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Remove Varicose Veins Without Scars - Ambulatory Phlebectomy

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Published on May 27, 2012

"Can very large varicose veins be removed without leaving surgical scars? I think I have the answer." Dr Gajraj has filmed his new technique of ambulatory phlebectomy for removing large varicose veins.

For more information - http://www.theveincarecentre.co.uk/ or call 0800 698 3467

Disclaimer: Health professionals should only provide treatments for which they have proper training and knowledge. This video serves only as a source of additional information to healthcare professionals and the public
Dr Gajraj uses the 1mm Kai dermal punch (without plunger). In the UK go to http://www.midmeds.co.uk/biopsy-punch.... Elsewhere go to http://kai-ind.co.jp/en/contact_us.html
Publication - Phlebology September 2011 26:257-270 Abstract 17

"Phlebectomy without scars: a new technique."

Aim: Phlebectomy scars may affect cosmetic outcome after surgery. Usually phlebectomy is performed through 1--2 mm incisions. There is no consensus for the best orientation of the incision and during vein extraction the incision may tear or enlarge.1 This study investigates the cosmetic outcome of phlebectomy through 1 mm-punch excision.

Method: Patients treated by phlebectomy through 1 mm-punch excisions under LA between 1 April 2008 and 31 May 2010 were reviewed at 48--72 hours, six weeks and six months, and assessed for infection, hyperpigmentation and telangiectasias. Patient satisfaction questionnaires were completed at six months.

Results: A total of 299 legs were treated (216 patients; mean 43 years; 149 women) by 2126 phlebectomies (median 8/leg; range 3--26). In five limbs, the veins were large and extracted through 1.5-mm-punch excision. No phlebectomy wounds tore or were infected. Of 211 questionnaires, 207 patients were pleased or very pleased with the appearance. Four patients were disappointed (all had 1.5-mm excisions) at six months, but very pleased at 12 months.

Conclusion: One millimeter-punch excision allows easy extraction of varicose veins: the circular defect stretches without tearing or laceration. The excision is performed without regard to orientation and is cosmetically highly acceptable with no telangiectasia or hyperpigmentation. When fully healed and if visible, the phlebectomy site appears as a 'skin blemish' rather than a surgical scar.

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