The hook removal or ambulatory phlebectomy is a procedure to remove large bulging varicose veins from under the skin. Generally, laser closures do not eliminate varicose veins. I do this procedure at the same time as laser closures to address everything at once, but maybe in your case the varicose veins weren't present at the time. The procedure is very safe. The most common side effect is local discomfort for a week or two, less likely local numbness or regrowth of spider veins in the immediate area. Infection rate if done correctly is very low. Good luck!

Tom Rank APRN

Published on Mar 21, 2017

Side effects from phlebectomy are almost non-existent.

Published on Mar 21, 2017

It is very unusual for one person to need 4 laser ablations. As a Board Certified Vascular surgeon specializing in vein treatments we rarely see this. I also, for the convenience of my patients, will remove bulging varicose veins at the same setting. This not only reduces the number of procedures my patient needs, less time off work and reducing the cost to you and the insurance. This procedure is called phlebectomy and should be done in the office under local anesthetic as is the laser ablation. Some surgeons prefer this in a surgery center which then involves conscious sedation or anesthetic, increased risks and much increased cost to everyone. So if your veins did not resolve after the ablations (50% won't) then this is a good option for you. We do not recommend injections for bulging varicose veins.

Published on Mar 21, 2017

The procedure you are referring to is called ambulatory microphlebectomy. It involves making very small incisions through which a vein hook is placed to pull the varicose veins out. It is a safe, minimally invasive procedure. Side effects include bruising and soreness. You will also have numerous small incisions along the course of the vein that can sometimes feel lumpy. Usually this resolves in about 6 or so weeks leaving a nice cosmetic result.

Published on Mar 21, 2017

Phlebectomy of the varicose veins with a hook have minor side effects: nerve damage (numbness), failure of vein removal, phlebitis and injury to lymphatics.

Published on Mar 20, 2017