Endoscopic versus open subfascial division of incompetent perforating veins in the treatment of venous leg ulceration: Long-term follow-up

Sybrandy, J.E.; Gent, W.B. van; Pierik, E.G.J.M.; Wittens, C.H.A.

doi:10.1067/mva.2001.114812

Cited by 92 publications

(66 citation statements)

References 17 publications

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“…Since its first description by Hauer in the 1980s, 1) SEPS has been accepted as an improved treatment modality in the surgical treatment of perforating vein insufficiency, particularly in cases with advanced skin changes. SEPS is performed in some facilities in North America [2][3][4][5] and Europe [6][7][8][9][10] as a component of the comprehensive treatment program for venous insufficiency. These previous studies presented favorable results with SEPS.…”

Section: Introductionmentioning

confidence: 99%

Subfascial Endoscopic Perforator Surgery Using Screw-Type Ports Is a Very Useful Component of a Comprehensive Treatment Program for Chronic Venous Insufficiency

Kusagawa¹,

Shomura²,

Komada³

et al. 2012

Annals of Vascular Diseases

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Section: Introductionmentioning

confidence: 99%

Subfascial Endoscopic Perforator Surgery Using Screw-Type Ports Is a Very Useful Component of a Comprehensive Treatment Program for Chronic Venous Insufficiency

Kusagawa¹,

Shomura²,

Komada³

et al. 2012

Annals of Vascular Diseases

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“…Published evidence indicates good clinical and symptomatic improvement with an ulcer healing rate of over 80%. [39][40][41] At long-term follow-up, ulcer healing and recurrence rates are comparable to open surgery. 41 Limbs with post-thrombotic insufficiency have poorer outcomes.…”

Section: Subfascial Endoscopic Perforator Vein Surgery (Seps)mentioning

confidence: 72%

“…[39][40][41] At long-term follow-up, ulcer healing and recurrence rates are comparable to open surgery. 41 Limbs with post-thrombotic insufficiency have poorer outcomes. 40,42 Concomitant abolition of superficial reflux and lack of deep venous obstruction are predictive of ulcer healing.…”

Section: Subfascial Endoscopic Perforator Vein Surgery (Seps)mentioning

confidence: 72%

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The Treatment of Varicose Veins

Subramonia

Lees

2007

annals

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Varicose veins are a common problem and cause disfigurement, disability and impairment in the quality of life (QoL). Over 40,000 operations are performed each year for varicose veins within the NHS in England and Wales. Conservative methods like compression bandaging for ulceration can also be expensive. Varicose veins are, therefore, of significant clinical and economic importance to the health service and also have a major socio-economic impact on society. The advent of endovenous ablation techniques has expanded the surgical options for patients requiring treatment. Materials and MethodsRelevant studies were identified via the MEDLINE, PREMEDLINE, EMBASE, PubMed, Cochrane Library and Science Citation Index using Boolean search terms from their commencement to 2005. Further studies were obtained from references, reviews, specialty journals, trial registries and the internet and by hand-searching. Abstracts were searched for studies reporting safety, efficacy, technique and outcomes with emphasis on comparative studies and large case series. The authors concentrated on evidence published in the last 10 years to achieve a balance between comprehensiveness and precision. Non-English articles were excluded unless a translation could be obtained. Conference abstracts and unpublished reports were excluded. ResultsDefinitive treatment of varicose veins aimed at abolishing sources of venous reflux and removing long refluxing segments and varicose reservoirs can be achieved by conventional surgery or by endovenous ablation techniques. Transilluminated powered phlebectomy and subfascial endoscopic perforator surgery are less commonly employed.The main outcome in the selected studies is the abolition of saphenous vein reflux. However, there is wide variation in the reporting of outcomes between studies. Elimination of varicosities, recanalisation after endovenous ablation, recurrence of reflux, re-appearance of varicose veins, symptomatic improvement and re-treatment rates are not reported in all studies. Varicosities evident at follow-up are not clearly differentiated into residual, recurrent or newly incompetent veins. Some studies are affected by significant follow-up loss.

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“…Piereket al 15 reported an overwhelming 53% of wound infection rate with open perforator ligation whereas no wounds (0%) were infected in the SEPS group. Sybrandy et al compared open perforator ligation with SEPS and concluded that ulcer healing rates and recurrence rates were similar with both the procedures 16 . Therefore, ulcer healing rates achieved with SEPS are equal to that of the open procedure, but the wound complication rate is much lesser with SEPS.…”

Section: The Role Of Subfascial Ligation Of Perforator Veins By Cockementioning

confidence: 99%

The Role of Subfascial Ligation of Perforator Veins By Cockett And Dodd Method in the Treatment of Varicose Veins

Kumar¹,

Shirisha²

2017

IOSR JDMS

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Endoscopic versus open subfascial division of incompetent perforating veins in the treatment of venous leg ulceration: Long-term follow-up

Abstract: The long-term follow-up results of the endoscopic division of perforating veins are comparable with those of the open division of perforating veins (modified Linton procedure).

Cited by 92 publications

References 17 publications

Subfascial Endoscopic Perforator Surgery Using Screw-Type Ports Is a Very Useful Component of a Comprehensive Treatment Program for Chronic Venous Insufficiency

Subfascial Endoscopic Perforator Surgery Using Screw-Type Ports Is a Very Useful Component of a Comprehensive Treatment Program for Chronic Venous Insufficiency

The Treatment of Varicose Veins

The Role of Subfascial Ligation of Perforator Veins By Cockett And Dodd Method in the Treatment of Varicose Veins

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