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[Endoscopic subfascial vein dissection]
T Szendröi1, I Szücs, G Miszti
1Kenézy Gyula Kórház Debrecen, Altalános Sebészeti Osztály.
Orvosi Hetilap
|April 18, 1998
Summary
Endoscopic subfascial dissection effectively treats incompetent perforating veins, even in patients with venous ulcers. This minimally invasive procedure shows promising results with few complications.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
Background:
- Incompetent perforating veins are a significant cause of venous insufficiency.
- Traditional treatments can be invasive with potential complications.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic subfascial dissection for treating incompetent perforating veins.
- To report the initial experience with this technique in Hungary.
Main Methods:
- Endoscopic subfascial dissection was performed on 11 patients between October and December 1995.
- The procedure involved sectioning incompetent perforating veins.
- In some cases, it was supplemented with extensive fasciotomy.
Main Results:
- The endoscopic subfascial dissection was successfully applied in all 11 patients.
- Five patients presented with venous ulcers, which were managed with this technique.
- No substantial complications were reported following the procedure.
Conclusions:
- Endoscopic subfascial dissection is an effective and safe method for interrupting incompetent perforating veins.
- The reduced invasiveness and favorable outcomes make it a recommended surgical option.
- This study marks the first application of this technique in Hungary.