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Subfascial hemorrhage after endoscopic perforator vein ligation. Control with balloon tamponade
M J Kulbaski1, A A Salam, S A Castor
1Division of Vascular Surgery, Department of Surgery, Emory University School of Medicine, 5105 Woodruff Memorial Building, 1639 Pierce Drive, Atlanta, GA 30322, USA.
Abstract:
Ligation of perforator veins in the lower extremity for the treatment of venous ulceration can be performed using a minimally invasive technique with endoscopic instruments. Several studies have documented that the endoscopic technique has a lower wound-related complication rate compared to open perforator vein ligation. We report the complication of postoperative subfascial hemorrhage requiring reexploration after subfascial endoscopic perforator vein ligation and describe a minimally invasive method for its control using balloon tamponade.