Surgical technique and preliminary results of endoscopic subfascial division of perforating veins

Abstract

Endoscopic subfascial division of perforating veins seems to be a safe technique, with favorable early results obtained in a small number of patients. This preliminary experience supports further clinical trials to evaluate this technique.

Treatment of severe chronic venous insufficiency using the subfascial endoscopic perforator vein procedure

“…Most pharmaceutical companies claim a favorable clinical experience, but objective data to prove effectiveness, often is lacking or nonconclusive [7]. Even in the absence of pharmacologic intervention, surgical correction of the underlying pathophysiologic venous dysfunction has proved to be most effective in ameliorating or reversing venous ulcer disease associated with CVI [10,13,19].…”

Clinical outcomes and changes in venous hemodynamics after subfascial endoscopic perforating vein surgery

“…SEPS was performed using the two-port technique described by Gloviczki et al [7]. Using standard laparoscopic equipment and two 10-mm ports two incisions were made just below the knee, avoiding areas of ulceration and lipodermatosclerosis.…”

Endoscopic Treatment of Chronic Venous Insufficiency by Interrupting Below Knee Perforating Veins: A Prospective Study

“…More recently, Gloviczki, in the United States, employed CO 2 insufflation. 15 Renewed enthusiasm was heralded due to the increasing technical ease, associated with CO 2 insufflation 16 The Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) have developed clinical practice guidelines for the care of patients with varicose veins of the lower limbs and pelvis. He recommend against selective treatment of perforating vein incompetence in patients with simple varicose veins (CEAP class C(2); GRADE 1B), but we suggest treatment of pathologic perforating veins (outward flow duration ≥500 ms, vein diameter ≥3.5 mm) located underneath healed or active ulcers (CEAP class C(5)-C(6); GRADE 2B) 17 .…”