SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY (SEPS)
J. STEPHEN SCOTT M.D.; ROGER DE LA TORRE M.D.
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These images depict an endoscopic Linton procedure performed on
a 50-year-old male suffering from a recurrent venous stasis leg
ulcer. Despite the patient's prior commitment to aggressive therapy,
including compression stockings and Unna boots, the ulcer recurred
three times within two years.
 PRE-OPERATIVE:
At the time of surgery, an ulcer existed that had been non-healing
for six months. |
 INTRA-OPERATIVE:
A balloon inflated subfascially in the superficial posterior muscle
compartment dissects the endoscopic operating space. A trocar
and skin seal are rotated into the skin and provide access for
the endoscope. A second small incision is created to introduce
additional endoscopic tools into the space. |
 ENDOSCOPIC VIEW:
Perforating veins are exposed, clipped and divided |
 POST-OPERATIVE:
The ulcer healed within four weeks of the procedure. |
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