Ambulatory Phlebectomy is a micro surgical technique for the removal of varicose and spider veins. It is performed under local anesthesia in the office.The procedure was invented by Swiss Phlebologist Dr. Robert Muller and has been used extensively in Europe with great success over the last 30 years. Dr. Parish trained extensively in Europe and brought this modern technique back to Alabama in 1996. It is performed at Parish Vein Laser Dermatology under local anesthesia and is a micro surgical technique that does not require skin sutures. Ambulatory Phlebectomy is sometimes combined with Endovenous Laser, sclerotherapy, and ultrasound guided sclerotherapy in a multilayered approach that will be outlined for you in your individual treatment plan. The more veins you have, the more treatments are required.
The procedure is always preceded by clinical evaluation with venous testing, including ultrasound and venous imaging. Ambulatory Phlebectomy causes minimal–if any–discomfort. Once the veins have been removed, steri-strips are placed and then local dressing and bandaging are applied. This procedure is a well tolerated procedure with a high success rate. This tailored outpatient approach, in the vast majority of instances, replaces the need for stripping operations, with its high rate of recurrence and scarring.