Perforator surgery
To avoid making cuts through damaged and weakened skin, a minimally invasive technique was described a few years ago. This is SEPS (subfascial endoscopic perforator surgery). A tight tourniquet is applied to the thigh to allow the operation to proceed without much bleeding. The cut is made at the upper calf and a camera advanced down the leg under the fascia (the tough tissue that surrounds the muscles and through which the perforator veins pass).
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| The equipment used | The procedure of SEPS |
Through the camera the perforator can be seen and special clips applied before it is divided.
The wound is closed and a bandage applied as for long saphenous surgery.
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