Subfascial Endoscopic Perforator Surgery (SEPS) for Varicose Veins

Subfascial Endoscopic Perforator Surgery (SEPS) for Varicose Veins


Varicose veins are sprained and larger veins closed to the skin surface. Most prevalent in the legs and ankles. They aren't typically dangerous, but they can occasionally conduct to additional disorders. Varicose veins are swollen, twisted, and sometimes very painful dilated veins that have filled with an abnormal collection of blood.

Causes of varicose veins:

Varicose veins are triggered by destabilized and fragile valves and veins in legs. Typically, unilateral valves in veins sustain blood circulating from legs right up to the heart. When majority of these valves do not function so as they should, blood accumulate in the legs, and stress develop. The veins come to be fragile, enlarged, and sprained.

Varicose veins mostly transfer in families to families. Growing age also boosting the dangers of varicose veins. Appearing obese or expecting a child or possessing a profession at which you need to stand up for prolonged durations of time boosting stress on the veins of legs which leads to the varicose veins.

Symptoms of Varicose veins:

Varicose veins appear gloomy blue, inflated, and sprained below the dermis. Most of the people do not have any warning signals.

Minor indications of surgical inntervention may possibly comprise of:

• Bulkiness, inflaming, ailing, weariness, or discomfort in legs. Symptoms may possibly be more painful and tougher right after you stand or sit for extended duration of time.

  • Feet and ankles are inflated or swell.
  • Irritation across the vein.

Much more acute symptoms comprise of:

  • Leg’s traumatic inflammation and puffiness
  • abscess and lower leg pain right after you sit or stand for extended duration of time
  • Skin transformation preferably Color transformed, dehydrated fragile skin, irritation, scaling, naked sores and bleeding after minute affliction.

Varicose veins don not have any serious indications or problems as they are common but in some situations, these varicose veins may be a signal of inhibition of most profound veins known as deep vein thrombosis.

Subfascial endoscopic perforator surgery (SEPS):

Subfascial endoscopic perforator surgery (SEPS) is a minimally invasive surgical approach is mainly used to cure persistent venous ulcers triggered by piercing veins which may have been impaired owing to deep vein thrombosis or persistent venous inadequacy. The intent of treatment is to recover the ulcer to protect against severe problems or to save from the ulcer outbreaks. Patients which have persistent venous ulcers might have progressed persistent venous inadequacy as a consequence of devastation to their piercing veins, that are the veins situated beyond the ankle which take blood from the superficial veins into the deeper veins. If this left untreated, patients may suffer extended indications of serious persistent venous inadequacy and repeated venous stasis ulcer progression. Every patient is examined, and treatment procedure will be personalized for the patient’s scenarios. These surgical treatments are carried out in the health care centers. Surgical treatments are performed in the hospital or outpatient deciding by a vascular surgeon.

Surgical Procedure for Varicose Veins:

The surgical procedure that is commonly used for the treatment of varicose veins is called sclerotherapy. The procedure contains, marks of disproportionate circulation from deep to superficial veins are situated and completely annihilated by the injection of a compound known as sclerosant. Use of ongoing pressure and after that reintakes the replenishing potential of the vein. This procedure is applied to reduce the presence of tangled veins which generally areise on the legs but can also develop on different sites of the body. The procedure is very irritant because of the injection that used to induce the strong inflammatory response across the veins which leads the veins to contract and the procedure of sclerotherapy only applicable on small veins not the larger one.

You must be aware of that ¼ patients take sclerotherapy for eradicating the hyper pigmentation on their legs close tothe injection places which possibly be as offensive to look at as the varicose veins. Vein matting a process in which the smallest clusters of veins are formed at the site of injection that turns blue in color. Patient also suffers from this vein matting phenomenon. This is due to the removal of one varicose vein that leads the formation of vein matting. These smallest clustered veins are cured by another injection but the rate of achieving best result is sufficiently less. In case of sclerotherapy the legs are reddened, injured and freckled up to weeks. Sclerotherapy is not a rapid fix for varicose veins like other plastic surgeries.

A surgical procedure known as stripping and ligation in serious cases might be viewed as mandatory. one or more clefts are formed over the varicose veins during this surgery, and the vein is ligated If many valves in the vein and the vein itself are seriously injured, the vein or the diseased part of the vein is typically stripped. An cleft is formed beneath the varicose vein, an adjustable tool is threaded up the vein to the first cleft, and the vein is seized and eliminated.

Risks and potential complications of the procedure:

Your doctor will explain the particular risks and potential advantage of the SEPS procedure with you. This is normally a very safe procedure, triggering typically minor pain and, in some cases, is easily bearable. Nevertheless, as with any surgical procedure, there are dangers, comprising bleeding, infection, injury to the nerves and arteries which are closed to the veins, and repetition of indications instead of sufficient ligation of the perforator vein.


Varicose veins are triggered by destabilized and fragile valves and veins in legs. The treatment recommended for SEPs are protected and safe and less chances of complications after surgery.Special precautions are taken to reduced the risks, and there may be other possible risks. When you meet with your doctor, please ask questions to make sure you understand the risks of the procedure and why the procedure is recommended.

World Laparoscopy Hospital, Cyber City, DLF Phase II, Gurugram, NCR Delhi, 122 002, India
For Training: +919811416838
For Treatment: +919811912768
For General Enquiry: +91(0)124 - 2351555

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