title: [The role of endoscopic ligation of the perforating veins in the treatment of chronic venous insufficiency under conditions of the one-day surgery center].
abstract: The present work is concerned with the results of endoscopic ligation of the perforating veins (SEPS) in 179 patients with chronic venous insufficiency, class 4-6, performed at the one-day surgery center. In patients suffering from varicosity, SEPS was accomplished in combination with phlebectomy in 52 (29.1%) patients. The second stage after phlebectomy involved the combination of SEPS with microsurgical reconstruction of the femoral vein valve. SEPS alone was provided to 89 (49.7%) patients suffering from postthrombotic disease. No life-threatening complications or lethal outcomes were recorded. The postoperative events were observed in 20 (11.2%) patients. Good results were obtained in 128 71.5%) patients, satisfactory in 42 (23.5%) and unsatisfactory in 9 (5%) subjects. The data obtained allow to regard SEPS as an effective, drastic and little traumatic technique which can be used successfully under conditions of the one-day surgery center.
authors.affiliation: Kuban State Medical Academy, Krasnodar, Russia.
authors.forename: O A
authors.initials: OA
authors.lastname: Alukhanian
authors.forename: Kh G
authors.initials: KhG
authors.lastname: Martirosian
authors.forename: D S
authors.initials: DS
authors.lastname: Aristov
authors.forename: I V
authors.initials: IV
authors.lastname: Sviatenko
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D005268:Femoral Vein / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D010690:Phlebography; D011186:Postphlebitic Syndrome / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014689:Venous Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*