetic and sedation.

The surgeon uses microscopic incisions to remove the prominent veins that remain under the skin during this treatment.

Sutures are not required since the incisions are smaller than 0.5 cm long.

It is also critical to identify and split the perforator veins, which often prevent varicose veins from vanishing in the first place.

Following the surgery, the surgeon applies bandages and leg wraps.

Compression stockings are then used to reduce bruising, swelling, and discomfort.

Stab Phlebectomy Vs. Vein Stripping

Stab phlebectomy removes veins.

However, this is not the same as "vein stripping."

It is just the excision of the varicose veins.

In contrast, vein stripping is the conventional and outmoded removal of the whole greater saphenous vein by two tiny incisions in the leg.

This was a harsh surgical technique that often left patients immobile for weeks.

Stab phlebectomy, on the other hand, is seldom unpleasant.

It is an outpatient procedure, and most patients can return to work the next day.

Patients often take just a little amount of Tylenol or Motrin for a few days since there is generally little discomfort associated with this minimally invasive surgery.

The hand with prominent veins
The hand with prominent veins

Risks Of Ambulatory Phlebectomy

Although an ambulatory phlebectomy is considered relatively, every surgical technique has some risk.

In rare situations, persistent inflammation and discomfort may occur due to inadequate excision of damaged veins.

Other dangers may include:

  • An damage to the skin's nerves
  • Adverse anesthetic or sedative reaction
  • Significant blood or swelling
  • Pain or numbness in the feet
  • Infection after surgery
  • Thrombophlebitis

Patients who are allergic to the local anesthetic or unable to use compression stockings should avoid ambulatory phlebectomy.

Any current illnesses or rashes should also be adequately addressed before this treatment.

People Also Ask

How Is A Stab Phlebectomy Done?

Stab Phlebectomy is a procedure used to remove big bulging veins from the surface of the legs.

This is an outpatient operation that is carried done under local anaesthetic.

Small incisions are made immediately over a big varicose vein, and the vein is subsequently removed in pieces.

How Long Does A Stab Phlebectomy Take?

This process takes 45 to 60 minutes to complete.

The doctor will first identify the veins to be treated to guarantee exact removal and protect the health of adjacent veins and tissue.

Is Stab Phlebectomy Painful?

Typically, stab phlebectomy is not unpleasant.

It is an outpatient procedure, and most patients can return to work the next day.

Patients often take just a little amount of Tylenol or Motrin for a few days since there is generally little discomfort associated with this minimally invasive surgery.

What Is Stab Phlebectomy Of Varicose Veins?

Phlebectomy (sometimes spelled micro phlebectomy, ambulatory phlebectomy, or stab avulsion) is a vein removal procedure.

During this treatment, several minor cuts (incisions) are made in the skin to remove the varicose vein.

Conclusion

Stab phlebectomy is a conventional yet successful vein therapy operation performed to treat more considerable varicose vein branch tributaries in the legs.

Although there are non-surgical approaches for treating varicose veins, conventional vein surgery is a highly successful therapy for prominent varicose veins in the legs.

Phlebectomy may be combined with another varicose vein therapy, such as ligation and stripping, laser, or radiofrequency treatment.

Phlebectomy is seldom associated with problems.

Short-term skin color changes, infection, discomfort, and small red spider veins are possible consequences.

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