Abstract:
OBJECTIVES:Subfascial endoscopic perforator surgery (SEPS) is usually performed for posteromedial perforators in the supine position, but subfascial endoscopic perforator surgery for posterolateral perforators in the prone position has not been reported. METHODS:A 51-year-old male suffered from a venous stasis ulcer around his lateral malleolus because of reflux in the small saphenous vein and incompetent perforating veins around the ulcer. RESULTS:Stripping of the small saphenous vein and subfascial endoscopic perforator surgery utilizing screw-type ports was successfully conducted in the prone position. CONCLUSIONS:The prone position enables interruption of the posterolateral perforators, because gravity-dependent flattening of the muscles enables creation of sufficient subfascial space.
journal_name
Phlebologyjournal_title
Phlebologyauthors
Kusagawa H,Shomura S,Komada T,Katayama Y,Haruta Ndoi
10.1177/0268355513492511subject
Has Abstractpub_date
2014-10-01 00:00:00pages
628-31issue
9eissn
0268-3555issn
1758-1125pii
0268355513492511journal_volume
29pub_type
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