title: [Subfascial endoscopic perforating vein surgery in patients with advanced trophic lesions (lipodermatosclerosis or ulcers)].
abstract: 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.
authors.affiliation: Unità Operativa Semplice di Chirurgia Vascolare, Azienda Ospedaliera, Ospedali Civili Riuniti, Sciacca, Agrigento. mscarpulla@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Scarpulla
authors.forename: U
authors.initials: U
authors.lastname: Marsala
authors.forename: G
authors.initials: G
authors.lastname: Vitale
authors.forename: A
authors.initials: A
authors.lastname: Abruzzo
authors.forename: F
authors.initials: F
authors.lastname: Abruzzo
authors.forename: A
authors.initials: A
authors.lastname: Vitale
mesh_terms: 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*