Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers.

Tae W. Chong, Matthew J. Bott, John A. Kern, Benjamin B. Peeler, Curtis G. Tribble, Nancy L. Harthun

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Lower extremity ulcerations that result from venous hypertension are a significant cause of disability in Western nations. Venous ulcers, highly related to lower extremity venous valvular incompetence and post-thrombotic syndrome, demonstrate a protracted course of healing with a high recurrence rate when managed conservatively. Effective treatment includes correcting the elevated lower extremity venous pressure using non-invasive (compression therapy) or invasive modalities (removal or correction of incompetent venous segments, most commonly the greater saphenous vein). Minimally invasive subfascial endoscopic perforating vein surgery, performed on an outpatient basis, allows ligation of incompetent Cockett perforating veins. Venous ulcer healing rates of 88% and infrequent wound complications have been reported using this technique. Using 5-mm cameras and trocars that are available for other endoscopic surgeries could further improve this technique; creating ports smaller than the traditional 15-mm incisions would subsequently reduce tissue disruption. In addition, the etiology of recurrent ulceration and the failure of the primary ulcer to heal are not completely understood. If these poor outcomes can be further defined, even higher rates of wound healing may be attained using this procedure. Significant efforts have been devoted to elucidating the exact mechanism of skin breakdown from venous hypertension but the pathophysiology of this process is still not understood.

Original languageEnglish (US)
Pages (from-to)26-31
Number of pages6
JournalOstomy/wound management.
Volume51
Issue number9
StatePublished - Sep 2005

Fingerprint

Varicose Ulcer
Lower Extremity
Veins
Hypertension
Venous Pressure
Saphenous Vein
Surgical Instruments
Wound Healing
Ulcer
Ligation
Outpatients
Therapeutics
Recurrence
Skin
Wounds and Injuries

ASJC Scopus subject areas

  • Gastroenterology
  • Internal Medicine
  • Nursing(all)

Cite this

Chong, T. W., Bott, M. J., Kern, J. A., Peeler, B. B., Tribble, C. G., & Harthun, N. L. (2005). Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers. Ostomy/wound management., 51(9), 26-31.

Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers. / Chong, Tae W.; Bott, Matthew J.; Kern, John A.; Peeler, Benjamin B.; Tribble, Curtis G.; Harthun, Nancy L.

In: Ostomy/wound management., Vol. 51, No. 9, 09.2005, p. 26-31.

Research output: Contribution to journalArticle

Chong, TW, Bott, MJ, Kern, JA, Peeler, BB, Tribble, CG & Harthun, NL 2005, 'Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers.', Ostomy/wound management., vol. 51, no. 9, pp. 26-31.
Chong TW, Bott MJ, Kern JA, Peeler BB, Tribble CG, Harthun NL. Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers. Ostomy/wound management. 2005 Sep;51(9):26-31.
Chong, Tae W. ; Bott, Matthew J. ; Kern, John A. ; Peeler, Benjamin B. ; Tribble, Curtis G. ; Harthun, Nancy L. / Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers. In: Ostomy/wound management. 2005 ; Vol. 51, No. 9. pp. 26-31.
@article{28205dba0436497b989b37252d0db79a,
title = "Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers.",
abstract = "Lower extremity ulcerations that result from venous hypertension are a significant cause of disability in Western nations. Venous ulcers, highly related to lower extremity venous valvular incompetence and post-thrombotic syndrome, demonstrate a protracted course of healing with a high recurrence rate when managed conservatively. Effective treatment includes correcting the elevated lower extremity venous pressure using non-invasive (compression therapy) or invasive modalities (removal or correction of incompetent venous segments, most commonly the greater saphenous vein). Minimally invasive subfascial endoscopic perforating vein surgery, performed on an outpatient basis, allows ligation of incompetent Cockett perforating veins. Venous ulcer healing rates of 88{\%} and infrequent wound complications have been reported using this technique. Using 5-mm cameras and trocars that are available for other endoscopic surgeries could further improve this technique; creating ports smaller than the traditional 15-mm incisions would subsequently reduce tissue disruption. In addition, the etiology of recurrent ulceration and the failure of the primary ulcer to heal are not completely understood. If these poor outcomes can be further defined, even higher rates of wound healing may be attained using this procedure. Significant efforts have been devoted to elucidating the exact mechanism of skin breakdown from venous hypertension but the pathophysiology of this process is still not understood.",
author = "Chong, {Tae W.} and Bott, {Matthew J.} and Kern, {John A.} and Peeler, {Benjamin B.} and Tribble, {Curtis G.} and Harthun, {Nancy L.}",
year = "2005",
month = "9",
language = "English (US)",
volume = "51",
pages = "26--31",
journal = "Wound management & prevention",
issn = "2640-5237",
publisher = "HMP Communications",
number = "9",

