Vol 6, No 4 (2004)
Published online: 2005-01-26
Subfascial endoscopic perforating vein surgery (SEPS) in the treatment of chronic venous insufficiency at short-term surgery department
Chirurgia Polska 2004;6(4):203-210.
Abstract
Background: In this paper our own results of SEPS treatment and its influence on chronic venous insufficiency advancement and patient ailments are presented.
Material and methods: 30 patients were operated on at the One-Day General Surgery unit Department in Częstochowa from 2003 to 2004 were evaluated. The patients were divided into two groups. The first group comprised C4 and C5 degree (according to CEAP classification) chronic venous insufficiency patients and the second group, C6 class patients. The treatment results were evaluated by the Rutherford clinical VCSS scale. Additionally, a patient’s quality of life estimation with the WHO Bref questionnaire was carried out before and after the treatment.
Results: Six months after the procedure, more than a half (64.3%) of the ulcerations were cured. In the group of non-recovered ulcerations, SEPS resulted in diminishing their size — by 38.64%. The mean time which passed from the outset of the ulceration healing was 12.4 days. Comparing the VCSS scores, statistically significant lower scores were stated in the patients after the treatment, which confirms the success of the endoscopic treatment. The quality of life of patients after the treatment was significantly better than before the surgery.
Conclusions: 1. SEPS is a surgical method resulting in the size-reduction and healing acceleration of the venous tibia ulcer. 2. SEPS reduces the manifestation of chronic venous insufficiency symptoms. 3. The quality of life is better in patients who underwent SEPS. 4. SEPS performed in short-term surgery allows to obtain good treatment effects.
Material and methods: 30 patients were operated on at the One-Day General Surgery unit Department in Częstochowa from 2003 to 2004 were evaluated. The patients were divided into two groups. The first group comprised C4 and C5 degree (according to CEAP classification) chronic venous insufficiency patients and the second group, C6 class patients. The treatment results were evaluated by the Rutherford clinical VCSS scale. Additionally, a patient’s quality of life estimation with the WHO Bref questionnaire was carried out before and after the treatment.
Results: Six months after the procedure, more than a half (64.3%) of the ulcerations were cured. In the group of non-recovered ulcerations, SEPS resulted in diminishing their size — by 38.64%. The mean time which passed from the outset of the ulceration healing was 12.4 days. Comparing the VCSS scores, statistically significant lower scores were stated in the patients after the treatment, which confirms the success of the endoscopic treatment. The quality of life of patients after the treatment was significantly better than before the surgery.
Conclusions: 1. SEPS is a surgical method resulting in the size-reduction and healing acceleration of the venous tibia ulcer. 2. SEPS reduces the manifestation of chronic venous insufficiency symptoms. 3. The quality of life is better in patients who underwent SEPS. 4. SEPS performed in short-term surgery allows to obtain good treatment effects.
Keywords: crural ulcersubfascial endoscopic perforating vein surgery (SEPS)quality of life
