Phlebectomy Techniques for Varicose Veins

Surg Clin North Am. 2018 Apr;98(2):401-414. doi: 10.1016/j.suc.2017.11.008.


Ambulatory phlebectomy is a well-known and widely used procedure for residual symptomatic venous disease. Tumescent anesthesia complements the procedure, providing the ability to perform this intervention in a wide range of practice settings. The procedures are well tolerated by most patients, and complications are rare. They include venous thromboembolism, infection, and hematoma and are generally simple to manage. Alternative and emerging techniques of powered phlebectomy and cyanoacrylate glue are providing alternative forms for treatment and will advance the practice further.

Keywords: Ambulatory phlebectomy; Microextraction; Microphlebectomy; Removal varicose veins; Stab avulsion; Stab phlebectomy.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures
  • Humans
  • Perioperative Care / methods
  • Postoperative Complications
  • Treatment Outcome
  • Varicose Veins / surgery*
  • Vascular Surgical Procedures / methods*