Surgical methods and clinical results of subfascial endoscopic perforator surgery in Japan.
Phlebology
; 33(10): 678-686, 2018 Dec.
Article
em En
| MEDLINE
| ID: mdl-29301462
ABSTRACT
OBJECTIVES:
To clarify the surgical methods and the clinical results of subfascial endoscopic perforator surgery in Japan.METHODS:
This study included 1287 limbs of 1091 patients who underwent subfascial endoscopic perforator surgery in 14 hospitals. Simultaneous saphenous vein treatment was performed in 1079 limbs (83.8%), and 118 limbs (9.2%) had deep venous lesions. The venous clinical severity score was calculated before and 6 to 12 months after surgery. The ulcer healing rate and ulcer recurrence rate were calculated cumulatively.RESULTS:
Preoperative venous clinical severity score was significantly decreased from 10.0 ± 6.6 to 3.1 ± 3.4 ( P < .0001) postoperatively. The primary ulcer healing rate was 96.2% (332/345 C6 limbs) at an average follow-up of 47.7 months, and the ulcer recurrence rate was 12.0% (49/393 C5, C6 limbs) at the average follow-up of 46.0 months after the ulcer healed.CONCLUSION:
These results indicate that subfascial endoscopic perforator surgery is an alternative to improve the long-lasting disease severity and/or clinical outcome.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Veia Safena
/
Úlcera Varicosa
/
Endoscopia
/
Procedimentos Endovasculares
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article