Ambulatory Phlebectomy (also called microphlebectomy or mini-phlebectomy) is a minimally-invasive surgical technique that directly removes visible varicose veins via hook excision. Phlebectomy treats surface veins and is commonly done in conjunction with an anti-reflux procedure like endovenous laser, RF ablation, or vein stripping.
In ambulatory phlebectomy, a very small skin incision (generally less than 1 mm) is made adjacent to the visible vein and a phlebectomy hook is used to extract the vein through the incision. Microphlebectomy is commonly done under local anesthesia and stitches are generally not required. Given the small incisions, scarring from ambulatory phlebectomy is usually non-existent or minimal.
Compression stockings are generally worn after phlebectomy (to reduce swelling and discomfort) and patients may ambulate soon after the procedure and return to normal activities (minus strenuous exercise) the next day.