open access

Vol 6, No 4 (2004)
Published online: 2005-01-26
Get Citation

Subfascial endoscopic perforator surgery in the treatment of chronic venous complications - own experience

Tomasz Urbanek, Wacław Kuczmik, Jacek Kostyra, Damian Ziaja, Tomasz Drążkiewicz, Marcin Kucharzewski, Tomasz Ludyga
Chirurgia Polska 2004;6(4):195-201.

open access

Vol 6, No 4 (2004)
Published online: 2005-01-26

Abstract

Background: Subfascial endoscopic perforator surgery is an important element in the surgical treatment of patients with chronic venous insufficiency complications. In this paper, which is based on the authors’ own material, early and long term results are presented. The limitations of the method and current indications are also discussed.
Material and methods: From 1996 to 2003, 33 patients with chronic venous insufficiency complications were treated. In this group, there were 10 patients with active venous crural ulcers (30%). 8 other patients reported the presence of a venous ulceration in the past (24%). The surgery (SEPS) was performed under spinal anesthesia. In 17 cases SESP was combined with surgical procedures reducing superficial vein system venous hypertension. Early and late results were evaluated.
Results: The healing of ulcers within 3 months after surgery was achieved in 9 out of 10 patients with active crural ulcers. Among the 33 patients who underwent an operation, DVT after surgery was present in one case. In 2 other cases infective complications or improper wound healing was observed. In 2 cases acpostoperative paresthesia was reported. During the follow up, the recurrence of an ulceration was observed in one case — over 6 months after surgery.
Conclusions: 1. In properly qualified patients, SEPS is a successful treatment method also decreasing the rate of the chronic venous insufficiency recurrence. 2. Surgical endoscopic perforator ablation decreases the rate of ulcer recurrence. However, in all cases, if possible, the reduction of superficial vein system hypertension is necessary. 3. Despite the proper surgical treatment, the progress of venous system insufficiency can lead to ulcer recurrence which confirms the necessity of a continuous follow up of this patient group.

Abstract

Background: Subfascial endoscopic perforator surgery is an important element in the surgical treatment of patients with chronic venous insufficiency complications. In this paper, which is based on the authors’ own material, early and long term results are presented. The limitations of the method and current indications are also discussed.
Material and methods: From 1996 to 2003, 33 patients with chronic venous insufficiency complications were treated. In this group, there were 10 patients with active venous crural ulcers (30%). 8 other patients reported the presence of a venous ulceration in the past (24%). The surgery (SEPS) was performed under spinal anesthesia. In 17 cases SESP was combined with surgical procedures reducing superficial vein system venous hypertension. Early and late results were evaluated.
Results: The healing of ulcers within 3 months after surgery was achieved in 9 out of 10 patients with active crural ulcers. Among the 33 patients who underwent an operation, DVT after surgery was present in one case. In 2 other cases infective complications or improper wound healing was observed. In 2 cases acpostoperative paresthesia was reported. During the follow up, the recurrence of an ulceration was observed in one case — over 6 months after surgery.
Conclusions: 1. In properly qualified patients, SEPS is a successful treatment method also decreasing the rate of the chronic venous insufficiency recurrence. 2. Surgical endoscopic perforator ablation decreases the rate of ulcer recurrence. However, in all cases, if possible, the reduction of superficial vein system hypertension is necessary. 3. Despite the proper surgical treatment, the progress of venous system insufficiency can lead to ulcer recurrence which confirms the necessity of a continuous follow up of this patient group.
Get Citation

Keywords

crural ulcer; surgery; SEPS

About this article
Title

Subfascial endoscopic perforator surgery in the treatment of chronic venous complications - own experience

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 6, No 4 (2004)

Pages

195-201

Published online

2005-01-26

Bibliographic record

Chirurgia Polska 2004;6(4):195-201.

Keywords

crural ulcer
surgery
SEPS

Authors

Tomasz Urbanek
Wacław Kuczmik
Jacek Kostyra
Damian Ziaja
Tomasz Drążkiewicz
Marcin Kucharzewski
Tomasz Ludyga

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Via MedicaBy "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl