In:
Vascular Surgery, SAGE Publications, Vol. 31, No. 5 ( 1997-09), p. 595-599
Abstract:
Videoscopic perforator ligation (VPL) is emerging as a safe and viable alternative to open techniques. Complete ligation of all perforators is crucial to reversal of venous stasis consequences. A review of the authors' experience with 19 VPLs revealed six missed perforators when completeness was evaluated by intraoperative duplex scanning. Two were paratibial, three were in the distal part of the compartment, and one was outside the compartment. Three were ligated videoscopically and three by direct subfascial ligation. Nonhealed ulcers proved to have retained perforators requiring direct ulcer excision and perforator ligation. The authors conclude that intraoperative duplex scanning allows more thorough perforator ligation and eliminates retained perforator problems.
Type of Medium:
Online Resource
ISSN:
0042-2835
DOI:
10.1177/153857449703100516
Language:
English
Publisher:
SAGE Publications
Publication Date:
1997
detail.hit.zdb_id:
2095223-5
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