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[Subfascial endoscopic perforating veins section].
J Avram1, Florentina Cădariu, I O Avram
1Clinica I Chirurgie, UMF Victor Babeş Timişoara.
Summary
Subfascial endoscopic perforating veins section (SEPS) offers improved healing and fewer complications for chronic venous insufficiency. This minimally invasive technique shows superior results compared to traditional methods.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
- Chronic Venous Insufficiency
Context:
- Chronic venous insufficiency (CVI) affects numerous patients, impacting lower limb health.
- Traditional surgical methods for CVI have limitations.
- Subfascial endoscopic perforating veins section (SEPS) is an evolving treatment modality.
Purpose:
- To evaluate the postoperative outcomes of the SEPS technique in patients with CVI.
- To compare SEPS efficacy against conventional surgical interventions.
Summary:
- The study analyzed 26 patients (16 women, 10 men; ages 16-75) with CVI (CEAP C4-C6) undergoing 32 SEPS procedures.
- Postoperative healing rates were 100% at three months and 87.5% at 12 months, with reduced complications.
- Four unilateral relapses occurred in post-thrombotic syndrome patients, but overall results demonstrated SEPS superiority.
Impact:
- SEPS demonstrates a high healing rate and reduced complications in CVI treatment.
- The technique shows comparable or superior outcomes to historical ligation methods.
- This study supports SEPS as an effective option for managing complex CVI cases.