When a patient has one or more

bulging veins, sometimes

the best method of

treatment is  to surgically

remove the vein. In the past this

required general anesthetic, hospital

or surgery center use, and often left

the patient with scars on the legs.


Today, this procedure has been greatly

refined and is routinely done on an outpatient basis in the office with minimal downtime. The procedure is done using local anesthetic with the patient wide awake. The veins are removed through tiny incisions with a small vein hook. There is little discomfort and minimal, if any, scarring.


Most patients are able to return to work the day after microphlebectomy. The only patients we ask to take the next day off are those who perform dangerous work. Post-operative pain is well controlled with acetaminophen or ibuprofen.


Clovis E. Manley, MD

Evansville Regional Vein Center

This young woman presented with a single painful varicose vein on the back of her thigh. It hurt for her to sit on the vein. She had no other vein problems.

We performed a microphlebectomy in the office. The vein was long and straight and we were able to remove it in one piece. Usually the veins come out in much smaller pieces.

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Most treatments are covered by insurance.

This photo was taken three months after the microphlebectomy. She had no more pain or other symptoms.