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Subfascial Endoscopic Perforator Vein Surgery with Gas Insufflation

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Atlas of Endoscopic Perforator Vein Surgery

Abstract

Progress in minimally invasive techniques used for abdominal surgical procedures has been primarily responsible for the renewed interest in perforator vein surgery. Initial endoscopic procedures applied single lumen endoscope or mediastinoscope for viewing and as working channel, sometimes without the benefits of video equipment and appropriate endoscopic stapling devices.1–4 Improvement in the single scope concept adding video equipment and new instrumentation was inevitable, and currently used techniques5–7 are discussed in detail in Chapters 12 and 15. Laparoscopic instrumentation using two ports has been the new generation of tools in the evolution of perforator surgery. Carbon-dioxide insufflation into the subfascial space was added to improve visibility and to enlarge the working space. We started the use of gas insufflation early in our experience, recognizing its advantages over infusion of water in the subfascial space as recommended initially.8

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References

  1. Hauer G (1985) The endoscopic subfascial division of the perforating veins — preliminary report (in German) VASA 14:59–61

    PubMed  CAS  Google Scholar 

  2. Fischer R (1989) Surgical treatment of varicose veins; endoscopic treatment of incompetent Cockett veins. Phlébologie 1040–1041

    Google Scholar 

  3. Fischer R, Sattler G, Vanderpuye R (1993) The current status of endoscopic treatment of perforators (In French). Phlébologie 46:701–707

    PubMed  CAS  Google Scholar 

  4. Jugenheimer M, Junginger T (1992) Endoscopic subfascial sectioning of incompetent perforating veins in treatment of primary varicosis. World J Surg 16:971–975

    Article  PubMed  CAS  Google Scholar 

  5. Wittens CHA, Pierik RGJ, van Urk H (1995) The surgical treatment of incompetent perforating veins. Eur J Vasc Endovasc Surg 9:19–23

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Bergan JJ, Murray J, Greason K (1996). Subfascial endoscopic perforator vein surgery: a preliminary report. Ann Vasc Surg 10:211–219

    Article  PubMed  CAS  Google Scholar 

  8. O’Donnell TF (1992) Surgical treatment of incompetent communicating veins. In: Bergan JJ, Kistner RL (eds). Atlas of Venous Surgery. W.B. Saunders, Philadelphia, pp 111–124

    Google Scholar 

  9. Linton RR (1938) The communicating veins of the lower leg and the operative technique for their ligation. Ann Surg 107:582–593

    Article  PubMed  CAS  Google Scholar 

  10. Gloviczki P, Cambria RA, Rhee YR, Canton LG, McKusick MA (1996) Surgical technique and preliminary results of endoscopic subfascial division of perforating veins. J Vasc Surg 23:517–523

    Article  PubMed  CAS  Google Scholar 

  11. Conrad P (1994) Endoscopic exploration of the subfascial space of the lower leg with perforator vein interruption using laparoscopic equipment: a preliminary report. Phlebology 9:154–157

    Google Scholar 

  12. Porter JM, Moneta GL and an International Consensus Committee on Chronic Venous Disease (1995) Reporting standards in venous disease: an update. J Vasc Surg 21:634–645

    Google Scholar 

  13. Executive Committee, American Venous Forum (1996) Classification and grading of chronic venous disease in the lower limbs: a consensus statement. In: Gloviczki P, Yao JST (eds) Handbook of Venous Disorders. Chapman & Hall, London; pp 652–660

    Google Scholar 

  14. Edwards JM (1976) Shearing operation for incompetent perforating vein. Br J Surg 63:885–886

    Article  PubMed  CAS  Google Scholar 

  15. De Palma RG (1974) Surgical therapy for venous stasis. Surgery 76:910–917

    PubMed  Google Scholar 

  16. Hyde GL, Litton TC, Hull DA (1981) Long term results of subfascial vein ligation for venous stasis disease. Surg Gynaec Obstet 153:683–686

    CAS  Google Scholar 

  17. Negus D’, Friedgood A (1983) The effective management of venous ulceration. Br J Surg 70:623–627

    Article  PubMed  CAS  Google Scholar 

  18. Johnson WC, O’Hara ET, Corey C et al. (1985) Venous stasis ulceration: Effectiveness of subfascial ligation. Arch Surg 120:797–800

    PubMed  CAS  Google Scholar 

  19. Wilkinson GE, Maclaren IF (1986) Long-term review of procedures for venous perforator insufficiency. Surg Gynecol Obstet 163:117–120

    PubMed  Google Scholar 

  20. Cikrit DF, Nichols QK, Silver D (1988) Surgical management of refractory venous stasis ulceration. J Vasc Surg 7:473–478

    PubMed  CAS  Google Scholar 

  21. Gloviczki P, Bergan JJ, Menawat SS et al (1997) Safety, feasibility and early efficacy of subfascial endoscopic perforator surgery (SEPS): a preliminary report from the North American Registry. J Vasc Surg, 1997 25:94–105

    Article  Google Scholar 

  22. Sotturai VS (1990) Comparison of surgical modalities in the treatment of recurrent venous ulcer. Int Angiol 9:231–235

    Google Scholar 

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Authors
  1. Peter Gloviczki
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  2. Linda G. Canton
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  3. Robert A. Cambria
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  4. Robert Y. Rhee
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Editor information

Editors and Affiliations

  1. Mayo Medical School, USA

    Peter Gloviczki MD, FACS (Professor of Surgery, Vice-Chair) (Professor of Surgery, Vice-Chair)

  2. Division of Vascular Surgery, Mayo Clinic and Foundation, Rochester, Minnesota, USA

    Peter Gloviczki MD, FACS (Professor of Surgery, Vice-Chair) (Professor of Surgery, Vice-Chair)

  3. Loma Linda University Medical Center, Loma Linda, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  4. University of Southern California, San Diego, San Diego, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  5. Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  6. Northwestern University Medical School, Chicago, Illinois, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  7. Scripps Memorial Hospital, La Jolla, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

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© 1998 Springer-Verlag London Limited

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Gloviczki, P., Canton, L.G., Cambria, R.A., Rhee, R.Y. (1998). Subfascial Endoscopic Perforator Vein Surgery with Gas Insufflation. 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_11

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  • DOI: https://doi.org/10.1007/978-1-4471-1527-4_11

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1529-8

  • Online ISBN: 978-1-4471-1527-4

  • eBook Packages: Springer Book Archive

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