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Initial experience of subfascial endoscopic perforator vein surgery in patients with severe chronic venous insufficiency.
Chirurgia (Bucur). 2007 Jul-Aug; 102(4):415-9.C

Abstract

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.

Authors+Show Affiliations

Department of General Surgery, University of Medicine and Pharmacy Nicolae Testemitanu, Chişinău, Moldova. dcasian@mail.ruNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17966938

Citation

Casian, D, et al. "Initial Experience of Subfascial Endoscopic Perforator Vein Surgery in Patients With Severe Chronic Venous Insufficiency." Chirurgia (Bucharest, Romania : 1990), vol. 102, no. 4, 2007, pp. 415-9.
Casian D, Gutu E, Moroz S. Initial experience of subfascial endoscopic perforator vein surgery in patients with severe chronic venous insufficiency. Chirurgia (Bucur). 2007;102(4):415-9.
Casian, D., Gutu, E., & Moroz, S. (2007). Initial experience of subfascial endoscopic perforator vein surgery in patients with severe chronic venous insufficiency. Chirurgia (Bucharest, Romania : 1990), 102(4), 415-9.
Casian D, Gutu E, Moroz S. Initial Experience of Subfascial Endoscopic Perforator Vein Surgery in Patients With Severe Chronic Venous Insufficiency. Chirurgia (Bucur). 2007 Jul-Aug;102(4):415-9. PubMed PMID: 17966938.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Initial experience of subfascial endoscopic perforator vein surgery in patients with severe chronic venous insufficiency. AU - Casian,D, AU - Gutu,E, AU - Moroz,S, PY - 2007/10/31/pubmed PY - 2007/11/10/medline PY - 2007/10/31/entrez SP - 415 EP - 9 JF - Chirurgia (Bucharest, Romania : 1990) JO - Chirurgia (Bucur) VL - 102 IS - 4 N2 - 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. SN - 1221-9118 UR - https://www.unboundmedicine.com/medline/citation/17966938/Initial_experience_of_subfascial_endoscopic_perforator_vein_surgery_in_patients_with_severe_chronic_venous_insufficiency_ DB - PRIME DP - Unbound Medicine ER -