Early clinical outcomes after subfascial endoscopic perforator surgery (SEPS) and saphenous vein surgery in chronic venous insufficiency

Abstract

SEPS is safe and feasible. Early clinical results have shown a promising outcome in patients with severe chronic venous insufficiency.

Systematic review of outcomes after surgical management of venous disease incorporating subfascial endoscopic perforator surgery

“…After excluding duplicate reports, 18 articles had data on healing outcomes after SEPS. [6][7][8][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Two studies found in references of included studies were added, 28,29 for a total of 20 included studies. Of these, 19 were case series and 1 was a randomized trial that compared open perforator ligation with SEPS.…”

Mid-term recurrence rate of incompetent perforating veins after combined superficial vein surgery and subfascial endoscopic perforating vein surgery

“…Clinical severity and disability scores as proposed by the American Venous Forum Executive Committee were registered before and after surgery. 10,11 Continuous data were compared by using the t test or the Mann-Whitney test, where appropriate, and the 2 test was used for the comparison of proportions. Survival analyses were performed according to the method described by Kaplan and Meier.…”

Update and economic aspects of the harmonic scalpel in general surgery

“…Rare applications of the harmonic scalpel in laparoscopic surgery, only performed by individual surgeons largely experienced in the technique, include gastric resections [21], laparoscopic cholecystectomy [22,24,44], liver resections [18,20,34,42,47], pancreatic surgery (management of pseudocysts) [45,52] or subfascial endoscopic perforator surgery (SEPS) for treatment of chronic venous insufficiency [33] and resection of large connective tissue tumors [37,38,41]. The use of the harmonic scalpel for breast surgery has been reported by single groups [8,9,16].…”

“…Besides its impact on gynaecologic [30], urologic [23,50], otolaryngeal [51] and vascular surgery [33], it has now gained broad acceptance for general surgery. From a theoretical point of view, high-frequency ultrasound-based technology for tissue dissection and vessel sealing is suggested to facilitate surgical procedures.…”