Lateral Subfascial Endoscopic Perforating Vein Surgery as Treatment for Lateral Perforating Vein Incompetence and Venous Ulceration

Mao-hua Wang; Xing Jin; Shi-yi Zhang; Xue-jun Wu; Zhen-yue Zhong; Mo Wang; Dian-ning Dong; Hai Yuan
May 2009
World Journal of Surgery;May2009, Vol. 33 Issue 5, p1093
Academic Journal
The aim of this study was to evaluate the clinical results of lateral subfascial endoscopic perforating vein surgery (SEPS). Our study was conducted from February 2002 to January 2007. Sixty-three patients with lateral incompetent perforating veins (IPVs) and venous ulceration were allocated to two groups. Group 1 comprised 31 patients (33 limbs) who underwent only routine surgery (saphenofemoral or saphenopopliteal ligation, stripping, phlebectomies, endovascular laser treatment [EVLT], medial SEPS, and skin grafting). Group 2 comprised 32 patients (35 limbs) who underwent our routine surgery with the addition of lateral SEPS. Bidirectional ultrasonography was performed before the operation, and 6 weeks, 6 months, and 1 year after surgery. Clinical score and disability score were collected at the same time. Twenty-nine (87.9%) of 33 limbs with active ulcers in group 1 healed, with recurrence in four (12.1%) limbs at follow-up at 25.9 ± 10.0 months. All 35 limbs in group 2 healed, with recurrence in 0 (0.0%) limbs at follow-up at 25.4 ± 10.1 months. Lateral SEPS could reduce the rate of recurrence of ulcers (Kaplan–Meier analysis). Patients in group 2 also showed improvement in clinical and disability scores, although they were not statistically significant differences ( t test, p > 0.05). A significantly higher proportion of patients in group 1 had IPVs on the lateral aspect of the lower leg on ultrosonography imaging. Lateral SEPS could contribute to ulcer healing and reduce ulcer recurrence. The addition of lateral SEPS to routine surgery did reduce the number of IPVs. Lateral SEPS may be safe and effective for lateral perforating vein incompetence and venous ulceration.


Related Articles

  • Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality. Schouten, N.; Burgmans, J.; Dalen, T.; Smakman, N.; Clevers, G.; Davids, P.; Verleisdonk, E.; Elias, S.; Simmermacher, R. // Hernia;Aug2012, Vol. 16 Issue 4, p387 

    Background: About 30% of all female 'groin' hernias are femoral hernias, although often only diagnosed during surgery. A Lichtenstein repair though, as preferred treatment modality according to guidelines, would not diagnose and treat femoral hernias. Totally extraperitoneal (TEP) hernia repair,...

  • Contouring challenges: Noninvasive devices a mixed bag for body shaping, skin tightening. Jesitus, John // Dermatology Times;Mar2012, Vol. 33 Issue 3, p80 

    The article offers views concerning the different mechanisms and results of noninvasive treatments for skin tightening and body contouring. Jeanine Downie, Montclair, New Jersey dermatologist in private practice, says that removing fat with radiofrequency (RF) devices provides apparently...

  • Education and Service Delivery: The use of transvaginal ultrasound evaluation premicrowave endometrial ablation. Vivien Shuen, W. M.; Vardhanabhuti, Varut V.; Pearson, Sally A. // Ultrasound;Feb2011, Vol. 19 Issue 1, p36 

    No abstract available.

  • Cervical stump prolapse complicating laparoscopic supracervical hysterectomy in a nulliparous woman. Stephen Guy // International Urogynecology Journal;Oct2007, Vol. 18 Issue 10, p1223 

    Abstract  A resurgence of supracervical hysterectomies is being seen, as providers are becoming more comfortable with minimally invasive surgery. Proponents of this technique advocate that leaving the cervix prevents the disruption of proper anatomical relationships, which allows better...

  • Disinfection of the Access Orifice in NOTES: Evaluation of the Evidence Base. Sodergren, Mikael H.; Pucher, Philip; Clark, James; James, David R. C.; Sockett, Jenny; Matar, Nagy; Teare, Julian; Guang-Zhong Yang; Darzi, Ara // Diagnostic & Therapeutic Endoscopy;2011, p1 

    Introduction. Appropriate prevention of infection is a key area of research in natural orifice translumenal endoscopic surgery (NOTES), as identified by the Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR). Methods. A review of the literature was conducted evaluating the...

  • Clinical outcome of partial ethmoidectomy for chronic rhinosinusitis. Iro, Heinrich; Mayr, Susanne; Schick, Bernhard; Mrakovcic, Gracia; Wigand, Malte // European Archives of Oto-Rhino-Laryngology;Jun2006, Vol. 263 Issue 6, p572 

    Since its introduction endoscopic sinus surgery (ESS) for the treatment of chronic rhinosinusitis (CRS) has been focused on the management of the ethmoids, differentiating between partial and total ethmoidectomy. The classification of the underlying process of ethmoiditis and the selection of...

  • ULTRASONOGRAPHY IN A NASAL CAVITY FILLED WITH WATER DURING ENDOSCOPIC SINUS SURGERY. Noda, Kazuhiro; Tamura, Manabu; Doi, Katsumi; Kubo, Takeshi // Annals of Otology, Rhinology & Laryngology;Sep2002, Vol. 111 Issue 9, p836 

    We developed a new ultrasonographic imaging technique to be used in a water-filled nasal cavity during endoscopic sinus surgery, and estimated how well surgically dangerous sites were depicted. Our newly developed balloon can completely fill the choana, preventing water from leaking into the...

  • Duodenal ulceration--is endoscopic biopsy necessary? Greenall, M.J.; Gough, M.H.; Kettlewell, M.G.W. // British Medical Journal (Clinical Research Edition);3/28/1981, Vol. 282 Issue 6269, p1061 

    Presents cases on the necessity of endoscopic biopsy in duodenal ulceration. Origin of the duodenal ulcers; Symptoms of ulcer; Assumption on duodenal ulcers.

  • COX-2 Inhibitors Reduce Complications After Laparoscopic Surgery.  // Ascribe Newswire: Medicine;6/8/2004, p73 

    Patients given a class of anti-inflammatory drugs before and after minimally invasive laparoscopic surgery experienced less pain with fewer postoperative complications and an earlier return to normal activities, according to Duke University Medical Center researchers. The 24-center trial, which...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics