Transilluminated powered phlebectomy

This procedure is similar to ambulatory phlebectomy but involves the use of a special light called an "endoscopic transilluminator" to aid with vein removal.

It is a minimally invasive procedure which is considered to be quicker and more effective, and with no need for general anaesthesia.

This is one of several treatments which are worth considering for varicose veins.

The transilluminated powered phlebectomy procedure

The area of your legs to be treated will be marked with a special surgical marker. This is done over the damaged veins and acts as a guide for the specialist.

Once this is done your legs are then washed with an antiseptic solution followed by an injection of local anaesthetic. This injection works in two ways in that it numbs the area to be treated and expands the veins thereby ensuring they are easier to access.

It also reduces the risk of any post-procedural bleeding.

You may be given a light sedative as well.

Two small incisions are made in the leg. In the first incision the light source or endoscopic transilluminator is inserted into this incision and under the veins so to allow the specialist greater access.

The specialist then inserts a suction device into the second incision which removes and then suctions away the damaged vein. This suction device is a powered machine specially designed for phlebectomy which is both effective and efficient.

The combination of both of these makes the procedure easier to perform and quicker as compared to standard phlebectomy.

Both of these devices are removed and a light compression bandage is placed on the leg. This is worn for a couple of days and then removed. You will then be given a pair of compression stockings to wear which you must continue to do so for up to three weeks after this procedure.

Recovery after transilluminated powered phlebectomy

Your leg may feel sore and bruised after this procedure but this is a normal reaction. Over the counter painkillers can help if it becomes too painful.

You will be able to move around a couple of hours following this procedure but do not overdo it. Resume your normal daily activities but avoid any heavy lifting or intensive exercise for a few weeks.

Walking is permitted so try and move around as much as possible.

You can return to work the day after your treatment.

Advantages of transilluminated powered phlebectomy

One of the main advantages is a reduction in the recovery period. Minimally invasive procedures such as this are quicker and less stressful than open surgery which means a faster rate of recovery.

There are fewer side effects and complications and for many people, better results as well.

This is an effective form of treatment for removing varicose veins.

Disadvantages of transilluminated powered phlebectomy

There are side effects with every procedure. These tend to be rare but nevertheless, they do happen so we have highlighted them for you.

They include:

  • Bruising around the treated area
  • Bleeding
  • Infection
  • Numbness
  • Tingling (similar to a "pins and needles" feeling)
  • Discolouration of the skin (brown spots around the treated area).

But please keep in mind that these only affect a small percentage of the population.

Your specialist will explain the benefits and risks of this procedure with you before you give your consent.

Guide to Varicose Veins

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