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Atlas of Endoscopic Perforator Vein Surgery pp 153–163Cite as

Endoscopic Perforator Vein Surgery: Creation of a Subfascial Space

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Abstract

The endoscopic treatment of incompetent perforator veins has opened a whole new era in peripheral venous surgery. This concept was introduced in 1985 by Hauer who first described the endoscopic technique for the division of perforating veins.1 The importance of incompetent perforator veins in chronic venous insufficiency is clear as 1%–2% of the general population have or have had venous ulceration with an associated disease process that is marked by chronicity and recurrence when treated with conservative medical therapy.2 Past conventional surgical therapy has been efficacious in the majority of cases, but complicated by a high morbidity rate.2 This has led to a general trend toward conservative management despite the dismal course of the disease with standard compression therapy. Endoscopic modes of treatment are increasingly being applied in all fields of surgical treatment due to their decreased invasiveness and markedly reduced patient morbidity.

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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

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Authors
  1. Robert C. Allen
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  2. Roy L. Tawes
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  3. L. Albert Wetter
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  4. Thomas J. Fogarty
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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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Allen, R.C., Tawes, R.L., Wetter, L.A., Fogarty, T.J. (1998). Endoscopic Perforator Vein Surgery: Creation of a Subfascial Space. 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_13

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  • DOI: https://doi.org/10.1007/978-1-4471-1527-4_13

  • 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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