[Indications for ambulatory phlebectomy].

Abstract

The indications of Out-Patient Phlebectomy have been defined and confirmed. These indications are multiple and cover broad range. Anatomical indications concerning the lower limb essentially concern: primary varicose veins, residual varicose veins after surgery, varicosities affecting long or collateral veins, systems at the top of the thigh or in the popliteal fossa, varicose veins of the foot. Indications concerning the upper limb, abdomen and face must be carefully weighed. In a context of post-phlebitis, meticulous analysis of hemodynamics and careful monitoring are required. Superficial thrombophlebitis is a good indication for out-patient phlebotomy. Decisions concerning esthetic indications must be based upon a certain number of criteria: informed consent of the patient, assessment of general risk factors, assessment of esthetic risk factors.