Subfascial endoscopic perforating vein surgery as treatment for lateral perforating vein incompetence and venous ulceration

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Subfascial endoscopic ligation in the treatment of incompetent perforating veins.

OBJECTIVES To assess the technique of subfascial endoscopic ligation of incompetent perforatory veins by use of a mediastinoscope. DESIGN Prospective open clinic study. SETTING Two Departments of Surgery. MATERIALS AND METHODS Thirty-eight consecutive patients (40 legs) with recurrent or protracted venous ulceration of the lower leg were treated. Through a short, transverse incision of th...

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A clinical and haemodynamic investigation into the role of calf perforating vein surgery in patients with venous ulceration and deep venous incompetence.

OBJECTIVE To determine the clinical efficacy and local haemodynamic effects of perforating vein surgery in ulcerated limbs with combined deep and perforating vein incompetence. DESIGN Prospective, interventional study. MATERIALS AND METHODS Seven ulcerated limbs with combined primary deep and perforating vein incompetence were studied. Clinical efficacy was determined by ultimate ulcer heal...

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Varicose vein appearance caused by perforating vein incompetence detected after intense cycling

The role of incompetent perforating veins in the aetiology of varicose veins is not well understood. Anecdotally, competitive cyclists appeared to be more prone to varicose veins than the general population. We present a case of a 63-year-old amateur competitive cyclist who acutely developed a painful varicosity of her left calf while straining during a hill climb in 106-mile cycle race. Duplex...

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The place of subfascial endoscopic perforator vein surgery (SEPS) in advanced chronic venous insufficiency treatment

In spite of medical science development and initiation of new technologies in minimally invasive surgery, treatment of advanced chronic venous insufficiency at the 5(th) and 6(th) degree of CEAP classification is still a great clinical challenge. In case of no satisfactory results of non-surgical treatment of recurrent venous ulcers, scientists search for alternative therapeutic methods which c...

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Subfascial endoscopic perforator vein surgery: the first report from Iran.

BACKGROUND Chronic venous stasis ulcers of the leg are still a challenge in vascular surgery. Innovation of new surgical techniques using endoscopic instruments have ushered in a new era with less complications and better results. This study was designed to evaluate the safety and long-term outcomes of this technique for the first time in Iran. METHODS Subfascial endoscopic perforator vein su...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2003

ISSN: 0741-5214

DOI: 10.1016/s0741-5214(03)00430-0