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Early benefits of subfascial endoscopic perforator surgery (SEPS) in healing venous ulcers.
Ann Vasc Surg. 1997 Jul; 11(4):367-73.AV

Abstract

Efficacy of subfascial endoscopic perforator vein surgery (SEPS) in assisting the healing of venous ulcers was determined. During the period June 1995 to May 1996, 19 limbs in 17 patients were treated by SEPS. Thirteen limbs had open ulcers (class 6), five limbs had healed ulcers (class 5), and one limb had severe lipodermatosclerosis (class 4). There were nine male and eight female patients (average age 58, range 33-86). One male had bilateral open ulcers and one female had one open and one healed ulcer. Open ulcers had been present for an average duration of 4.4 years (range 1-14 years). The average ulcer size was 2.8 x 2.2 cm (range 1 x 1 cm to 12 x 6 cm). All operations were conducted on an outpatient basis. At surgery an attempt was made to correct all superficial venous pathophysiology. In addition to SEPS, 12 limbs (63%) had greater saphenous vein (GSV) stripping and 15 patients (79%) had stab avulsion of painful varicose veins. The average number of perforators ligated during SEPS was 3.68 (range 2-8). All active ulcers healed within 90 days. The mean time to healing was 30.5 days (range 6-90 days). Minor postoperative complications (one groin hematoma, three wound infections) occurred in four limbs (21%). There have been no ulcer recurrences during follow-up (mean 8.6 months, range 3-16 months). Outpatient SEPS is an important adjunct in the treatment of chronic venous insufficiency. Experience in this group of 19 limbs strongly suggests that SEPS appears to accelerate the healing of venous ulcers compared to historical controls.

Authors+Show Affiliations

Division of Vascular Surgery, Loma Linda University Medical Center, CA 92354, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9236992

Citation

Sparks, S R., et al. "Early Benefits of Subfascial Endoscopic Perforator Surgery (SEPS) in Healing Venous Ulcers." Annals of Vascular Surgery, vol. 11, no. 4, 1997, pp. 367-73.
Sparks SR, Ballard JL, Bergan JJ, et al. Early benefits of subfascial endoscopic perforator surgery (SEPS) in healing venous ulcers. Ann Vasc Surg. 1997;11(4):367-73.
Sparks, S. R., Ballard, J. L., Bergan, J. J., & Killeen, J. D. (1997). Early benefits of subfascial endoscopic perforator surgery (SEPS) in healing venous ulcers. Annals of Vascular Surgery, 11(4), 367-73.
Sparks SR, et al. Early Benefits of Subfascial Endoscopic Perforator Surgery (SEPS) in Healing Venous Ulcers. Ann Vasc Surg. 1997;11(4):367-73. PubMed PMID: 9236992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early benefits of subfascial endoscopic perforator surgery (SEPS) in healing venous ulcers. AU - Sparks,S R, AU - Ballard,J L, AU - Bergan,J J, AU - Killeen,J D, PY - 1997/7/1/pubmed PY - 1997/7/1/medline PY - 1997/7/1/entrez SP - 367 EP - 73 JF - Annals of vascular surgery JO - Ann Vasc Surg VL - 11 IS - 4 N2 - Efficacy of subfascial endoscopic perforator vein surgery (SEPS) in assisting the healing of venous ulcers was determined. During the period June 1995 to May 1996, 19 limbs in 17 patients were treated by SEPS. Thirteen limbs had open ulcers (class 6), five limbs had healed ulcers (class 5), and one limb had severe lipodermatosclerosis (class 4). There were nine male and eight female patients (average age 58, range 33-86). One male had bilateral open ulcers and one female had one open and one healed ulcer. Open ulcers had been present for an average duration of 4.4 years (range 1-14 years). The average ulcer size was 2.8 x 2.2 cm (range 1 x 1 cm to 12 x 6 cm). All operations were conducted on an outpatient basis. At surgery an attempt was made to correct all superficial venous pathophysiology. In addition to SEPS, 12 limbs (63%) had greater saphenous vein (GSV) stripping and 15 patients (79%) had stab avulsion of painful varicose veins. The average number of perforators ligated during SEPS was 3.68 (range 2-8). All active ulcers healed within 90 days. The mean time to healing was 30.5 days (range 6-90 days). Minor postoperative complications (one groin hematoma, three wound infections) occurred in four limbs (21%). There have been no ulcer recurrences during follow-up (mean 8.6 months, range 3-16 months). Outpatient SEPS is an important adjunct in the treatment of chronic venous insufficiency. Experience in this group of 19 limbs strongly suggests that SEPS appears to accelerate the healing of venous ulcers compared to historical controls. SN - 0890-5096 UR - https://www.unboundmedicine.com/medline/citation/9236992/Early_benefits_of_subfascial_endoscopic_perforator_surgery__SEPS__in_healing_venous_ulcers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0890-5096(06)62130-4 DB - PRIME DP - Unbound Medicine ER -