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Related Experiment Videos

Classic versus endoscopic perforating vein surgery: a retrospective study

H Lacroix1, A Smeets, A Nevelsteen

  • 1Department of Vascular Surgery, UZ Gasthuisberg, Leuven, Belgium.

Acta Chirurgica Belgica
|June 6, 1998
PubMed
Summary

Endoscopic ligation of incompetent perforating veins offers results comparable to the FELDER technique. These minimally invasive methods result in smaller scars and quicker recovery for patients with varicose veins and venous ulcers.

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Procedures
  • Venous Insufficiency Treatment

Background:

  • Incompetent perforating veins contribute to venous insufficiency, leading to conditions like venous ulcers and lipodermatosclerosis.
  • Traditional surgical approaches for ligating these veins can result in significant scarring and prolonged recovery.
  • Endoscopic techniques offer a less invasive alternative for addressing perforating vein incompetence.

Purpose of the Study:

  • To compare the outcomes of the FELDER technique with two endoscopic ligation methods for incompetent perforating veins.
  • To evaluate efficacy, recovery time, and patient satisfaction across different surgical approaches.

Main Methods:

  • Retrospective analysis of patients undergoing ligation of incompetent perforating veins.

Related Experiment Videos

  • Comparison between the FELDER technique (n=29), mediastinoscope-assisted endoscopic ligation (n=19), and laparoscopic endoscopic ligation (n=57).
  • Data collected included number of interrupted veins, hospital stay, convalescence period, complications, and patient satisfaction.

    • Main Results:

    • Endoscopic techniques interrupted a comparable number of perforating veins (2.4 and 3.8 vs 4.2 for FELDER).
    • Mean hospital stay was significantly shorter for endoscopic methods (1.9 and 1.6 days vs 3.5 days for FELDER, p < 0.0001).
    • Patient satisfaction was high across all groups, with no recurrence of ulcers during follow-up.

    Conclusions:

    • Endoscopic ligation of incompetent perforating veins yields results comparable to the established FELDER procedure.
    • Endoscopic techniques are associated with smaller scars and a trend towards faster patient recovery.
    • These findings support the use of endoscopic approaches for improved patient outcomes in managing venous insufficiency.