When we observe varices of medium-size and the pressure is too high to perform a sclerotherapy , we carry out a minor surgical procedure called mini-flebectomy that is somewhere in between the sclerotherapy and the most invasive saphenectomy. The mini-phlebectomy is very appropriate in cases of varices of the smaller saphenous vessels.
                       
    
    
Phlebectomy  is performed under local anesthesia and involves the removal of the defective  veins through very small incisions of a few  millimeters without sutures and scares. The patient can walk  and resume immediately its activities or at  most after about a week once removed the  compressional   elastic  bandage
It  is  a  Hemodynamic  care   through wich by  making 
selective ligatures, you abolish  the reflux that caused  the varicose veins. These ligatures  may be accompanied or not by the removal of varicose veins that  now would no longer be recoverable. It’s Important to perform a thorough  investigation in the preoperative  phase through an examination of eco-colordoppler  to accurately identify the points of  reflux and  perform an  hemodynamic  mapping