Subfascial Endoscopic Perforator Surgery

Subfascial Endoscopic Perforator Surgery or SEPS in short is a minimally invasive surgical technique which is utilized for treating chronic venous ulcers which are caused by perforating veins & damaged due to chronic venous insufficiency or deep vein thrombosis. Goal of SEPS treatment is to heal the ulcer & prevent serious complications alongside preventing recurrence of ulcer.
As a result of damage to perforating veins many patients with chronic venous ulcers eventually develop chronic venous insufficiency. These veins are located above the ankle & carry blood from superficial veins to deeper veins. Such patients can experience prolonged symptoms of severe chronic venous insufficiency & recurring venous stasis ulcer formation if not corrected in time.
SEPS treatment procedure is performed at our health facility as an outpatient procedure by an expert vascular surgeon. We will discuss specific risks & potential benefits of SEPS with you during the appointment. SEPS is normally a very safe treatment procedure & relatively causes little pain. This procedure in most cases is well tolerated.

Nevertheless, there are risks involved with any type of surgery. Some risks which are associated with SEPS include infection, bleeding, injury to nerves & arteries that are located adjacent to veins & recurrence of symptoms despite sufficient ligation of perforator vein. However, we take adequate precautions so as to decrease these risks. Please feel free to ask questions & make sure to understand risks of procedure & why it is recommended in your case during the initial appointment.