Abstract
It has long been noted that incompetent perforating veins contribute to the development of chronic venous insufficiency and recurrent varicose veins that are complicated by skin ulcerations or liposcleroderma. For these conditions, severing of incompetent perforating veins is an effective surgical treatment. However, severing of incompetent perforating veins by a direct approach has become less commonly performed because of the excessive invasiveness of the procedure itself. We referred to 37 cases (44 legs) of varicose veins with or without active venous dermatitis, who underwent the two ports system endoscopic subfascial severing of incompetent perforating veins procedure we devised (hereafter referred to as TPS-ESSP). According to this method, incompetent perforating veins can be severed without surgical intervention in the lesion. One hundred forty one out of one hundred fifty two IPV s were processed.
The TPS-ESSP is relatively simple operation, but its skill is dependable and provides lower invasiveness. It is distinctive that the TPS-ESSP is advantageous for the cases with venous dermatitis. From now on, it is necessary to unify the authorized name of the endoscopic surgery of varicose veins and is also important to define the indication of this method for the primary varicose veins without stasisdermatitis. All of these problems, it is urgent that the operative method of TPS-ESSP will be certified by Japanese health insurance.
