Subfascial endoscopic perforator vein surgery (SEPS) using the ultrasonic scalpel
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AbstractSubfascial endoscopic perforator vein surgery (SEPS) was recently introduced as a minimally invasive method to ligate incompetent perforating veins in patients with severe chronic venous insufficiency of the lower extremities. Herein we describe a technique in which we used a 5-mm ultrasonic scalpel for the transection of perforating veins in 16 SEPS performed in 14 patients. The use of the ultrasonic scalpel allowed for the precise coagulation and transection of the perforator vein with hemostasis, while avoiding the use of metal clips. Our initial results showed that the technique was feasible with minimal morbidity. We recommend the use of the ultrasonic scalpel as an alternative tool to transect perforating veins in SEPS.
All Author(s) ListLee DWH, Chan ACW, Lam YH, Wong SKH, Ng EKW, Law BKB, Chung SCS
Journal nameSurgical Endoscopy
Volume Number15
Issue Number12
Pages1491 - 1493
LanguagesEnglish-United Kingdom
Keywords(SEPS); lower extremities; perforating veins; subfascial endoscopic perforator vein surgery; ultrasonic scalpel; venous insufficiency
Web of Science Subject CategoriesSurgery; SURGERY

Last updated on 2020-30-10 at 01:07