Surgical methods and clinical results of subfascial endoscopic perforator surgery in Japan. (December 2018)

• Record Type: Journal Article
• Authors: Kusagawa, Hitoshi; Haruta, Naoki; Shinhara, Ryo; Hoshino, Yuji; Tabuchi, Atsushi; Sugawara, Hiromitsu; Shinozaki, Koji; Matsuzaki, Kenji; Nagata, Hidetoshi; Niihara, Hiroyuki; Kohno, Kunie; Takeda, Ryoji
• Is Part Of: Phlebology. Volume 33:Number 10(2018)
• Page Start: 678
• Page End: 686
• Publication Date: 2018-12
• Subjects: Subfascial endoscopic perforator surgery -- incompetent perforators -- venous ulceration -- venous stasis -- venous severity score; Veins -- Diseases -- Periodicals; 616.14
• DOI: 10.1177/0268355517750523
• Languages: English
• ISSNs: 0268-3555

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.