What is varicose vein surgery?
Varicose vein surgery covers removing varicose veins surgically in severe cases or where other methods are not suitable. Options include removing the main vein (venectomy) and removing small varicose veins (phlebectomy).
Miniphlebectomy
Miniphlebectomy removes visible veins close to the skin through 1–2 mm incisions using special instruments. It is performed under local anaesthesia; the incisions usually need no stitches and are closed with skin strips. It can be done in the same session as endovenous laser or radiofrequency treatment, or separately.
- The area is numbed with local anaesthesia
- Small 1–2 mm incisions are made in the skin
- The varicose vein is removed through these incisions
- The incisions are closed with skin strips and a bandage or stocking is applied
Who is it for?
It is considered for patients with visible superficial varicose veins, those not suitable for methods applied from inside the vein, or as a complementary treatment. Suitability is decided by examination and Doppler ultrasound.
Aftercare
Duration depends on the number and size of veins removed. Bruising and tenderness may occur; small incision marks usually fade over time.
- Use a bandage or compression stocking as advised
- Stay active with light exercise such as walking
- Keep incision sites clean and dry
- Attend follow-up visits
Related conditions
Frequently asked questions
How long does miniphlebectomy take?
It depends on the number and size of veins; it is usually completed within an hour.
Are stitches needed?
The incisions are very small and usually need no stitches; they are closed with skin strips.
Will it leave marks?
Small incision marks may form and usually fade over time. Healing varies from person to person.
