[Treatment for chronic venous ulceration of the leg by subfascial endoscopic perforator vein surgery].
OBJECTIVE
To observe the effect of subfascial endoscopic perforator vein surgery (SEPS) in the treatment of chronic venous ulceration of the legs.


METHODS
Chronic venous ulceration for 91 patients with 102 limbs was treated by SEPS from January 2005 to July 2008. The effect of SEPS on chronic venous ulceration of the leg, the symptoms during and after the operation, and the durations of hospital treatment were analyzed.


RESULTS
The symptoms of the 102 legs conducted by SEPS operation, except the pigmentation, were obviously improved (P<0.01). Its cicatrisation rate, the recrudesce rate, and the cut infection rate were 93.1%, 1.96%, and 1.0%, respectively. The time of the operation was short and the hemorrhage was small during the surgery. The durations of hospitalization and the cicatrisation time of ulceration were (6.5+/-3.4) d and (12.2+/-13.7) d, respectively.


CONCLUSIONS
SEPS is simple and effective in treating chronic venous ulceration of the leg, and particularly effective for patients classified into C5 and C6 in clinical-etiological-anatomical-pathophysiology (CEAP).
Yao
Kai
K
Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Nie
Wanpin
W
Lu
Lingli
L
Huang
Feizhou
F
Liu
Xunyang
X
D000368:Aged; D017546:Angioscopy / Q000379:methods*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014647:Varicose Ulcer / Q000601:surgery*; D014648:Varicose Veins / Q000601:surgery; D014656:Vascular Surgical Procedures; D014689:Venous Insufficiency / Q000150:complications / Q000601:surgery*