Treatment for chronic venous ulceration of the leg by subfascial endoscopic perforator vein surgery.
- Author:
Kai YAO
1
;
Wanpin NIE
;
Lingli LU
;
Feizhou HUANG
;
Xunyang LIU
Author Information
1. Department of General Surgery, Third Xiangya Hospital, Central South University, Changsha 410013, China.
- Publication Type:Journal Article
- MeSH:
Aged;
Angioscopy;
methods;
Fasciotomy;
Female;
Humans;
Male;
Middle Aged;
Varicose Ulcer;
surgery;
Varicose Veins;
surgery;
Vascular Surgical Procedures;
Venous Insufficiency;
complications;
surgery
- From:
Journal of Central South University(Medical Sciences)
2009;34(8):830-833
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the effect of subfascial endoscopic perforator vein surgery (SEPS) in the treatment of chronic venous ulceration of the legs.
METHODS:Chronic venous ulceration for 91 patients with 102 limbs was treated by SEPS from January 2005 to July 2008. The effect of SEPS on chronic venous ulceration of the leg, the symptoms during and after the operation, and the durations of hospital treatment were analyzed.
RESULTS:The symptoms of the 102 legs conducted by SEPS operation, except the pigmentation, were obviously improved (P<0.01). Its cicatrisation rate, the recrudesce rate, and the cut infection rate were 93.1%, 1.96%, and 1.0%, respectively. The time of the operation was short and the hemorrhage was small during the surgery. The durations of hospitalization and the cicatrisation time of ulceration were (6.5+/-3.4) d and (12.2+/-13.7) d, respectively.
CONCLUSION:SEPS is simple and effective in treating chronic venous ulceration of the leg, and particularly effective for patients classified into C5 and C6 in clinical-etiological-anatomical-pathophysiology (CEAP).
