Subfascial endoscopic perforator surgery (SEPS) in chronic venous insufficiency. A 14 years experience

Di Battista, L. and D'Andrea, Vito and Galani, A. and De Cristofaro, Flaminia and Guarino, Salvatore and Pulcini, Angelo and Nardo, M. and Maturo, A. and Palermo, S. and De Antoni, E. and Stio, Francesco (2012) Subfascial endoscopic perforator surgery (SEPS) in chronic venous insufficiency. A 14 years experience. Il giornale di chirurgia, 33 (3). pp. 89-94. ISSN 1971-145X

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Abstract

Introduction. Subfascial Endoscopic Perforator Surgery (SEPS) enables the direct visualization and section of perforating veins. Morbidity and duration of hospitalization are both less than with conventional open surgery (Linton’s or Felder’s techniques). Patients and methods. A total of 322 legs from 285 patients with a mean age of 56 years (range 23-90) were treated at our Department from May 1996 to January 2010. In 309 cases, an endoscope (ETM Endoskopische Technik GmbH, Berlin, Germany) was introduced through a transverse incision approximately 1.5 cm in length and 10 cm from the tibial tuberosity, as with Linton’s technique. A spacemaker balloon dissector for SEPS, involving a second incision 6 cm from the first, was used in only 13 cases. Results. The procedure used in each case was decided on the basis of preoperative evaluation. SEPS and stripping were performed in 238 limbs (73.91%), SEPS and short stripping in 7 limbs (2.17%), SEPS and crossectomy in 51 limbs (15.84%), and SEPS alone in 26 limbs (8.07%). 103 patients presented a total of 158 trophic ulcers; the healing time was between 1 and 3 months, with a healing rate of 82.91% after 1 month and 98.73% after 3 months. Conclusion. Subfascial ligature of perforating veins is superior to sclerotherapy and minimally invasive suprafascial treatment for the treatment of CVI. It is easy to execute, minimally invasive and has few complications.

Item Type:	Article
Uncontrolled Keywords:	SEPS - Subfascial endoscopic perforator surgery - Ulcer - Chronic venous insufficiency - Varices
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	16 Jun 2016 09:49
Last Modified:	16 Jun 2016 09:49
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7825

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