Subfascial endoscopic perforator surgery for venous ulcers
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AbstractWe report the treatment and outcomes of 12 patients who underwent subfascial endoscopic perforator surgery for severe chronic venous insufficiency and venous ulceration. All patients had received prior superficial venous ablative surgery and presented with incompetent perforating veins in the calf and persistent venous ulceration (lasting >10 years). Outcome measures included ulcer healing time, recurrence, clinical symptom, and disability scores. There was one wound complication after subfascial endoscopic perforator surgery. The cumulative ulcer healing rate was 25% at 3 months, 42% at 6 months, and 92% at 1 year. One patient developed ulcer recurrence at 12 months after surgery. The mean clinical score and disability score decreased from 13.00 (standard deviation, 2.26) to 4.83 (1.47) and 1.75 (0.45) to 0.50 (0.52), respectively (P<0.001) after a median follow-up of 15.0 months (interquartile range, 12.0-21.5 months). Subfascial endoscopic perforator surgery was safe and effective in the treatment of patients with severe chronic venous insufficiency and venous ulceration caused by incompetent perforating veins in the calf.
All Author(s) ListLee D.W.H., Lam Y.H., Chan A.C.W., Chung S.C.S.
Journal nameHong Kong Medical Journal
Volume Number9
Issue Number4
PublisherHong Kong Academy of Medicine Press
Place of PublicationHong Kong
Pages279 - 282
LanguagesEnglish-United Kingdom
KeywordsEndoscopy, Recurrence, Treatment outcome, Varicose ulcer, Venous insufficiency

Last updated on 2020-21-10 at 01:22