Dr. Bruce R. Hoyle is an expert in medicine in the Orange, CA area. He works out of the Advanced Vein Center and provides treatments like Microphlebectomy. Scroll down to read more.
It’s a minor surgical procedure used by phlebologists to remove varicose veins. Also known as stab avulsion, it consists of a vein specialist making several tiny incisions through which veins are removed. Dr. Hoyle pioneered this procedure in Southern California after traveling to Switzerland 15 years ago.
All of the procedures Dr. Hoyle does are performed in-office under local anesthetic. If the patient feels that they require some sedation, oral medications are provided that can accomplish this. Patients usually are able to drive home after the procedure. However, if oral sedation was required, a driver may be needed.
Microphlebectomy is often done in a surgical center or hospital setting such as Kaiser or the VA hospital. Dr. Hoyle pioneered performing this procedure in an office setting 15 years ago.
Post-op care is simple since it doesn’t require stitches. The patient must keep the site clean. Generally, the patient will leave the office wearing a compression hose for 1 day and then may resume regular activities.
It’s possible to develop an infection. Bleeding, blood clots, and temporary numbness from nerve irritation can occur. These are extremely rare side effects. Tenderness is common but rarely requires pain medication stronger than Advil or Aleve. Many patients require no medication after the procedure.
Microphlebectomy is most often done after an endovenous procedure such as laser or radiofrequency ablation.
Patients are extremely satisfied with the results of the procedure. Endovenous thermal ablation and microphlebectomy have a success rate well over 95%. New vein problems may develop over time as venous disease is hereditary.
Microphlebectomy is most commonly used to treat large bulging varicosities. The only way to know for sure if a patient is a candidate is to schedule a consultation and have an expert phlebologist evaluate the vein.