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Published in: Indian Journal of Surgery 6/2013

01-12-2013 | Original Article

Taking Up Subfascial Endoscopic Perforator Surgery for Patients of Lower Limb Varicose Veins with Below Knee Perforators, in A Government Medical College–A Review of Eleven Cases

Authors: Sundeep Kumar, Pabitra Goswami, Prasenjit Mukherjee

Published in: Indian Journal of Surgery | Issue 6/2013

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Abstract

Varicose veins are the most common manifestation of chronic venous insufficiency (CVI) worldwide. They interfere with the patients’ daily activities and hamper their professional endeavors, and therefore need to be addressed at the earliest with the best tools. Eleven patients of varicose veins of the lower limb with below knee perforators underwent subfascial endoscopic perforator surgery (SEPS) from October 2010 to December 2011 in our institute. The procedure was successfully completed in all 11 patients. The mean operating time was 78 min (60–96 min). The results showed a favorable outcome for the patients in terms of faster recovery and less morbidity.
Literature
1.
go back to reference Gandhi RH, Irizarry E, Nackman GB et al (1993) Analysis of the connective tissue matrix and proteolytic activity of primary varicose veins. J Vasc Surg 18:814–820PubMedCrossRef Gandhi RH, Irizarry E, Nackman GB et al (1993) Analysis of the connective tissue matrix and proteolytic activity of primary varicose veins. J Vasc Surg 18:814–820PubMedCrossRef
2.
go back to reference Venous disorders. Bailey and Love’s Short Practice of Surgery, 25th edn, Chapter 54, p. 927 Venous disorders. Bailey and Love’s Short Practice of Surgery, 25th edn, Chapter 54, p. 927
3.
go back to reference Labropoulos N, Leon M, Geroulakos G,Volteas N, Chan P, Nicolaides AN (1995) Venous haemodynamic abnormalities in patients with leg ulceration. Am J Surg 169:572–574 Labropoulos N, Leon M, Geroulakos G,Volteas N, Chan P, Nicolaides AN (1995) Venous haemodynamic abnormalities in patients with leg ulceration. Am J Surg 169:572–574
4.
go back to reference Burnard KG, Whimster I, Clemenson G et al (1977) The relative importance of incompetent communicating veins in the production of varicose veins and venous ulcers. Surgery 82:9–14 Burnard KG, Whimster I, Clemenson G et al (1977) The relative importance of incompetent communicating veins in the production of varicose veins and venous ulcers. Surgery 82:9–14
5.
go back to reference Powell CC, Rohrer MJ, Barnard MR et al (1999) Chronic venous insufficiency is associated with increased platelet and monocyte activation and aggregation. J Vasc Surg 30:844–851PubMedCrossRef Powell CC, Rohrer MJ, Barnard MR et al (1999) Chronic venous insufficiency is associated with increased platelet and monocyte activation and aggregation. J Vasc Surg 30:844–851PubMedCrossRef
6.
go back to reference Hoare MC, Royle JP (1984) Doppler ultrasound detection of saphenofemoral and saphenopopliteal incompetence and operative venography to ensure precise saphenopopliteal ligation. Aust N Z J Surg 54:49–52PubMedCrossRef Hoare MC, Royle JP (1984) Doppler ultrasound detection of saphenofemoral and saphenopopliteal incompetence and operative venography to ensure precise saphenopopliteal ligation. Aust N Z J Surg 54:49–52PubMedCrossRef
7.
go back to reference Murray JD, Bergan JJ, Riffenburgh RH (1999) Development of open scope subfascial perforating vein surgery: Lessons learned from the first 67 cases. Ann Vasc Surg 13:372–377PubMedCrossRef Murray JD, Bergan JJ, Riffenburgh RH (1999) Development of open scope subfascial perforating vein surgery: Lessons learned from the first 67 cases. Ann Vasc Surg 13:372–377PubMedCrossRef
8.
go back to reference Hauer G, Barkun J, Wisser I, Deiler S (1988) Endoscopic subfascial dissection of the perforating veins. Surg Endosc 2:5–12PubMedCrossRef Hauer G, Barkun J, Wisser I, Deiler S (1988) Endoscopic subfascial dissection of the perforating veins. Surg Endosc 2:5–12PubMedCrossRef
9.
go back to reference Gloviczki P, Cambria RA, Rhee YR, Canton LG, McKusick MA (1996) Surgical technique and preliminary results with endoscopic subfascial division of perforating veins. J Vasc Surg 23:517–523PubMedCrossRef Gloviczki P, Cambria RA, Rhee YR, Canton LG, McKusick MA (1996) Surgical technique and preliminary results with endoscopic subfascial division of perforating veins. J Vasc Surg 23:517–523PubMedCrossRef
10.
go back to reference Gloviczki P, Bergan JJ, Rhodes JM et al (1999) Mid-term results of endoscopic perforator vein interruption for chronic venous insufficiency: Lessons learned from the North American Subfascial Endoscopic Perforator Surgery Registry. The North American Study Group. J Vasc Surg 29:489–502PubMedCrossRef Gloviczki P, Bergan JJ, Rhodes JM et al (1999) Mid-term results of endoscopic perforator vein interruption for chronic venous insufficiency: Lessons learned from the North American Subfascial Endoscopic Perforator Surgery Registry. The North American Study Group. J Vasc Surg 29:489–502PubMedCrossRef
11.
go back to reference Tawes RL, Barron ML, Coello AA, Joyce DH, Kolvenbach R (2003) Optimal therapy for advanced chronic venous insufficiency. J Vasc Surg 37:545–551 Tawes RL, Barron ML, Coello AA, Joyce DH, Kolvenbach R (2003) Optimal therapy for advanced chronic venous insufficiency. J Vasc Surg 37:545–551
Metadata
Title
Taking Up Subfascial Endoscopic Perforator Surgery for Patients of Lower Limb Varicose Veins with Below Knee Perforators, in A Government Medical College–A Review of Eleven Cases
Authors
Sundeep Kumar
Pabitra Goswami
Prasenjit Mukherjee
Publication date
01-12-2013
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 6/2013
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-012-0542-4

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