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[Results of endoscopic perforating vein dissection]
M Jugenheimer1, K Nagel, T Junginger
1Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Summary
Endoscopic sectioning of insufficient perforating veins effectively treats skin and varicose vein complications. This minimally invasive technique shows good to very good long-term results for patients with chronic venous insufficiency.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
- Phlebology
Context:
- Subfascial division of insufficient perforating veins is a key treatment for post-thrombotic and varicose skin disturbances.
- Traditional methods can be invasive; endoscopic techniques offer a less traumatic alternative.
Purpose:
- To evaluate the efficacy and outcomes of a new endoscopic technique for subfascial sectioning of perforating veins.
- To assess the impact on post-thrombotic and varicose skin trophic disturbances.
Summary:
- 61 patients underwent endoscopic perforating vein sectioning between November 1986 and April 1990.
- The most common sites for sectioning were Cockett (153), 24 cm (74), and Boyd (63) groups.
- Postoperative wound healing complications occurred in 3.3% of patients with trophic skin disturbances.
- Follow-up (3-37 months) revealed good (45%) to very good (40%) outcomes, with improvements in pain, swelling, and sensibility. Only two patients had poor results.
Impact:
- This endoscopic approach demonstrates significant success in treating chronic venous insufficiency.
- The technique facilitates a favorable shift in disease staging or complete resolution for most patients.
- Minimally invasive surgery offers a promising therapeutic principle for complex venous disorders.