Combined subfascial endoscopic perforator surgery (SEPS) and Muller's phlebectomy for treatment of varicose vein of lower extremity
- VernacularTitle:内窥镜下静脉交通支断离术联合Muller术治疗下肢静脉曲张
- Author:
Yaoxiang ZOU
;
Zaiping JING
- Publication Type:Journal Article
- Keywords:
varicose veins;
subfascial endoscopic perforator surgery;
Muller’s phlebectomy
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of combined subfascial endoscopic perforator surgery (SEPS) and Muller's phlebectomy for treatment of valvular insufficiency of the lower limbs by dividing perforating veins. Methods With ascending phlebography, insufficiency of perforating veins of the lower limbs were identified in 41 lower extremities with varicosity admitted from September 2005 to May 2006. In 31 limbs randomly chosen SEPS was performed to excise insufficient venous perforators under the deep fascia, combined with Muller's phlebectomy to strip the superficial varicose veins without encroaching on the great saphenous vein. In the same period, 10 diseased limbs, in which traditional great saphenous vein phlebectomy was performed to serve as controls. Results All the varicose veins disappeared postoperatively, with pigmentation lightened and ulcer healed. No recurrence was found after 5-11 months. Compared with the control group, the operation time, the number of sutures on the surgical wounds and hospital stay time were averagely decreased 1.5h, 4.3 and 4.8d, respectively (all P
