There is no limit to how many veins can be treated, but discretion should be used. Prior to 2003, I performed vein stripping procedures. I would strip both saphenous veins and pre-mark veins for phlebectomy to be performed simultaneously. That procedure was performed using a general anesthetic. I now perform phlebectomy procedures in the office using local anesthesia. There is a finite period of time in which the patient will be able to cooperate. Amount of local anesthesia, patient pain tolerance, and surgeon length of concentration, is what limits how many veins are removed in a single setting.

Published on Jul 11, 2012

There is no limit to the number of phlebectomies that can be done at one time.

Published on Jul 11, 2012

During microphlebectomy a small incision is created over the bulging vein, the vein is then lifted through the incision site and removed. The majority of cases range between 10-20 microphlebectomy sites total. Rarely are more than 20 incisions needed to successfully remove the veins. Occasionally both legs can be treated on the same day. This depends on the severity of the individuals varicose veins.

Published on Jul 11, 2012

Stab phlebectomy is a procedure to remove varicose veins. Typically, patients are marked while standing, prior to entering the operating room, in order to maximize removing as many vein clusters as possible.

Published on Jul 11, 2012

Depending upon the number of varicosities on the legs, one may need, one, two, three or four phlebectomies on each leg. The amount of Lidocaine is one of the limiting factors, the amount of blood loss is another. The patient's tolerance to pain, general health and amount of time available for practitioner to do the procedure are the other determining factors.

Published on Jul 11, 2012

Yes both legs can be done at once. We are very definitely limited and must stay within the safe dosage (mgs) for any solution on a given day.

Published on Jul 11, 2012

There are limits on the amount of local anesthetic, lidocaine, that can be safely administered at one time. Also the more surgical procedure at one time their is a slightly greater risk of complications especially, blood clots. Although the risk of blood clots is very small. So while it possible to have phlebectomies on both legs at the same day, it is generally not recommended.

Published on Jul 11, 2012

There is no limit on how much you can do as the procedure is done under local anesthetic. I typically limit based on the size and extent of veins. Many veins may shrink after sealing of the underlying saphenous vein insufficiency if present. If just treating residual veins in a the absence of this insufficiency both legs can be treated very nicely under local anesthetic in an office setting. No operating rooms, surgery centers etc

Published on Jul 11, 2012