Microphlebectomy can be considered as a separate surgery or as an addition to combined phlebectomy, EVLO (endovasal laser obliteration) or RFO (radiofrequency obliteration).

It involves removal of varicose veins through punctures or small incisions with the help of special hooks of different sizes and shapes and spatula. It helps remove almost all varicose subcutaneous vein dilatations or even treat some perforating veins.

As a separate operation, microphlebectomy is usually performed under local anaesthesia, which allows conducting it on outpatient basis or with a short-term stay at the inpatient unit (several hours).

Duration of the surgery: several tens of minutes to 1.5-2 hours.

Rehabilitation: Patient is discharged from the clinic several hours after the surgery. There may be some activity limitations in case of treatment of perforating veins or pretty large trunk and subcutaneous veins.

Our approach to the surgery:

  • Surgical extent is determined based on clinical and ultrasound examination results.
  • Before the surgery, mapping of the affected veins is performed under ultrasound guidance.
  • Use of modern instruments, delicate surgical, puncture and microincision techniques taking into account Langer’s lines allow achieving good cosmetic effect.

Surgical indications:
Unlike combined phlebectomy, which is performed on medical (clinical) indications (the presence of pathological reflux in the veins), microphlebectomy can be performed on aesthetic indications. In such cases, patients are concerned with segmentally dilated superficial veins and their proximity to the skin surface.

Types of surgeries:

  • Isolated microphlebectomy of segmentally dilated veins under local anaesthesia.
  • Microphlebectomy as an addition or as an integral part of combined venectomy is performed under narcosis or conduction anesthesia.

Preparation for the surgery:

  • In two weeks before the surgery, it is necessary to stop taking hormonal drugs. If it is impossible, it is necessary to coordinate further actions with the doctor.
  • 2 days before the surgery, it is necessary to stop taking anti-inflammatory drugs.
  • It is necessary to take a hygienic shower in the morning and wash legs with regular soap.
  • It is necessary to appear at the clinic in fasting state wearing comfortable, loose clothes and shoes.

Specific aspects of the postoperative period:

  • You can leave the clinic several hours after the surgery wearing compression medical garments (stockings).
  • Round-the-clock use of compression garments (3 to 7 days) depends on the surgical extent and diameter of treated veins.
  • Daily use of compression garments within the next 1 or 2 months also depends on the following: disease stage, surgical extent and diameter of the treated veins.
  • Active movements are recommended.
  • The result can be evaluated in 2 months after the surgery based on the follow-up ultrasound findings.

Consultation before the surgery:
The consultation takes about one hour. It involves as follows: ultrasound diagnostics, discussion of surgical indications, surgical extent and special aspects of postoperative period with phlebologist. The doctor examines your disease history, previous traumas, allergic reactions and surgical history.

To ask questions, please contact us at: +38 (044) 499-70-00