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