TY - CHAP M1 - Book, Section TI - Ambulatory Phlebectomy A1 - Weiss, Robert A. A1 - Weiss, Margaret A. A1 - Beasley, Karen L. PY - 2012 T2 - Sclerotherapy and Vein Treatment, 2e AB - This safe, aesthetic, and effective operative technique developed by dermatologists enables the physician to remove nearly any incompetent vein after saphenofemoral and saphenopopliteal reflux has been eliminated by endovenous ablation. The saphenofemoral junction (SFJ) and saphenopopliteal junction (SPJ) should never be treated by simple phlebectomy but require endovenous ablation. Large truncal veins can be removed by this method, together with their major tributaries, perforators, and reticular veins, including small reticular veins that supply annoying telangiectasias. A sharp phlebectomy hook enables the extraction of veins through skin incisions or needle punctures as small as 1 mm. A vein that has been removed by this method is gone permanently. The small size of the skin punctures usually results in minimal or no scar. In comparison with sclerotherapy, surgical extraction avoids the risks of intra-arterial injection, extravasation skin necrosis, and residual hyperpigmentation. SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1175621516 ER -