}

TY - JOUR

T1 - Subfascial endoscopic perforating vein surgery (SEPS) for the treatment of venous ulcers.

AU - Chong, Tae W.

AU - Bott, Matthew J.

AU - Kern, John A.

AU - Peeler, Benjamin B.

AU - Tribble, Curtis G.

AU - Harthun, Nancy L.

PY - 2005/9

Y1 - 2005/9

N2 - Lower extremity ulcerations that result from venous hypertension are a significant cause of disability in Western nations. Venous ulcers, highly related to lower extremity venous valvular incompetence and post-thrombotic syndrome, demonstrate a protracted course of healing with a high recurrence rate when managed conservatively. Effective treatment includes correcting the elevated lower extremity venous pressure using non-invasive (compression therapy) or invasive modalities (removal or correction of incompetent venous segments, most commonly the greater saphenous vein). Minimally invasive subfascial endoscopic perforating vein surgery, performed on an outpatient basis, allows ligation of incompetent Cockett perforating veins. Venous ulcer healing rates of 88% and infrequent wound complications have been reported using this technique. Using 5-mm cameras and trocars that are available for other endoscopic surgeries could further improve this technique; creating ports smaller than the traditional 15-mm incisions would subsequently reduce tissue disruption. In addition, the etiology of recurrent ulceration and the failure of the primary ulcer to heal are not completely understood. If these poor outcomes can be further defined, even higher rates of wound healing may be attained using this procedure. Significant efforts have been devoted to elucidating the exact mechanism of skin breakdown from venous hypertension but the pathophysiology of this process is still not understood.

AB - Lower extremity ulcerations that result from venous hypertension are a significant cause of disability in Western nations. Venous ulcers, highly related to lower extremity venous valvular incompetence and post-thrombotic syndrome, demonstrate a protracted course of healing with a high recurrence rate when managed conservatively. Effective treatment includes correcting the elevated lower extremity venous pressure using non-invasive (compression therapy) or invasive modalities (removal or correction of incompetent venous segments, most commonly the greater saphenous vein). Minimally invasive subfascial endoscopic perforating vein surgery, performed on an outpatient basis, allows ligation of incompetent Cockett perforating veins. Venous ulcer healing rates of 88% and infrequent wound complications have been reported using this technique. Using 5-mm cameras and trocars that are available for other endoscopic surgeries could further improve this technique; creating ports smaller than the traditional 15-mm incisions would subsequently reduce tissue disruption. In addition, the etiology of recurrent ulceration and the failure of the primary ulcer to heal are not completely understood. If these poor outcomes can be further defined, even higher rates of wound healing may be attained using this procedure. Significant efforts have been devoted to elucidating the exact mechanism of skin breakdown from venous hypertension but the pathophysiology of this process is still not understood.

UR - http://www.scopus.com/inward/record.url?scp=33644836238&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33644836238&partnerID=8YFLogxK

M3 - Article

VL - 51

SP - 26

EP - 31

JO - Wound management & prevention

JF - Wound management & prevention

SN - 2640-5237

IS - 9

ER -