Subfascial hemorrhage after endoscopic perforator vein ligation. Control with balloon tamponade.
Ligation of perforator veins in the lower extremity for the treatment of venous ulceration can be performed using a minimally invasive technique with endoscopic instruments. Several studies have documented that the endoscopic technique has a lower wound-related complication rate compared to open perforator vein ligation. We report the complication of postoperative subfascial hemorrhage requiring reexploration after subfascial endoscopic perforator vein ligation and describe a minimally invasive method for its control using balloon tamponade.
Kulbaski
M J
MJ
Division of Vascular Surgery, Department of Surgery, Emory University School of Medicine, 5105 Woodruff Memorial Building, 1639 Pierce Drive, Atlanta, GA 30322, USA.
Salam
A A
AA
Castor
S A
SA
Lumsden
A B
AB
D000328:Adult; D021721:Balloon Occlusion; D002404:Catheterization; D004724:Endoscopy; D005205:Fascia; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007866:Leg / Q000098:blood supply; D008026:Ligation; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D014647:Varicose Ulcer / Q000601:surgery*; D014680:Veins / Q000601:surgery