Ambulatory phlebectomy.

Approximately 2400 years ago, Hippocrates performed the first phlebotomy to treat a varix. Since that time, modifications to the removal of varicose vein have evolved. It was Dr. Muller, a Swiss dermatologist, who reinvented and refined the technique of ambulatory phlebectomy. Although this technique was adopted slowly, it is now considered the standard method for treating varicose veins. The procedure is performed on an ambulatory patient under local anesthesia with little, if any, recovery time. After approximately a 2-mm puncture or incision made by an 18-gauge needle or a 15-degree ophthalmic blade, a small hook-like instrument coupled with fine clamps is employed to extract the varix. A dry sterile compression dressing and or class 2 stocking is applied. Significant complications are rare.