Complications of Ambulatory Phlebectomy: A Review of 4000 Consecutive Cases

Introduction: Ambulatory phlebectomy has proven to be an effective procedure for the treatment of varicose veins. Nonetheless, as with all operative procedures, it too has its proper complications for which the surgeon must be prepared. Complications, minor or major, consequential or inconsequential, are reported. Materials and Methods: The complications in 1905 patients who underwent 4000 consecutive ambulatory phlebectomies in a 9-year period are recorded and discussed. Results: The major complications encountered were blister formation, pigmentation, telangiectasia matting, and, infrequently, skin necrosis. Complications requiring treatment totalled 2.5%. Discussion: It is the author's belief that all complications should be recorded in order to better appreciate the care and precision one must take in executing this seemingly simple procedure.