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How can phlebectomy be used to treat varicose veins?

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How can phlebectomy be used to treat varicose veins? Phlebectomy can be used to treat varicose veins in a patient with venous reflux of his greater saphenous vein associated with varicosities in the thigh or calf areas. After catheter closure of his greater saphenous vein either with radio frequency or laser, a brief period of observation follows. If the residual varicosities remain enlarged and symptomatic, then a secondary procedure can be performed under local anesthesia. This consists of making miniature sized 2-3 millimeter incisions along the course of the varicosities which are removed with miniaturized surgical instruments, followed by multi-layered compression bandage that remains in place for 2-3 days is subsequently replaced by a compression stocking. The long term cosmetic and functional results following phlebectomy are excellent.

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