Subfascial endoscopic perforator surgery for posterolateral perforators performed in the prone position.

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

Phlebology

journal_title

Phlebology

authors

Kusagawa H,Shomura S,Komada T,Katayama Y,Haruta N

doi

10.1177/0268355513492511

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

628-31

issue

9

eissn

0268-3555

issn

1758-1125

pii

0268355513492511

journal_volume

29

pub_type

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