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Microphlebectomy or stab avulsion for varicose veinsFor a Complete ReportThis is an abstract of a report from the National Organization for Rare Disorders, Inc.® (NORD). CIGNA members can access the complete report by logging into myCIGNA.com. For non-CIGNA members, a copy of the complete report can be obtained for a small fee by visiting the NORD website. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational treatments (if available), and references from medical literature. For a full-text version of this topic, see http://www.rarediseases.org/search/rdblist.html. Microphlebectomy (also known as ambulatory phlebectomy or stab avulsion) is a technique to remove varicose veins. In this procedure, several tiny incisions are made in the skin through which the varicosed vein is removed. Stitches usually are not required. Until recently, this procedure required general anesthesia or regional anesthesia and was not usually performed on an outpatient basis. Now, this procedure can sometimes be performed in your doctor's office under light sedation with local anesthesia. Is it safe?Stab avulsion usually does not lead to complications. Possible complications include short-term skin color change, infection, pain, and tiny red spider veins. How well does it work?Stab avulsion is less likely to work when the leg veins are not working well (venous insufficiency). This is the cause of most varicose veins. For this reason, stab avulsion is usually used with vein surgery (ligation) to tie off the problem vein.1 References
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