Cisneros TMÁ, Serrano LJA, Huerta HH, Sánchez NNE, Flores EMH, Jordán LJC, Meza VMA, Rosas FMÁ

Language: Spanish
References: 17
Page: 63-69
PDF size: 354.02 Kb.

ABSTRACT

Background: Subfascial endoscopic ligature of incompetence perforator vein (SELIPV), is a surgical technique in which it is used endoscopic instrumental for ligature and division of diseased perforator vein, supported in the interrumption of pathological perforator system to eliminate the venous hypertension from a remote zone of the damaged skin.
Method: By means of an observational, prospective, longitudinal and descriptive study, identifying patients with diagnosis of perforating vein insufficiency in lower limbs, in the departament of angiology and vascular surgery of the Regional Hospital "Lic. Adolfo López Mateos" (RHLALM), during the period between april-july 2006, 15 patients were included in phases IV, V and VI regarding CEAP clasification, which presented with perforator vein insuficciency of the lower limb, isolated or asocciated with internal safenous vein incompetence. Doppler dupplex ultrasounds were performe to every patient before and after SELIPV.
Outcome: The study consists of a total of 15 patients, 9 women (60%) and 6 men (40%), mean age 53.8 years, 18 limbs were operated; surgical time interval was between 45 to 130 minutes (mean time 80.2 minutes). No patient presented infection of the surgical wounds, the mean hopspital stay was 1.06 days and just 1 patient with subcutaneous emphysema we decided to extend the hospital. The folowup was conducted in doctor's office 7 days after operation and we applied a questionnaire in the the 21th day after operation in which 5 parameters were assesed (very bad, bad, regular; well and very well). The patients answred to feel very well in 73.3%, well in 20%, regular in 6.6%. Acording to clinical data and CEAP clasification, the patients were presented as follows: phase IV 8 patients (53.3%), phase V 2 patients (13.3%), and phase VI 5 patients (33.3%).
Conclusión: SELIPV, has been performed adequately acording to which was already stablished in studies in the literature around the world, in the RHALM with promising and satisfactory results. diagnostic support with doppler dupplex ultrasound it is very useful in marking the site of the perforator vein in the skin, which allows directly an intentioned ligature.

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