Kulbaski M J, Salam A A, Castor S A, Lumsden A B
Division of Vascular Surgery, Department of Surgery, Emory University School of Medicine, 5105 Woodruff Memorial Building, 1639 Pierce Drive, Atlanta, GA 30322, USA.
Surg Endosc. 1998 Jul;12(7):990-1. doi: 10.1007/s004649900762.
Ligation of perforator veins in the lower extremity for the treatment of venous ulceration can be performed using a minimally invasive technique with endoscopic instruments. Several studies have documented that the endoscopic technique has a lower wound-related complication rate compared to open perforator vein ligation. We report the complication of postoperative subfascial hemorrhage requiring reexploration after subfascial endoscopic perforator vein ligation and describe a minimally invasive method for its control using balloon tamponade.
使用内镜器械通过微创技术可对下肢穿支静脉进行结扎以治疗静脉溃疡。多项研究表明,与开放性穿支静脉结扎相比,内镜技术的伤口相关并发症发生率更低。我们报告了在筋膜下内镜穿支静脉结扎术后发生需要再次探查的筋膜下出血并发症,并描述了一种使用球囊压迫进行控制的微创方法。