Subfascial Endoscopic Perforator Surgery (SEPS) for Patients with Chronic Venous Insufficiency: Peri-operative Outcomes
Keywords:
Chronic venous insufficiency, lipodermatosclerosis, subfascial endoscopic perforator surgeryAbstract
Background: Chronic venous insufficiency (CVI) is an uncomfortable condition which may result in pain and ulceration, especially in patients who fail compressive therapy. In this situation Subfascial Endoscopic Perforator Surgery (SEPS) is a treatment option for general surgeons who are familiar with endoscopic surgery. The author practiced and examined the effectiveness of SEPS in this group of patients.
Methods: Patients diagnosed with CVI who failed to compressive therapy and underwent SEPS between April 2007 July 2017 were included in this study. Peri-operative outcomes were reviewed.
Results: Ten patients had complications of CVI. Six patients have active ulcers and four patients suffered pain and swelling of their legs from lipodermatosclerosis. After the SEPS operation pain was relieved in 2 weeks and the mean of time to ulcers healing was 34.17 days.
Conclusions: SEPS is an effective alternative treatment for patients with CVI who fail compressive therapy and have active ulcer or lipodermatosclerosis.
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