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Technical Armamentaria for Endoscopic Perforator Vein Surgery

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Atlas of Endoscopic Perforator Vein Surgery

Abstract

Development of endoscopic perforator interruption is described fully elsewhere in this volume. In brief, in 1985, Hauer reported use of endoscopic instruments to divide perforating veins in the subfascial space of the lower extremity.1,2 Variations of the technique were then described, including use of a mediastinoscope to access the subfascial space,3 and distention of the subfascial space with either saline or carbon dioxide to help visualize the perforating veins.4,5 In 1996, Gloviczki reported a patient experience in which perforating veins were divided using video-guided endoscopic instruments, subfascial carbon dioxide insufflation, and preoperative leg exsanguination to facilitate dissection.6 The technical armamentaria which is available now to perform this type of procedure will be described in this chanter.

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References

  1. Hauer G (1985) The endoscopic subfascial division of the perforating veins: Preliminary report (in German). VASA 14:59–61

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  2. Hauer G Barkun, Wisser I, Deiler S (1988) Endoscopic subfascial dissection of perforating veins. Surg Endosc 2:5–12

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  3. Pierik EGJM, Wittens CHA, van Urk H (1995) Subfascial endoscopic ligation in the treatment of incompetent perforating veins. Eur J Vasc Endovasc Surg 9:38–41

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  4. O’Donnell TF (1992). Surgical treatment of incompetent communicating veins. In: Bergan JJ, Kistner RL (eds). Atlas of Venous Surgery. WB Saunders Co., Philadelphia pp 111–124

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  5. Conrad P (1994) Endoscopic exploration of the subfascial space of the lower leg with perforator vein interruption using laparoscopic equipment: A preliminary report. Phlebology 1994; 9:154–157

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  6. Gloviczki P, Cambria RA, Rhee RY, Canton LG, McKusick MA (1996) Surgical technique and preliminary results of endoscopic subfascial division of perforating veins. J Vasc Surg 23:517–523

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Authors
  1. Mark J. Kulbaski
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  2. Alan B. Lumsden
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Editor information

Editors and Affiliations

  1. Mayo Medical School, USA

    Peter Gloviczki MD, FACS (Professor of Surgery, Vice-Chair) (Professor of Surgery, Vice-Chair)

  2. Division of Vascular Surgery, Mayo Clinic and Foundation, Rochester, Minnesota, USA

    Peter Gloviczki MD, FACS (Professor of Surgery, Vice-Chair) (Professor of Surgery, Vice-Chair)

  3. Loma Linda University Medical Center, Loma Linda, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  4. University of Southern California, San Diego, San Diego, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  5. Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  6. Northwestern University Medical School, Chicago, Illinois, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

  7. Scripps Memorial Hospital, La Jolla, California, USA

    John J. Bergan MD, FACS, FRCS (Hon.) Eng. (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus) (Professor of Surgery, Clinical Professor of Surgery, Professor of Surgery Emeritus)

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© 1998 Springer-Verlag London Limited

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Kulbaski, M.J., Lumsden, A.B. (1998). Technical Armamentaria for Endoscopic Perforator Vein Surgery. In: Gloviczki, P., Bergan, J.J. (eds) Atlas of Endoscopic Perforator Vein Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-1527-4_10

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  • DOI: https://doi.org/10.1007/978-1-4471-1527-4_10

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1529-8

  • Online ISBN: 978-1-4471-1527-4

  • eBook Packages: Springer Book Archive

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