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Early clinical outcomes after subfascial endoscopic perforator surgery (SEPS) and saphenous vein surgery in chronic venous insufficiency.
Surg Endosc. 2001 Jul; 15(7):737-40.SE

Abstract

BACKGROUND

Subfascial endoscopic perforator surgery (SEPS) has recently become popular as a minimally invasive way to treat chronic venous insufficiency (CVI) of the lower extremities. We report the early clinical outcomes of SEPS and saphenous vein surgery in a prospective series of Chinese patients who presented with severe CVI.

METHODS

All patients referred to our hospital for the management of severe CVI (class IV disease or above) after January 1998 underwent SEPS using an ultrasonic scalpel in conjunction with saphenous vein surgery. All patients were followed up prospectively to assess ulcer healing, ulcer recurrence, and symptoms after SEPS. Clinical outcome was evaluated by the scoring system suggested by the Consensus Committee of the American Venous Forum on Chronic Venous Disease.

RESULTS

Over a 24-month period, we performed 36 SEPS on 31 patients. Nineteen lower extremities (53%) had active or healing ulcers. Sapheno-femoral ligation was also performed in 33 limbs (92%). Four limbs (11%) developed superficial wound infection, and two (6%) had saphenous nerve dysesthesia. The mean clinical score and disability score decreased from 8.42 to 3.42 and 1.45 to 0.31 respectively, after a median follow-up of 14 months (range, 6-22) (p < 0.005). Eleven ulcers (58%) healed within 6 weeks after surgery. At 1-year follow-up, ulcer recurrence was found in two legs (11%).

CONCLUSION

SEPS is safe and feasible. Early clinical results have shown a promising outcome in patients with severe chronic venous insufficiency.

Authors+Show Affiliations

Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11591980

Citation

Lee, D W., et al. "Early Clinical Outcomes After Subfascial Endoscopic Perforator Surgery (SEPS) and Saphenous Vein Surgery in Chronic Venous Insufficiency." Surgical Endoscopy, vol. 15, no. 7, 2001, pp. 737-40.
Lee DW, Chan AC, Lam YH, et al. Early clinical outcomes after subfascial endoscopic perforator surgery (SEPS) and saphenous vein surgery in chronic venous insufficiency. Surg Endosc. 2001;15(7):737-40.
Lee, D. W., Chan, A. C., Lam, Y. H., Wong, S. K., Fung, T. M., Mui, L. M., Ng, E. K., & Chung, S. C. (2001). Early clinical outcomes after subfascial endoscopic perforator surgery (SEPS) and saphenous vein surgery in chronic venous insufficiency. Surgical Endoscopy, 15(7), 737-40.
Lee DW, et al. Early Clinical Outcomes After Subfascial Endoscopic Perforator Surgery (SEPS) and Saphenous Vein Surgery in Chronic Venous Insufficiency. Surg Endosc. 2001;15(7):737-40. PubMed PMID: 11591980.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early clinical outcomes after subfascial endoscopic perforator surgery (SEPS) and saphenous vein surgery in chronic venous insufficiency. AU - Lee,D W, AU - Chan,A C, AU - Lam,Y H, AU - Wong,S K, AU - Fung,T M, AU - Mui,L M, AU - Ng,E K, AU - Chung,S C, Y1 - 2001/04/03/ PY - 2000/08/28/received PY - 2000/09/11/accepted PY - 2001/10/10/pubmed PY - 2002/2/5/medline PY - 2001/10/10/entrez SP - 737 EP - 40 JF - Surgical endoscopy JO - Surg Endosc VL - 15 IS - 7 N2 - BACKGROUND: Subfascial endoscopic perforator surgery (SEPS) has recently become popular as a minimally invasive way to treat chronic venous insufficiency (CVI) of the lower extremities. We report the early clinical outcomes of SEPS and saphenous vein surgery in a prospective series of Chinese patients who presented with severe CVI. METHODS: All patients referred to our hospital for the management of severe CVI (class IV disease or above) after January 1998 underwent SEPS using an ultrasonic scalpel in conjunction with saphenous vein surgery. All patients were followed up prospectively to assess ulcer healing, ulcer recurrence, and symptoms after SEPS. Clinical outcome was evaluated by the scoring system suggested by the Consensus Committee of the American Venous Forum on Chronic Venous Disease. RESULTS: Over a 24-month period, we performed 36 SEPS on 31 patients. Nineteen lower extremities (53%) had active or healing ulcers. Sapheno-femoral ligation was also performed in 33 limbs (92%). Four limbs (11%) developed superficial wound infection, and two (6%) had saphenous nerve dysesthesia. The mean clinical score and disability score decreased from 8.42 to 3.42 and 1.45 to 0.31 respectively, after a median follow-up of 14 months (range, 6-22) (p < 0.005). Eleven ulcers (58%) healed within 6 weeks after surgery. At 1-year follow-up, ulcer recurrence was found in two legs (11%). CONCLUSION: SEPS is safe and feasible. Early clinical results have shown a promising outcome in patients with severe chronic venous insufficiency. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/11591980/Early_clinical_outcomes_after_subfascial_endoscopic_perforator_surgery__SEPS__and_saphenous_vein_surgery_in_chronic_venous_insufficiency_ L2 - https://doi.org/10.1007/s004640090050 DB - PRIME DP - Unbound Medicine ER -