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Chirurgia 2009 June;22(3):151-4

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: Italian

Efficacy of SEPS in chronic venous leg ulcers (personal series)

Vanni L., Cerbone V., La Manna S., Fresini A., Lavorgna B., Grasso M., Papaleo D., Apicella G., Abate S.

Unità di Chirurgia Generale e Riabilitazione pre e postoperatoria Università degli Studi di Napoli Federico II, Napoli


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Aim. Perforating vein insufficiency of the lower extremities is often responsible for the development of chronic venous ulceration of the inferior vena cava (IVC).
Method. Between January 1998 and December 2004, 177 patients (43 men and 134 women) with perforating vein insufficiency and cutaneous dystrophy of the lower third of the leg underwent subfascial endoscopic perforation surgery (SEPS). Postsurgical improvement of cutaneous dystrophy was assessed according to the CEAP classification.
Results. During the follow-up period (mean 3 years), 94.6% of patients with an open ulcer healed with re-epithelialization and were reclassified from C6 to C5. Of those with healed ulcers (C5), 34.4% were reclassified in C4a, 60,6% in C4b; 5% remained in the same pre-treatment class; 91.7% of those with hypodermosclerosis had healed and 8.3% showed persistent mild trophic lesions.
Conclusion. SEPS proved safe, rapid, and efficacious in treating IVC conditions in which severe dystrophic lesions and ulcers are caused by perforating vein insufficiency.

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