Endoscopic subfascial surgery for incompetent perforator veins in patientswith active venous ulceration

Citation
Hc. Baron et al., Endoscopic subfascial surgery for incompetent perforator veins in patientswith active venous ulceration, SURG ENDOSC, 15(1), 2001, pp. 38-40
Citations number
15
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
ISSN journal
0930-2794 → ACNP
Volume
15
Issue
1
Year of publication
2001
Pages
38 - 40
Database
ISI
SICI code
0930-2794(200101)15:1<38:ESSFIP>2.0.ZU;2-Q
Abstract
Background: Previously, subfascial ligation of perforator veins to treat ve nous ulceration in the lower extremities required long skin incisions throu gh diseased skin and subcutaneous tissue. This was known as "the Linton ope ration." In 1985, Hauer described an endoscopic technique for ligating inco mpetent perforator veins; this seminal contribution marked the advent of su bfascial endoscopic perforator surgery (SEPS). Methods: From 1996 to 1998, we prospectively collected data on 41 patients with chronic venous insufficiency (CVI) who underwent a SEPS procedure at o ur institution. Preoperative assessment consisted of color-flow duplex ultr asound scanning, as well as ascending and descending phlebography. Results: Some 45 SEPS procedures were performed on the 41 patients. Ages ra nged from 42 to 84 years (mean, 60). Active venous ulcers were present in 3 7 legs; healing occurred within 9 weeks in 33 of them. No new ulcers develo ped in the follow-up period, a mean of 44 weeks. Conclusion: The results suggest that the SEPS procedure incorporated into t he overall treatment plan for patients with CVI produces active healing wit h a minimum of postoperative complications. The study demonstrates the safe ty and efficiency of this procedure; it also underscores the important role incompetent perforator veins have in the formation of venous ulcers.