ABSTRACT
This chapter describes the indications and contraindications of ambulatory phlebectomy. Ambulatory phlebectomy, stab avulsion, stab phlebectomy, microphlebectomy, and microextraction are synonymous terms that define the ambulatory, outpatient technique. Indications for ambulatory phlebectomy vary depending on the skill set and other techniques with which the phlebologist is comfortable. Patients of all ages are candidates for phlebectomy. Varicose veins of any size and in any location, excluding the cephalad end of the great or small saphenous vein, are candidates for ambulatory phlebectomy. Sclerotherapy is the closest alternative treatment strategy to ambulatory phlebectomy. There is substantial controversy over whether ambulatory phlebectomy should be performed at the same time that truncal reflux is being abolished. Ambulatory phlebectomy is an economical, cosmetic, and effective method to remove veins. The timing of ambulatory phlebectomy depends on the nature and type of other venous procedures being performed.
