Can Subfascial Endoscopic Perforator Surgery (SEPS) be Standard of Care in Advanced Chronic Venous Insufficiency (CVI)?

AbstractSubfascial Endoscopic Perforator Surgery (SEPS) is a minimally invasive technique to treat incompetent perforating veins. Thirty patients with advanced chronic venous insufficiency (CVI) belonging to CEAP clinical class C4 –C6 with incompetent perforating veins in the leg and competent sapheno — femoral junction (SFJ) were subjected to SEPS. Patients with concomitant arterial disease and deep venous thrombosis (DVT) were excluded. Outcomes were evaluated after surgery up to 12 weeks. Out of 12 patients with active ulcer, complete healing was seen in 11 (92%) while one patient had partial healing at the end of 12 weeks. Wound dehiscence occurred in one patient (3.33%). On Doppler ultrasound at 12 weeks, postoperative persistence of perforators was seen in three patients (10%). Post-operatively, patients had m inimal pain, negligible wound complications, short hospital stay, early return to normal activities and excellent ulcer healing. However, no significant improvement in skin changes was seen. SEPS can easily be considered as standard of care in advanced CVI.
Source: Hellenic Journal of Surgery - Category: Surgery Source Type: research