Subfascial endoscopic perforator vein surgery: the first report from Iran.
BACKGROUND
Chronic venous stasis ulcers of the leg are still a challenge in vascular surgery. Innovation of new surgical techniques using endoscopic instruments have ushered in a new era with less complications and better results. This study was designed to evaluate the safety and long-term outcomes of this technique for the first time in Iran.


METHODS
Subfascial endoscopic perforator vein surgery was performed on 10 legs in 8 patients who had signs of chronic venous insufficiency (between September 2001 and September 2003). Patients were followed up for a mean of period 12.5 months.


RESULTS
The operations were performed successfully in all patients. No serious complications occurred intraoperatively. There was no mortality or significant morbidity. Complete healing of skin ulcers was observed in 5 active and 2 healed ulcers in less than 12 weeks. There were 2 recurrences after 4 and 27 months, respectively.


CONCLUSIONS
Subfascial endoscopic perforator surgery is a safe procedure for the treatment of venous stasis ulcers. Rapid ulcer healing can be expected in selected patients.
Jafarian
Ali
A
Department of General Surgery, Imam Khomeini Medical Complex, Tehran University of Medical Sciences, Tehran, Iran. jafarian@tums.ac.ir
Emami-Razavi
Seyed-Hassan
SH
Neshati
Mehdi
M
D000328:Adult; D016063:Blood Loss, Surgical; D002908:Chronic Disease; D004724:Endoscopy / Q000009:adverse effects*; D000071938:Fasciotomy; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D012449:Safety; D012501:Saphenous Vein / Q000601:surgery*; D016896:Treatment Outcome; D014647:Varicose Ulcer / Q000601:surgery*; D014648:Varicose Veins / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods; D014689:Venous Insufficiency / Q000601:surgery*; D014945:Wound Healing