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Article: Clinical outcomes and changes in venous hemodynamics after subfascial endoscopic perforating vein surgery

TitleClinical outcomes and changes in venous hemodynamics after subfascial endoscopic perforating vein surgery
Authors
KeywordsAir plethysmography (APG) -
Chronic venous insufficiency
Subfascial endoscopic perforating vein surgery
Venous ulcers of the leg
Issue Date2003
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy And Other Interventional Techniques, 2003, v. 17 n. 8, p. 1314-1318 How to Cite?
AbstractBackground: We evaluated the clinical results of subfascial endoscopic perforating vein surgery (SEPS) in patients with severe chronic venous insufficiency (CVI) (clinical class 4-6) and assessed the hemodynamic changes associated with SEPS using air plethysmography (APG). Methods: Forty-five patients with severe CVI who had undergone SEPS were evaluated. Clinical score and venous hemodynamics, as measured by APG before operation and at 1 month and 1 year after operation, were compared using the Wilcoxon signed rank test. Patient satisfaction (on a visual analogue scale of 0 to 100%) was also assessed. Results: There were 29 men and 16 women; their mean age was 60 years (range, 37-83). Thirty-five patients (78%) had active venous ulcers; the ulcers' mean size was 7.8 ± 11.9 cm 2 and the mean duration of ulceration was 9 ± 10 months. There were no hospital deaths. Post-operative complications were uncommon (one groin wound infection and one case of thrombophlebitis). At a mean follow-up of 15 ± 9 months, 34 ulcers (97%) had healed. The cumulative ulcer healing was 82% at 3 months. There were five recurrent ulcers (15%). Significant improvement was seen in the clinical scores (10 ± 3 before operation, 6 ± 4 at 1 month, and 4 ± 3 at 1 year after operation). The venous filling index was also significantly improved after operation; this improvement was maintained at 1-year follow-up (7.36 ± 6.23 ml/sec before operation, 3.63 ± 3. 90 ml/sec at 1 month, and 3.14 ± 2.06 ml/sec at 1 year). The degree of patient satisfaction was also remarkable, with 74 ± 17% and 90 ± 12% satisfaction at 1-month and 1-year follow-up, respectively. Conclusions: SEPS is a safe and effective treatment for patients with severe CVI. It leads to hemodynamic improvement, with rapid ulcer healing, and it is associated with a high degree of patient satisfaction.
Persistent Identifierhttp://hdl.handle.net/10722/83627
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorHo, Pen_HK
dc.contributor.authorWu, LLHen_HK
dc.contributor.authorCheung, GCYen_HK
dc.date.accessioned2010-09-06T08:43:17Z-
dc.date.available2010-09-06T08:43:17Z-
dc.date.issued2003en_HK
dc.identifier.citationSurgical Endoscopy And Other Interventional Techniques, 2003, v. 17 n. 8, p. 1314-1318en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83627-
dc.description.abstractBackground: We evaluated the clinical results of subfascial endoscopic perforating vein surgery (SEPS) in patients with severe chronic venous insufficiency (CVI) (clinical class 4-6) and assessed the hemodynamic changes associated with SEPS using air plethysmography (APG). Methods: Forty-five patients with severe CVI who had undergone SEPS were evaluated. Clinical score and venous hemodynamics, as measured by APG before operation and at 1 month and 1 year after operation, were compared using the Wilcoxon signed rank test. Patient satisfaction (on a visual analogue scale of 0 to 100%) was also assessed. Results: There were 29 men and 16 women; their mean age was 60 years (range, 37-83). Thirty-five patients (78%) had active venous ulcers; the ulcers' mean size was 7.8 ± 11.9 cm 2 and the mean duration of ulceration was 9 ± 10 months. There were no hospital deaths. Post-operative complications were uncommon (one groin wound infection and one case of thrombophlebitis). At a mean follow-up of 15 ± 9 months, 34 ulcers (97%) had healed. The cumulative ulcer healing was 82% at 3 months. There were five recurrent ulcers (15%). Significant improvement was seen in the clinical scores (10 ± 3 before operation, 6 ± 4 at 1 month, and 4 ± 3 at 1 year after operation). The venous filling index was also significantly improved after operation; this improvement was maintained at 1-year follow-up (7.36 ± 6.23 ml/sec before operation, 3.63 ± 3. 90 ml/sec at 1 month, and 3.14 ± 2.06 ml/sec at 1 year). The degree of patient satisfaction was also remarkable, with 74 ± 17% and 90 ± 12% satisfaction at 1-month and 1-year follow-up, respectively. Conclusions: SEPS is a safe and effective treatment for patients with severe CVI. It leads to hemodynamic improvement, with rapid ulcer healing, and it is associated with a high degree of patient satisfaction.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_HK
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_HK
dc.subjectAir plethysmography (APG) -en_HK
dc.subjectChronic venous insufficiencyen_HK
dc.subjectSubfascial endoscopic perforating vein surgeryen_HK
dc.subjectVenous ulcers of the legen_HK
dc.titleClinical outcomes and changes in venous hemodynamics after subfascial endoscopic perforating vein surgeryen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=17&issue=8&spage=1314&epage=1318&date=2003&atitle=Clinical+outcomes+and+changes+in+venous+hemodynamics+after+subfascial+endoscopic+perforating+vein+surgeryen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00464-002-8764-3en_HK
dc.identifier.pmid12799891en_HK
dc.identifier.scopuseid_2-s2.0-0042860041en_HK
dc.identifier.hkuros89107en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0042860041&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue8en_HK
dc.identifier.spage1314en_HK
dc.identifier.epage1318en_HK
dc.identifier.isiWOS:000220846400030-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridHo, P=24469553100en_HK
dc.identifier.scopusauthoridWu, LLH=7404903103en_HK
dc.identifier.scopusauthoridCheung, GCY=15052803300en_HK

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