Varicose Veins

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Ambulatory Phlebectomy

Varicose veins that are cosmetically unappealing and will not resolve on their own even when the reflux is corrected may be removed in a procedure called ambulatory phlebectomy. In this technique, the vein is removed through a series if tiny incisions in the skin.

The physician uses a hooked instrument to pull the vein up into the incision and removed. As much of the vein as possible is removed through the incision and then another incision is made along the course of the vein and another segment of the vein is removed. This procedure is repeated until the varicose vein is completely removed.

Ambulatory phlebectomy usually is performed under local anesthesia. Cosmetic results are much better than formal phlebectomy, which requires large (disfiguring) incisions and general anesthesia.

Saphenectomy
The saphenous veins are two superficial veins in the leg. Removal of one of these veins (called saphenectomy) is performed less often than in the past. In this technique, a special catheter is advanced into and secured to the vein. Then the catheter is pulled out of the vein, causing the vein to turn inside out (invert) as it is pulled out of the body.

Endoscopic Vein Surgery
In this procedure, a small camera is inserted into the vein and is used to visualize the vein. Small incisions along the course of the vein are made in order to remove the vein. Endoscopic vein surgery is performed under general anesthesia.

Alternative/Homeopathic Treatment
There is some literature to suggest that chestnut seed oil can decrease the inflammation and swelling associated with varicose veins.

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