Mini-phlebectomy

IMG_7655Mini-phlebectomy is the best method of choice in case of clustering varicose veins. It is possible to remove the superficial clustering varicose veins, which are most disturbing for people, through needle holes. If the varicosis is more developed other methods (for example saphenectomy or newer analogues of this operation) should be used for solution. In any case at first you should come to a consultation, to learn which treatment method you will require.

Mini-phlebectomy can be performed in local anaesthesia, which is easier for the patient and the doctor. Naturally this implies very good cooperation between the doctor and the patient – in this case it is possible to achieve the best result that both parties are expecting. Therefore it is important to come to a consultation before the surgery.

The aim of mini-phlebectomy is to remove the dilated part of venous system mainly through needle holes and not to touch the veins that are not diseased. As a rule no sutures are needed with this technique after the correction. Small needle holes and bruises may cause some discomfort.

It is often asked what happens with the venous system if some part of it is removed. Normal coagulation system in our body takes care that the end of the vein from where a dilated vein is removed, will close with a small thrombus and the blood will continue to flow through near branches.

Operation

During the operation subcutaneous pathologically changed (dilated) vein parts are removed. Therefore skin incision is made in the groin region and usually also additional incisions to thigh and shin. The number and size of the incisions depend on the extent of damage.

After the operation

You can go home usually on the same or the next day.

Movement after operation

After the surgery, when the anaesthesia has passed, you can rise and move, the leg has to be certainly bandaged with elastic bandage or compression stocking.

On the first post-operative day limit the movement by how you are feeling.

Avoid standing or sitting in one position without moving legs (especially shin muscles).
Increase the activity gradually during the next days. Rest your feet in the morning, at noon and in the evening by lifting them up (for example on pillows) for at least one hour.

Depending on the operation and the nature of work you are able to go to work after 1-3 weeks.
You can move actively after about 3-4 weeks.

Pain and pain treatment

Painfulness can occur in the region of wounds.

Painkillers should be used according to the doctor’s instructions.

If the doctor has not prescribed painkillers, over-the-counter drugs meant for moderate pain, are suitable.

Wound care and hygiene

Cleanliness is important in wound care. Wash always your hands properly before handling the wound.
The first wound care and replacement of wound patches is usually performed on the next day after the operation in the hospital or at home.

Perform the second wound care at home after a couple of days. Remove the wound patches, wash the leg under shower and dry the wound region by carefully dabbing with a clean towel. Thereafter the wound patches are not needed any more (but they are not forbidden), but elastic bandage should be used as instructed.

Rubbing and pressing the wound should be avoided.

Sauna, bath and swimming are allowed when the sutures have been removed and the wounds have healed.

Removal of wound sutures
If You wish that Your scar would be as minimally visuable as possible – continue taking care of it with specially creams after the removal of the stiches
Wound sutures are removed after 14 days at family doctor’s office or polyclinic.
The patch placed on the wound after the removal of sutures may be removed after one day.
The wound should be kept clean. It should be not rubbed forcibly and it should be carefully dried even after the sutures have been removed.

Possible complications (what happen seldom)

Contact your family doctor or the surgeon who operated you, if signs of inflammation are seen in the wound region.

The doctor should be visited in the next cases:

  • redness and oedema in the region of wounds
  • increasing pain or sudden pain in calf
  • secretion from the wound (e.g. blood, pus)
  • increased body temperature.

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