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[Severing perforators in advanced stages of chronic venous insufficiency]
J Herman1, M Duda, J Zapletalová
1II. chirurgická klinika FN a LF UP, Olomouc. hermanj@post.cz
Objective:
To evaluate the importance of anastomozing veins in the development of chronic venous insufficiency (CVI).
Method:
Perspective analysis of a group of 82 extremities where the perforators were severed by the endoscopic or open method.
Results:
Surgery of the perforators was associated with a decline of the total number of perforators detectable on DUS, with a marked reduction of extremities with insufficient perforators and improved total CEAP score. In 98% extremities at the same time surgery of the epifascial venous system was performed.
Conclusions:
The role of perforators in the development of CVI is not unequivocal and its assessment is more difficult due to concurrent operations of the epifascial system. Dissection of the perforators is indicated in cca one tenth of patients with CVI.