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Ambulatory phlebectomy is a treatment for superficial varicose veins.
Some practitioners also perform phlebectomy or ultrasound guided sclerotherapy at the time of endovenous treatment.
Foam sclerotherapy or ambulatory phlebectomy is often performed at the time of the procedure or within the first 1-2 weeks to treat branch varicose veins.
Small incision avulsion (also called ambulatory phlebectomy) is used to remove varicose veins from the legs in disorders such as chronic venous insufficiency.
Duplex ultrasound is used during follow-up to assess the success of treatment and if there is a need for additional sclerotherapy or phlebectomy of branch veins.
Branch varicose veins are then usually treated with other minimally invasive procedures, such as ambulatory phlebectomy, sclerotherapy, or foam sclerotherapy.
Several techniques have been performed for over a century, from the more invasive saphenous stripping, to less invasive procedures like ambulatory phlebectomy and CHIVA.
Treatment can include Endovenous Thermal Ablation using radiofrequency or laser energy, vein stripping, ambulatory phlebectomy, foam sclerotherapy, lasers, or compression.
Newer techniques with small incisions, 2-3 mm in length, followed by removal of the cyst wall with a phlebectomy hook resulted in satisfactory cosmesis, with no recurrence noted.
Surgical techniques to treat varicose veins include ligation (tying off of a vein) and stripping (removal of a long segment of vein), ambulatory phlebectomy, which allows for the removal of large surface veins through very small incisions that do not need stitches, and endoscopic vein surgery.