Can all abnormal veins be treated with sclerotherapy, ultrasound guided sclerotherapy and laser?
Occasionally, in some people, very large, muscular, high-pressure varicose veins cannot be treated successfully even by ultrasound guided sclerotherapy. In such cases, an in-office surgical procedure called an “ambulatory phlebectomy” may be performed. Done under a new type of local anesthesia called Tumescent Anesthesia and performed completely in the doctor’s office, ambulatory phlebectomy can remove very large varicose veins through a series of tiny incisions no greater than two to three millimeters in length with the patient in complete comfort. No hospitalization is necessary for ambulatory phlebectomy, no general anesthesia is necessary, post operative pain is practically non-existent, and patients can go back to work the very next day.
