World Journal of Laparoscopic Surgery

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VOLUME 4 , ISSUE 2 ( May-August, 2011 ) > List of Articles

REVIEW ARTICLE

Subfascial Endoscopic Perforator Surgery in Perforator Vein Insufficiency

S Ravikumar

Citation Information : Ravikumar S. Subfascial Endoscopic Perforator Surgery in Perforator Vein Insufficiency. World J Lap Surg 2011; 4 (2):117-122.

DOI: 10.5005/jp-journals-10007-1127

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Surgical treatment of incompetent perforating veins of the lower leg performed by open method carries considerable morbidity and also associated with poor wound healing. Subfascial endoscopic perforator surgery (SEPS) is a new, minimally invasive endoscopic technique performed in patients with advanced chronic venous insufficiency. This technique offers an effective treatment alternative which avoids the lengthy incisions of the classical open Linton subfascial ligation techniques. The favorable ulcer healing rate and improvement in clinical symptoms suggest that SEPS is a feasible, safe and effective treatment of the incompetent perforator veins in patients with advanced chronic venous insufficiency.


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  1. The communicating veins of the lower leg and the operative technique for their ligation. Ann Surg 1938;107:582-93.
  2. The post-thrombotic ulceration of the lower extremity: Its etiology and surgical treatment. Ann Surg 1953;138:415-32.
  3. The pathology and treatment of venous ulcers of the leg. Br J Surg 1956;43:260-78.
  4. The diagnosis and ligation of incompetent perforating veins. Ann R Coll Surg Engl 1964;34:186-96.
  5. Die endoscopische subfasciale diszision der perforansvenen-vorlaufige mitteilung. VASA 1985;14:59.
  6. Endoscopic versus open subfascial division of incompetent perforating veins in the treatment of venous leg ulceration: A randomized trial. J Vasc Surg 1997;26:1049-54.
  7. Subfascial endoscopic perforator surgery is associated with significantly less morbidity and shorter hospital stay than open operation (Linton's procedure). Br J Surg 1997;84:136-45.
  8. Safety, feasibility and early efficacy of subfascial endoscopic perforator surgery: A preliminary report from the North American registry. J Vasc Surg 1997;25:94-105.
  9. Efficacy of subfascial endoscopy in eradicating perforating veins of the lower leg and its relation with venous ulcer. J Vasc Surg 1997;26:255-59.
  10. Subfascial endoscopic perforator ligation: An analysis of early clinical outcomes and cost. J Vasc Surg 1997;25:995-1001.
  11. Complications in subfascial endoscopic perforating vein surgery: A report of two cases. J Vasc Surg 2001;33:1108-10.
  12. Redone endoscopic perforator surgery: Feasibility and failure analysis. J Vasc Surg 1999;30:720-26.
  13. Pankaj Kumar Evaluation of subfascial endoscopic perforator vein surgery (SEPS) using harmonic scalpel in varicose veins: An observational study International Journal of Surgery 2009;7(3):253-56.
  14. Meta-analysis of subfascial endoscopic perforator vein surgery (SEPS) for chronic venous insufficiency. Phlebology 2009;24:8-16.
  15. Randomized clinical trial of the effect of adding subfascial endoscopic perforator surgery to standard great saphenous vein stripping. Brit J Surg 2007;94:1075-80.
  16. Kornelia Mid-term recurrence rate of incompetent perforating veins after combined superficial vein surgery and subfascial endoscopic perforating vein surgery. Journal of Vascular Surgery Aug2006;44(2):359-63.
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