Subfascial endoscopic perforating vein surgery as treatment for lateral perforating vein incompetence and XXXX .

@entity1 @entity1066 @entity937 @entity3179
INTRODUCTION: Endoscopic ligation of perforating veins ( @entity937 [ @entity937 ]) is valuable in treatment of venous @entity1066 on the medial aspect of the lower leg. Venous ulcerations on the lateral aspect of the lower leg are less common, but are of equal clinical importance. MATERIAL AND METHODS: Over 4 years we performed @entity937 on the lateral aspect of the lower leg in 13 @entity1 . Preoperative and postoperative duplex scanning of the perforating veins was performed in all @entity1 . RESULTS: Mean follow-up was 53 months (range, 33-81 months). @entity3179 was achieved in six @entity1 within 6 months. Ulceration persisted in six @entity1 , and @entity1066 recurred in three @entity1 after 17, 29, and 60 months, respectively. Postoperative duplex scans showed persistent insufficient perforating veins in about 25% of @entity1 . CONCLUSION: There is a considerable difference between the results of @entity937 on the medial side of the lower leg and the same procedure on the lateral side. @entity937 on the lateral side of the lower leg, as performed in this small series, does not contribute to @entity1066 or recurrence. A considerable number of perforating veins are missed at surgery, resulting in persistent insufficient perforating veins postoperatively. The poor results of this study emphasize the need for adequate anatomic information to improve the surgical outcome.
