Initial experience of subfascial endoscopic perforator vein surgery in patients with severe chronic venous insufficiency.
Subfascial Endoscopic Perforator Surgery (SEPS) is a foolproof method of treatment of perforating veins reflux without direct surgical manipulation in the area of trophic disturbances. In this paper, we present initial case series, consisted of 5 patients with severe chronic venous insufficiency (CEAP classes C4-C6), SEPS being used in complex treatment. The criteria used for selection of the patients for SEPS was presence of incompetent perforating veins in the area of trophic disturbances, confirmed by duplex scanning of the venous system. Dual-port SEPS technique with using of space-maker was performed in combination with high ligation and below-knee stripping of long saphenous vein. No early postoperative complications related to SEPS were noted. Healing of all active venous ulcers among patients in class C6 and decrease of clinical severity score in all cases were achieved during follow-up period ranged from 2 to 13 months. Results of treatment in the presented case series confirm high effectiveness of SEPS in severe chronic venous insufficiency.
Casian
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D
Department of General Surgery, University of Medicine and Pharmacy Nicolae Testemitanu, Chişinău, Moldova. dcasian@mail.ru
Gutu
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E
Moroz
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S
D000368:Aged; D017546:Angioscopy / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012501:Saphenous Vein / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014647:Varicose Ulcer / Q000209:etiology / Q000601:surgery; D014648:Varicose Veins / Q000601:surgery; D014689:Venous Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*