The Experts below are selected from a list of 30603 Experts worldwide ranked by ideXlab platform
Zhang Jiang-fen - One of the best experts on this subject based on the ideXlab platform.
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Subfascial endoscopic perforater Vein Surgery in treating chronic venous ulceration of lower extremities
Guangxi Medical Journal, 2005Co-Authors: Zhang Jiang-fenAbstract:Objective To study the clinical efficacy of subfascial endoscopic perforater Vein Surgery(SEPS) in treating chronic venous ulceration of lower extremities.Methods Sixteen patients(20 limbs) with chronic venous ulceration of lower extremities received saphenofemoral high ligation with stripping varicose Vein and SEPS;5 limbs of 16 patients with deep Vein valve reflux(Kistner Ⅲ°～Ⅳ°) received external femoral Vein valve repair from Oct.2002.Results The surgical operation were smooth in 16 patients.Superficial varicose in 20 limbs had disappears in postoperative.By Color Doppler,5 limbs with deep Vein valve reflux(Kistner Ⅲ°～Ⅳ°) had changes Kistner 0°～Ⅰ° in postoperative.The postoperative follow-up was made from 3 to 31 mouths with follow-up rate of 100%.There were significant decreases in all patients with pigmentation.Active ulcers healed in l5 1imbs after 1 month,in 5 1imbs after 3 months.There was no ulcer and superficial varicose recurrence during follow-up.Conclusions Subfascial endoscopic perforater Vein Surgery in treating chronic venous ulceration of lower extremities is safe,effective,and feasible.The clinical efficacy for several CVI is better combined with suphenofemoral high ligation with stripping varicose Vein and external femoral Vein valve repair.
Scs Chung - One of the best experts on this subject based on the ideXlab platform.
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Subfascial endoscopic perforator Vein Surgery (SEPS) using the ultrasonic scalpel.
Surgical endoscopy, 2001Co-Authors: D. W. H. Lee, Angus C.w. Chan, Yuk-hoi Lam, S. K. H. Wong, Bonita Kb Law, Scs ChungAbstract:Subfascial 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.
Cees H. A. Wittens - One of the best experts on this subject based on the ideXlab platform.
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Influence of perforating Vein Surgery in patients with venous ulceration.
Phlebology, 2013Co-Authors: W. B. Van Gent, Cees H. A. WittensAbstract:ObjectivesThe exact role of perforating Vein Surgery is still unclear. The aim of this study is to analyze the influence of perforating Vein Surgery in patients with venous ulceration.MethodsThis study was part of a randomized controlled trial in which conservative and surgical treatment of venous ulceration was compared. It is a secondary analysis of prospectively gathered data. Ninety-seven active leg ulcers were surgically treated with a subfascial endoscopic perforating Vein Surgery (SEPS) procedure. Concomitant superficial venous incompetence was treated with flush saphenopopliteal ligation and/or saphenofemoral ligation and limited stripping of the great saphenous Vein. All patients were also treated with ambulatory compression therapy. Ulcer healing and recurrences are described in detail. To measure the completeness of the SEPS procedure duplex ultrasonography was performed on each patient before and 6 weeks and 12 months after Surgery. Also newly formed perforators after Surgery were scored and t...
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Complications in subfascial endoscopic perforating Vein Surgery: a report of two cases.
Journal of vascular surgery, 2001Co-Authors: Jim H. Geselschap, Wijnand B. Van Gent, Cees H. A. WittensAbstract:Subfascial endoscopic perforating Vein Surgery is a safe method for the division of incompetent perforating Veins. Nevertheless, we report two cases with unfortunate complications: the posterior tibial artery and tibial nerve were damaged during the procedures. In one patient this resulted in a reintervention, but in both patients it resulted in permanent discomfort. We then present a guideline that may prevent damage to these critical structures. (J Vasc Surg 2001;33:1108-10.)
David Bergqvist - One of the best experts on this subject based on the ideXlab platform.
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Iatrogenic vascular injuries in varicose Vein Surgery: a systematic review.
World journal of surgery, 2006Co-Authors: Håkan Rudström, Martin Björck, David BergqvistAbstract:Background Iatrogenic vascular injuries during varicose Vein Surgery are serious. The aim of this study was to investigate their nature and consequences.
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Changes in superficial and perforating Vein reflux after varicose Vein Surgery.
Journal of vascular surgery, 2005Co-Authors: Lena Blomgren, Gunnar Johansson, Agneta Dahlberg-Åkerman, Peter Thermaenius, David BergqvistAbstract:Objectives This prospective duplex study was conducted to study the effect of current surgical treatment for primary varicose Veins on the development of venous insufficiency ≤2 years after varicose Vein Surgery. Methods The patients were part of a randomized controlled study where Surgery for primary varicose Veins was planned from a clinical examination alone or with the addition of preoperative duplex scanning. Postoperative duplex scanning was done at 2 months and 2 years. Results Operations were done on 293 patients (343 legs), 74% of whom were women. The mean age was 47 years. In 126 legs, duplex scanning was done preoperatively, at 2 months and 2 years, and at 2 months and 2 years in 251 legs. Preoperative perforating Vein incompetence (PVI) was present in 64 of 126 legs. Perforator ligation was not done on 42 of these; at 2 months, 23 of these legs (55%) had no PVI, and at 2 years, 25 legs (60%) had no PVI. Sixty-one legs had no PVI preoperatively, 5 (8%) had PVI at 2 months, and 11 (18%) had PVI at 2 years. In the group of 251 legs, reversal of PVI between 2 months and 2 years was found in 28 (41%) of 68 and was more common than new PVI, which occurred in 41 (22%) of 183 ( P = .003). After 2 years, the number of legs without venous incompetence in which perforator Surgery was not performed was 11 (26%) of 42 legs with preoperative PVI and 18 (30%) of 61 legs without preoperative PVI, ( P = .713). After 2 years, new vessel formation was more common in the surgically obliterated saphenopopliteal junction (SPJ), 4 (40%) of 10, than in the saphenofemoral junction (SFJ), 17 (11%) of 151( P = .027), and new incompetence in a previously normal junction was more common in the SFJ, 11 (18%) of 63, than in the SPJ, 3 (1%) of 226 ( P Conclusions Varicose Vein Surgery induces changes in the remaining venous segments of the legs that continue for several months. In most patients, perforators and the GSV below the knee can be ignored at the primary Surgery. A substantial number of recurrences in the SFJ and SPJ are unavoidable with present surgical knowledge because they stem from new vessel formation and progression of disease.
D. W. H. Lee - One of the best experts on this subject based on the ideXlab platform.
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Subfascial endoscopic perforator Vein Surgery (SEPS) using the ultrasonic scalpel.
Surgical endoscopy, 2001Co-Authors: D. W. H. Lee, Angus C.w. Chan, Yuk-hoi Lam, S. K. H. Wong, Bonita Kb Law, Scs ChungAbstract:Subfascial 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.
