Ambulatory phlebectomy is a procedure done in the office to remove small varicose veins. This procedure is typically only necessary if the veins are not amenable to either endovenous ablation or sclerotherapy. The varicose vein may be in a location that is not treatable by endovenous ablation, and sometimes the vein is too large to be treated with just sclerotherapy.

This procedure is performed in the office, using local anesthesia. Small incisions are made in the area of the vein, and then a special hook tool is used to remove the vein. The incision is closed and bandages are applied.

You can remove the bandage and return to normal activity in about 48 hours.