title: The place of subfascial endoscopic perforator vein surgery (SEPS) in advanced chronic venous insufficiency treatment.
abstract: In spite of medical science development and initiation of new technologies in minimally invasive surgery, treatment of advanced chronic venous insufficiency at the 5(th) and 6(th) degree of CEAP classification is still a great clinical challenge. In case of no satisfactory results of non-surgical treatment of recurrent venous ulcers, scientists search for alternative therapeutic methods which could be more effective and lasting. Subfascial endoscopic perforator vein surgery (SEPS) as a method of reducing venous pressure in the superficial venous system could provide healing of the recurrent venous ulcer. In this study we present a review of contemporary opinions about the place and significance of subfascial endoscopic perforator vein surgery as a treatment of advanced chronic venous insufficiency.
authors.affiliation: Department of General and Minimally Invasive Surgery, University Hospital and Clinics, Olsztyn, Poland.
authors.forename: Wiesław
authors.initials: W
authors.lastname: Pesta
authors.forename: Waldemar
authors.initials: W
authors.lastname: Kurpiewski
authors.forename: Marek
authors.initials: M
authors.lastname: Kowalczyk
authors.forename: Rafał
authors.initials: R
authors.lastname: Szynkarczuk
authors.forename: Magdalena
authors.initials: M
authors.lastname: Luba
authors.forename: Anna
authors.initials: A
authors.lastname: Zurada
authors.forename: Radosław
authors.initials: R
authors.lastname: Grabysa