Ambulatory Phlebectomy in Lima, OH
Vein disorders, such as varicose and spider veins, may lead to pain, swelling and reduced quality of life. Under the care of Dr. Manu B. Aggarwal, MHSA, MD, a board-certified and aesthetic laser-certified family physician with expertise in vein disease, effective treatments are available to eliminate the appearance, pain and other problems associated with spider and varicose veins. Patients in Lima, Bluffton and Celina, OH, as well as the communities surrounding Auglaize County, can contact us to learn more or to schedule a free consultation.
What are Varicose Veins?
You likely know what varicose veins look like if you have them, since their presence is difficult to miss. The visible blue, purple or flesh-colored lines that snake up the lower leg may protrude from the leg to resemble ropes under the skin. These swollen vessels are the result of damage inside – small valves that usually keep blood flowing in a single direction can wear out over time, resulting in blood pooling inside the vein rather than moving through as it should. This pooling effect results in vein weakening and swelling, which often leads to the formation of a varicose vein.
Varicose veins are a common affliction that affects men and women alike. In addition to their unsightly appearance, varicose veins may cause a host of uncomfortable symptoms including:
- Swelling of the lower extremity
- Aching and a heavy feeling in the lower leg
- Leg cramps, especially at the end of the day
- Fatigue in the legs that can prevent you from participating in some activities
- Itchiness or a burning sensation around the affected vessel
Because the appearance of varicose veins is a sign of an underlying vein condition, a full evaluation is the best way to achieve an accurate diagnosis so that the best treatment can be recommended. Dr. Aggarwal and her experienced staff offer comprehensive vein consultations in her offices in Bluffton, Celina, and Lima before moving forward with any vein procedure.
Problems Associated with Varicose Veins
The underlying issues associated with varicose veins can cause further complications over time if the condition is left unchecked. Changes in the color and texture of the skin can occur, which may become permanent if treatment is not administered. The skin may also become much thinner around the affected vein, making it vulnerable to injury. Even a small cut in the skin can lead to the formation of a large, open sore known as a venous ulcer. These sores can be challenging to treat and have a high recurrence rate when the underlying venous issues are left untreated.
What is Ambulatory Phlebectomy?
Ambulatory phlebectomy is a minimally-invasive procedure that eliminates large, bulging varicose veins and their accompanying symptoms. At the Vein Care Center, we typically perform this procedure in conjunction with FDA-approved endovenous laser treatment (EVLT), which is a minimally-invasive laser procedure used to ablate smaller veins. During ambulatory phlebectomy treatment, tiny incisions are made to allow us to remove the diseased vein using a tool specially designed for this purpose. The treatment is performed under local anesthesia, so patients do not have to schedule any downtime following their appointment.
Benefits of Ambulatory Phlebectomy
Ambulatory phlebectomy offers a variety of benefits for the right patient, including:
- No stitches or sutures typically needed to close incisions
- Low incidence of a recurrence of varicose veins
- Results can be seen immediately after the procedure
- The minimally-invasive approach means little discomfort and no downtime
- Performed under local anesthesia to reduce risk and recovery time
Dr. Aggarwal and her staff will evaluate your veins personally to determine whether ambulatory phlebectomy is the right treatment choice for you. With a variety of vein procedures to choose from, you can rest assured your treatment will be tailored to your precise needs.
Ambulatory Phlebectomy vs. Vein Stripping
Vein stripping is a surgical procedure that was the primary treatment for varicose veins until relatively recently. This procedure removes a large, deep vein from the leg through an extensive incision. The surgery is performed using general anesthesia in most cases and usually requires at least one night in the hospital. The recovery tends to be somewhat lengthy and uncomfortable.
In nearly all varicose vein cases today, vein stripping has been replaced with less invasive, more effective treatments like ambulatory phlebectomy. Unlike stripping, this procedure uses tiny incisions, as small as one millimeter, along the length of the vein. The vein is then “fished out” using a unique hook, and in most cases, the incisions are too small to need sutures. There is no hospital stay involved, and patients are often back to their daily routines immediately following their appointment.
Best Candidates for Ambulatory Phlebectomy
Ambulatory phlebectomy may be right for you if you suffer from painful, twisted superficial varicosities in the leg. Usually, it’s performed when the veins are too large to be addressed through other methods. These veins are often accompanied by uncomfortable symptoms, and the discomfort is eliminated at the same time the veins are removed in most cases. Ambulatory phlebectomy can be done alone or in combination with other treatments like EVLT.
Ambulatory phlebectomy may not be the right option for patients with arterial circulation issues, active rashes, clotting disorders or infections. Dr. Aggarwal and her professional team will perform a thorough evaluation to determine whether the procedure is appropriate for your particular situation. What is Involved with the Procedure? Ambulatory phlebectomy is performed right in our treatment room as an outpatient procedure. A local anesthetic is administered to ensure you are comfortable throughout your appointment. Veins are marked, and Dr. Aggarwal or a member of her highly trained staff will create the tiny incisions that will be used to access the vessel. The vein will be removed in small sections until it is eliminated. Bandages are applied to the incisions after the procedure in most cases since they are typically too small to require suturing.
Your procedure will take an hour or less to complete. After treatment, you will be encouraged to walk right away, and you can even drive yourself home if you choose. However, many patients opt to have someone bring them to their appointment and drive them home, so they can rest after their procedure. Dr. Aggarwal and her team will recommend that you wear compression stockings for a few days after ambulatory phlebectomy to reduce swelling and promote healing to the vascular system.
You should be able to return to your regular activities the day following your ambulatory phlebectomy procedure. There may be some residual bruising and swelling that can last for a week or two, but it should be not significant enough to keep you from your schedule. Over-the-counter pain medication can be taken for any soreness after the treatment. Other side effects are infrequent and may include an allergic reaction to the anesthetic used and numbness in the treatment area, which is usually temporary when it does occur.
Results from your ambulatory phlebectomy should be evident immediately following the procedure. Those results will be long-lasting since the affected vein is eliminated from the leg. Your legs will be smoother and clearer, increasing your confidence and willingness to wear skirts and shorts once again. If underlying circulation remains poor, some patients may discover that other veins become varicose over time. If this occurs, additional treatment can be performed to help you maintain your excellent outcome.
At the Vein Care Center, Dr. Manu B. Aggarwal, MHSA, MD, and her experienced team provide expert services in the diagnosis and treatment of varicose and spider veins to patients living in Lima, Celina and the areas around Auglaize County, OH. By focusing on each client’s unique concerns and needs, Dr. Aggarwal can provide a treatment plan customized specifically for each patient. To receive more information or schedule an appointment, contact the Vein Care Center today at 419-227-4472.