Gaitzsch A, Hauer G
II. Chirurgischer Lehrstuhl, Universität zu Köln.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:579-81.
Endoscopic techniques influence the diagnosis and management of surgical problems more and more. The endoscopic subfascial dissection (ESDP) of incompetent venous perforators, which are often found in conjunction with a venous stasis ulcer, is a prime example. The two principles of surgical management, the interruption of blood flow through the perforators and the performance of a medial paratibial fasciotomy, are fulfilled with this technique. The evaluation of this new operative extraluminal endoscopic procedure using specific criteria suggests that it will become increasingly wide-spread.
内镜技术对手术问题的诊断和处理影响越来越大。静脉交通支功能不全常与静脉淤滞性溃疡同时存在,对其进行内镜下筋膜下交通支离断术(ESDP)就是一个很好的例子。该技术符合手术治疗的两个原则,即阻断交通支血流以及进行胫骨内侧筋膜切开术。使用特定标准对这种新的腔内内镜手术进行评估表明,它将越来越广泛地应用。