What is Microphlebectomy?

Microphlebectomy, also known as stab phlebectomy, is a surgical procedure used to treat varicose veins. During microphlebectomy, the vascular surgeon makes small incisions over the varicose veins and physically removes them from the body.

How is Microphlebectomy Performed?

Microphlebectomy is typically performed under local anesthesia, where a small amount of numbing medication is injected around the varicose veins. The procedure involves the following steps:

1. Anesthesia

Local anesthesia is administered to numb the area around the varicose veins.

2. Incisions

Small, paper-cut-like incisions are made directly over the varicose veins. These incisions provide access for the surgical removal of the veins.

3. Vein Removal

Using specialized instruments, the Fox Valley Surgical Specialist carefully removes the varicose veins through the incisions. In cases where there are multiple varicose veins in a chain, several skip incisions may be made to facilitate the removal of veins in segments.


Here is an illustration of the microphlebectomy procedure.

When are Microphlebectomies Preferred over Other Minimally Invasive Techniques?

Microphlebectomies are typically chosen when varicose veins are too large or extensive for sclerotherapy to be effective. In some cases, microphlebectomy may be combined with venous ablation techniques such as laser ablation or radiofrequency ablation to address both the source of the varicose veins and the varicose veins themselves. Your vascular surgeon will assess your individual situation and determine the most suitable treatment approach.

Anesthesia for Microphlebectomy

Office Procedure

If you have a small number of varicose veins, microphlebectomies can be performed in the office using local anesthetics. In such cases, anesthesia is not required.

Operating Room Setting

For patients with an extensive number of varicose veins, multiple microphlebectomies may be performed in the operating room under anesthesia. This option ensures patient comfort and allows for a more comprehensive treatment approach.

Your Experienced Vascular Team

Dr. Robert Ballard

Robert Ballard, MD

Dr. Alexander Tretinyak
Alexander Tretinyak, MD
Sarah Wilson, MD
Sarah Wilson, MD
Dr. Jason Le
Jason Le, MD
Ariel Stilp
Ariel Stilp, APNP