Subfascial Endoscopic Perforator Surgery Using Screw-Type Ports Is a Very Useful Component of a Comprehensive Treatment Program for Chronic Venous Insufficiency

A lot of recommendations has been published regarding the treatment of chronic venous disease. At the same time, none of these documents reflects the complete «path» of the patient from the stage of the initial visit (diagnosis) to the choice of the optimal treatment option. Therefore, the creation of a protocol that would take into account on the one hand the most modern and proven effective approaches to diagnosis and treatment, and on the other hand, the individual characteristics of each clinical case is an urgent task.The main task of the publication is to create a practice-oriented instruction for the diagnosis, comprehensive treatment and prevention of chronic venous insufficiency. The management of a patient with chronic venous insufficiency is presented in the form of «AngioLife Venous Protocol®», a set of clear practical recommendations for vascular surgeon and phlebologist. This protocol is based on our own practical experience, existing protocols and guidelines for the treatment of patients with chronic venous insufficiency. The venous protocol includes four stages of a set of medical measures, the purpose of which is to form a clear program of further examination and treatment of the patient. Adherence to all the recommendations specified in the protocol allows to obtain satisfactory functional and cosmetic results of treatment of patients with chronic venous insufficiency with minimal risk of recurrence.

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Can Subfascial Endoscopic Perforator Surgery (SEPS) be Standard of Care in Advanced Chronic Venous Insufficiency (CVI)?

Hellenic Journal of Surgery ◽

10.1007/s13126-020-0545-8 ◽

2020 ◽

Vol 92 (2) ◽

pp. 46-50

Author(s):

Magadi Rangaswamy Keshav Murthy ◽

Nikhil Gupta ◽

Arun Kumar Gupta ◽

Abu Masood Ansari ◽

Dinesh Kardam ◽

...

Keyword(s):

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Standard Of Care ◽

Subfascial Endoscopic Perforator Surgery

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Surgical treatment of severe chronic venous insufficiency caused by pulsatile varicose veins in a patient with tricuspid regurgitation

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2008.008043 ◽

2009 ◽

Vol 24 (2) ◽

pp. 79-81 ◽

Cited By ~ 3

Author(s):

D Casian ◽

E Gutsu ◽

V Culiuc

Keyword(s):

Surgical Treatment ◽

Tricuspid Regurgitation ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Varicose Veins ◽

Venous Reflux ◽

Foam Sclerotherapy ◽

Venous Leg Ulcer ◽

Venous Bleeding ◽

Subfascial Endoscopic Perforator Surgery

A case of severe chronic venous insufficiency caused by pulsatile varicose veins in a 46-year-old man with tricuspid regurgitation is presented. Active venous leg ulcer complicated with recurrent venous bleeding and inefficacy of conservative management serve as indications for surgical treatment. This case demonstrates the possibility of radical surgical correction of pathological venous reflux by means of saphenofemoral ligation, foam sclerotherapy and subfascial endoscopic perforator surgery.

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Physical Therapy in Patients with Chronic Venous Insufficiency

Phlebologie ◽

10.1055/s-0037-1617326 ◽

2000 ◽

Vol 29 (02) ◽

pp. 48-53 ◽

Cited By ~ 8

Author(s):

M. Jünger ◽

Anke Steins

Keyword(s):

Physical Therapy ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Ulcus Cruris ◽

Chronisch Venöse Insuffizienz ◽

Venöse Insuffizienz ◽

Venöse Stauung ◽

Venöse Drainage

ZusammenfassungWenn Maßnahmen der physikalischen Therapie wie rezeptpflichtige Kompressionsstrümpfe und ein angeleitetes ambulantes Gefäßtraining in einem frühen Stadium begonnen werden, können die Beschwerden des Patienten gelindert, die Gelenkbeweglichkeit und venöse Drainage verbessert und behindernde Stauungserkrankungen wie die Dermatolipofasziitis und das Ulcus cruris vermieden werden. Hat eine chronische venöse Stauung einmal zu einer Atrophie der Gelenkkapsel, Sprunggelenksversteifung und Muskelatrophie des Unterschenkels geführt, sind teure Therapiemaßnahmen einschließlich einer professionellen Krankengymnastik unumgänglich. Unseren eigenen Erfahrungen nach ist eine krankengymnastische Behandlung am wirksamsten, wenn sie in Kombination mit einer biomechanischen Stimulation erfolgt. Sobald der Steppergang des Patienten behoben wurde, können herkömmliche Gehübungen nach und nach das physiologische Gangbild wiederherstellen. Nach erfolgreicher Physiotherapie tragen ein ambulantes Gefäßtraining und eine optimierte Kompressionsbehandlung bei Patienten mit fortgeschrittener chronisch venöser Insuffizienz entscheidend zum langfristigen Therapieerfolg bei. Vergleichbar dem Koronarsport werden Gefäßtrainingsprogramme von den öffentlichen Kassen übernommen. Zusammen mit einer Kompressionsbehandlung stellen sie eine wirksame und kosteneffektive Basistherapie für die chronisch venöse Insuffizienz dar.

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