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Multiple phlebectomies/ Multiple Stab avulsions for varicose veins.

prof. Usman Jafferprof. Usman Jaffer

Introduction

What is it?

Multiple stab avulsions are also sometimes called multiple phlebectomies. The procedure is done to disconnect refluxing veins in the lower leg from the deep veins.

Why is it done?

It is done to disconnect refluxing veins from the deep veins so that blood is re-routed in better functioning veins. It is also done to remove bulbous protruding and unsightly veins from the leg.

Will I need to do any preparation?

Before surgery, you will be asked to stand with your leg exposed. In the standing position, the veins are most filled and visible. At this point, a pen is used to draw around the lumpy veins so they can be found later during the operation when you are lying down.

Technique

Anaesthesia

Local or general anaesthetic can be used.

What does it involve?

Small cuts are made over the lumpy veins and the lump vein is pulled out of the wound. The ends of the vein being pulled snap off. Compression is applied to cause the blood in the veins to clot off.

Process involves 1. Small cut being made in the skin, 2. vein being grasped under the skin with an instrument, 3. The vein being pulled up through the skin cut, 4. The veins ends being disconnected or 'avulsed'.

How long does it take? 

Depending on how many veins are to be removed, it can take from 15 minutes to 30-40 minutes.

Post procedure course (follow-up)


How long will I stay in hospital?

This surgery is almost always done as a 'day case' with no hospital stay. Occasionally overnight stay may be necessary if the procedure is done in the evening.

What care will I need at home?

You should be self caring after this minot procedure.

Will I need someone to stay with me?

After a general anaesthetic it is advisable to have someone with you over night.

Will I need any special equipment when I go home?

No special equipment required.

What follow up care is needed? 

Clinical outcome can be reviewed in two - 6 weeks.

When can I start my normal activities again (e.g. driving, sports or work?)

As soon as comfort allows.


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