[Subfascial endoscopic perforating vein surgery in patients with advanced trophic lesions (lipodermatosclerosis or ulcers)].
OBJECTIVE
Subfascial endoscopic perforating vein surgery (SEPS) is proposed in the treatment of chronic venous insufficiency stages C4-C6 of the CEAP classification.


METHODS
SEPS was performed in 10 patients (4 men, 6 women), 3 of which were stage C4, 4 stage C5 and 3 stage C6.


RESULTS
Full resolution of ulcers was achieved in the 12-month follow-up period; no post-operative sepsis complications were observed.


CONCLUSIONS
SEPS is a safe procedure and a valuable therapeutic aid in the treatment of chronic venous insufficiency complicated by trophic skin ulcers. Compared with other techniques, it is less invasive, works directly on the healthy skin and significantly reduces skin wounds.
Scarpulla
M
M
Unità Operativa Semplice di Chirurgia Vascolare, Azienda Ospedaliera, Ospedali Civili Riuniti, Sciacca, Agrigento. mscarpulla@hotmail.com
Marsala
U
U
Vitale
G
G
Abruzzo
A
A
Abruzzo
F
F
Vitale
A
A
D000328:Adult; D000368:Aged; D017546:Angioscopy / Q000379:methods; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012594:Scleroderma, Localized / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014647:Varicose Ulcer / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*