A phlebectomy is often performed in conjunction with VenaCure EVLT to enhance the effectiveness of the treatment. There are two basic phlebectomy techniques:
Ambulatory phlebectomy is used to remove segments of varicose veins of any size and from any location under local anesthesia. This outpatient procedure is most useful for large, tortuous surface varicosities and can be performed immediately after VenaCure EVLT of incompetent veins.
During an ambulatory phlebectomy, tiny incisions are made through which the varicose veins are removed. No stitches are required, and the patient is able to walk following the procedure. Following treatment, the patient wears a compression bandage or compression stockings to support the area and to prevent swelling and bruising.
Transilluminated Powered Phlebectomy (TIPP)
Transilluminated Powered Phlebectomy (TIPP) is another minimally invasive procedure for removing varicose veins. It is performed in an operating room under light anesthesia.
Transillumination allows the surgeon to accurately target and remove the defective veins. Working in a darkened room, the surgeon makes two small incisions in the area of the varicose vein and inserts a tumescent cannula illuminator (TCI). This xenon fiber optic light allows the surgeon to see the veins easily under the skin. Tumescent fluid containing a local anesthetic is infused under the skin and the vein is loosened from the surrounding tissue. Another instrument, the vein remover, is carefully guided to the veins using the TCI light and the vein is suctioned into the remover. It is then cut into small pieces by a protected blade and suctioned out of the body.
TIPP takes about 30 minutes to perform. Due to the large amount of local anesthetic used, patients usually wake up pain-free and can go home after about an hour. Normal activities can be resumed immediately, with most patients returning to work within two to three days.