Related Experiment Video
Updated: Jul 16, 2026

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
[Subfascial endoscopic perforating vein surgery in patients with advanced trophic lesions (lipodermatosclerosis or
M Scarpulla1, U Marsala, G Vitale
1Unità Operativa Semplice di Chirurgia Vascolare, Azienda Ospedaliera, Ospedali Civili Riuniti, Sciacca, Agrigento. mscarpulla@hotmail.com
Aim:
Subfascial endoscopic perforating vein surgery (SEPS) is proposed in the treatment of chronic venous insufficiency stages C4-C6 of the CEAP classification.
Methods:
SEPS was performed in 10 patients (4 men, 6 women), 3 of which were stage C4, 4 stage C5 and 3 stage C6.
Results:
Full resolution of ulcers was achieved in the 12-month follow-up period; no post-operative sepsis complications were observed.
Conclusions:
SEPS is a safe procedure and a valuable therapeutic aid in the treatment of chronic venous insufficiency complicated by trophic skin ulcers. Compared with other techniques, it is less invasive, works directly on the healthy skin and significantly reduces skin wounds.
Related Concept Videos
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Venous Thrombosis III: Interprofessional Care

