Mark D. Iafrati, MD, Harold J. Welch, MD, Thomas F. O'Donnell, MD

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Presentation transcript:

Subfascial endoscopic perforator ligation: An analysis of early clinical outcomes and cost Mark D. Iafrati, MD, Harold J. Welch, MD, Thomas F. O'Donnell, MD Journal of Vascular Surgery Volume 25, Issue 6, Pages 995-1001 (June 1997) DOI: 10.1016/S0741-5214(97)70122-8 Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Leg position for SEPS. Lower leg is elevated parallel to the table using a padded stand at the ankle and a stack of towels behind the knee. 10 mm trocar is used for the endoscope, and a 5 mm port is placed 5 cm lateral and distal to accommodate the working instruments. Adapted from Iafrati MD, O'Donnell TF Jr. Subfascial dissection and perforating vein ablation. In: Gloviczki P, Bergan JJ, editors. Atlas of endoscopic perforator vein surgery. In press. Journal of Vascular Surgery 1997 25, 995-1001DOI: (10.1016/S0741-5214(97)70122-8) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Cross-section of calf demonstrates the SEPS dissection plane in the superficial posterior compartment. The posterior tibial neurovascular bundle (PTA+VS) is depicted, as are the greater saphenous vein (GSV), the posterior arch vein (PAV), and the perforating veins (PV). A, Anatomy typically found in midcalf, with upper Cockett perforating veins crossing superficial posterior compartment. B, Anatomy of lower calf demonstrates a lower Cockett perforating vein that does not cross the superficial posterior compartment and therefore requires a paratibial fasciotomy (dashed line) for endoscopic exposure. Adapted from Iafrati MD, O'Donnell TF Jr. Subfascial dissection and perforating vein ablation. In: Gloviczki P, Bergan JJ, editors. Atlas of endoscopic perforator vein surgery. In press. Journal of Vascular Surgery 1997 25, 995-1001DOI: (10.1016/S0741-5214(97)70122-8) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions