Abstract
Muller's introduction in 1953 of ambulatory phlebectomy, although initially not appreciated nor readily accepted, revolutionized the surgical treatment of varicosities of the lower extremities forever. However, many years had to pass before this would be reality. This article follows the treatment of incompetent saphenofemoral and saphenopopliteal junctions. Ambulatory phlebectomy is an efficient, efficacious, cosmetically superior, appropriate, and cost-effective procedure for the treatment of the varicosities of the lower extremities. It is performed under local anesthesia in an office setting, with the patient returning home the same day. In many instances, the patient is able to return to work the day following the operation.
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