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[Surgery of perforant veins]
1Krankenhaus Weilheim.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1992
Summary
Endoscopic therapy successfully eradicates incompetent perforating veins and performs fasciotomy, offering a dual approach for effective leg ulcer treatment and improved patient outcomes.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
Background:
- Leg ulcers often stem from incompetent perforating veins.
- Fasciotomy is a complementary procedure in managing leg ulcers.
Purpose of the Study:
- To evaluate the efficacy of endoscopic techniques for treating leg ulcers.
- To describe the endoscopic eradication of perforating veins and fasciotomy.
Main Methods:
- Endoscopic visualization and dissection of medial, anterior, and posterior perforating veins.
- Bipolar coagulation for vein preparation and dissection.
- Endoscopic splitting of superficial leg fasciae.
Main Results:
- Successful eradication of incompetent perforating veins was achieved endoscopically.
- Endoscopic fasciotomy was successfully performed.
- The combined endoscopic approach demonstrated feasibility.
Conclusions:
- Endoscopic eradication of perforating veins combined with fasciotomy is a successful therapeutic strategy for leg ulcers.
- Endoscopic methods offer a minimally invasive option for these procedures.