Ambulatory phlebectomy is a procedure that consists in the removal of varicose veins on the surface of the legs. It can be performed at Dr. Camacho’s office under local anesthesia. The phlebectomy treatment involves making tiny punctures or incisions through which the varicose veins are removed; these incisions are so small that no stitches are required afterwards. Veins are very collapsible, which means that even large veins may be removed through the tiny incisions used in this technique. The patient is able to walk following the procedure. Ambulatory phlebectomy is recommended for medium and large varicose veins.

Most patients experience little to no discomfort and generally don’t even need pain medication after the treatment. In fact, you may stand and walk right after treatment, then return to work the next day.

Versión Español: Flebectomía ambulatoria

Ambulatory phlebectomy may be used to remove both asymptomatic and symptomatic superficial veins from the skin. Usually, treated veins are the larger, bulging (raised) and varicose veins, although smaller veins may also be removed with using this treatment. An ambulatory phlebectomy procedure may be combined with other therapies in the treatment of venous diseases..

Contact Us!Patients who are allergic to the local anesthesia, who are not able to walk on their own and who cannot wear the compression stockings (due to arterial circulation problems) are not adequate candidates for this treatment. Any active infection or rash in the treated areas needs to be resolved before any kind of treatment can commence.

If you have any questions, Dr. Camacho will be more than happy to help you during your initial discussion.


Contact Us!For a vein removal surgery (ambulatory phlebectomy), Dr. Camacho will begin by numbing the area with a local anesthetic; this means that the procedure is virtually pain free. Small incisions (as small as 1mm) are made on the outside of the vein. The doctor will then insert a tiny hook into the incision and a small portion of the varicose vein is removed. This is repeated until the entire vein has been eliminated. Ambulatory phlebectomy is a quick procedure, and because the incisions are so tiny, no stitches are required.


After treatment, you will most likely have to wear a compression bandage and/or compression stocking. Dr. Camacho will tell you on how long you will need to wear any bandages or hose; this time frame actually varies from patient to patient depending on their individual circumstances. Sometimes, it is recommended for you to walk or bike after treatment. By doing so, you can reduce the pressure in the veins, increase the flow in the veins and reduce the risk of any blood clots forming.

Contact Us!Bruising and swelling can be expected but they are only temporary. You can walk immediately after surgery and carry on normal daily activities except for heavy exercise and/or heavy lifting. You must follow the activity restrictions and wear the compression stockings as directed by Dr. Camacho. The small incisions heal well without sutures and after six to 12 months, they are practically imperceptible. Your varicose veins are physically removed and therefore should not come back. However, you must keep in mind that depending on other factors such as family and personal history, new varicose veins may develop over time.


Contact Us! As with any type of surgical intervention, complications are unusual, but they sometimes do happen. However, they are usually minor and can be reduced by precisely following Dr. Camacho's instructions before and after the procedure. When it comes to ambulatory phlebectomy, the following are related complications:

Unexpected tenderness or soreness - If you have more than the average amount of bruising, swelling or inflammation after the procedure, you can experience temporary tenderness and soreness that may last longer than the average 1-3 days. All of these problems are temporary and they resolve completely given enough time.

Nerve irritation - Occasionally, nerves that are adjacent to the extracted vein can be irritated by the procedure. This can lead to a small area of numbness or an area that just doesn't "feel right" where the sensation in your skin is mildly altered. Although some mild irritation of surrounding nerves happens in about 5% of patients, it is almost always mild and resolves completely after some time. In extremely rare cases, the nerve irritation can persist and be problematic.

Infection at an incision site - Rarely, a mild superficial infection can develop at an incision site. This is usually just a minor complication which slows down the healing of the incision and does not normally lead to any more serious consequences.

Contact Us!Make sure to ask Dr. Camacho concerning any risks you might have to face when undertaking this surgery. However, you must keep in mind that our certified group of doctors works full-time to prevent such scenarios from happening, since we value the health of our patients above anything else.


Contact Us!The information given in this website should be considered an introduction to a ambulatory phlebectomy surgery. Before deciding on submitting yourself to the procedure described above, we highly recommend you contact Vascular Surgery Costa Rica directly, so we can answer any specific question you might have.


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