Results of endoscopic subfascial insufflation dissection of perforating veins (ESIDP)

Aim: Endoscopic subfascial insufflation dissection of perforating veins (ES IDP) represents a minimally invasive surgical technique for treatment of gr eeter saphenous system varicosities. We evaluate our own experience with ES IDP. Methods: In ESIDP enlargement of subfascial space required for dissection o f perforating veins is induced by CO, insufflation (subfascial pneumocave). Preoperative assessment of perforating, superficial and deep veins is sole ly achieved by duplexsonography. Results: 150 legs in 125 patients were treated by ESIDP combined with phleb ectomy and partial (n = 117, 78%) or complete (n = 8, 5.49 %) stripping of greater saphenous vein, with phlebectomy only (n = 20, 12.6%) or with atypi cal stripping (n = 5, 4%). No intraoperative and 13 postoperative complicat ions occured: hematoma end abscess formation (n = 1), thrombosis (n = 1), p aresthesia (n = 9), pain up to 6 weeks (n = 2) postoperatively. Hematoma an d thrombosis were treated by surgery and anticoagulation therapy, respectiv ely. Conclusion: Due to excellent vision for selective dissection of all perfora ting veins, ESIDP proves as a save, minimally invasive technique to he incl uded into treatment for chronic venous insufficiency.