Abstract
Development of endoscopic perforator interruption is described fully elsewhere in this volume. In brief, in 1985, Hauer reported use of endoscopic instruments to divide perforating veins in the subfascial space of the lower extremity.1,2 Variations of the technique were then described, including use of a mediastinoscope to access the subfascial space,3 and distention of the subfascial space with either saline or carbon dioxide to help visualize the perforating veins.4,5 In 1996, Gloviczki reported a patient experience in which perforating veins were divided using video-guided endoscopic instruments, subfascial carbon dioxide insufflation, and preoperative leg exsanguination to facilitate dissection.6 The technical armamentaria which is available now to perform this type of procedure will be described in this chanter.
Chapter PDF
References
Hauer G (1985) The endoscopic subfascial division of the perforating veins: Preliminary report (in German). VASA 14:59–61
Hauer G Barkun, Wisser I, Deiler S (1988) Endoscopic subfascial dissection of perforating veins. Surg Endosc 2:5–12
Pierik EGJM, Wittens CHA, van Urk H (1995) Subfascial endoscopic ligation in the treatment of incompetent perforating veins. Eur J Vasc Endovasc Surg 9:38–41
O’Donnell TF (1992). Surgical treatment of incompetent communicating veins. In: Bergan JJ, Kistner RL (eds). Atlas of Venous Surgery. WB Saunders Co., Philadelphia pp 111–124
Conrad P (1994) Endoscopic exploration of the subfascial space of the lower leg with perforator vein interruption using laparoscopic equipment: A preliminary report. Phlebology 1994; 9:154–157
Gloviczki P, Cambria RA, Rhee RY, Canton LG, McKusick MA (1996) Surgical technique and preliminary results of endoscopic subfascial division of perforating veins. J Vasc Surg 23:517–523
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag London Limited
About this chapter
Cite this chapter
Kulbaski, M.J., Lumsden, A.B. (1998). Technical Armamentaria for Endoscopic Perforator Vein Surgery. In: Gloviczki, P., Bergan, J.J. (eds) Atlas of Endoscopic Perforator Vein Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-1527-4_10
Download citation
DOI: https://doi.org/10.1007/978-1-4471-1527-4_10
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1529-8
Online ISBN: 978-1-4471-1527-4
eBook Packages: Springer Book Archive