SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY: A COMPARISON WITH LINTON‘S TECHNIQUE OF OPEN LIGATION OF PERFORATORS

Dr. Nagendar Bejjamshetty; Dr. Jeevan Kenche; Dr. Ram Singh Keluth; Dr. Sravanti Balaga

Volume : V, Issue : VI, June - 2015

SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY: A COMPARISON WITH LINTON‘S TECHNIQUE OF OPEN LIGATION OF PERFORATORS

Dr. Nagendar Bejjamshetty, Dr. Jeevan Kenche, Dr. Ram Singh Keluth, Dr. Sravanti Balaga

Abstract :

Varicose veins are a common problem in patients presenting to our outpatient department. This study was undertaken to compare the results of Subfascial Endoscopic Perforator Surgery i.e., endoscopic ligation of incompetent perforators, with the more popular Linton’s open procedure. Ten patients with perforator insufficiency were taken up for surgery by S.E.P.S. and ten patients by Linton’s procedure. The operating time, intra–operative blood loss, hospital stay, early and delayed complications, recurrence, time taken to resume normal activities, and patient satisfaction were recorded. The patients were followed up at 1, 2, 4 & 6 months after surgery. All of the variables showed significant superiority of SEPS over Linton’s procedure, except for operating time, which was higher for SEPS, though it decreased over the period of study. As with all endoscopic procedures, SEPS has a longer learning curve as compared to the open technique.