A COMPARATIVE STUDY BETWEEN SUBFASCIAL ENDOSCOPIC PERFORATOR LIGATION WITH OPEN SUBFASCIAL PERFORATOR LIGATION FOR TREATMENT OF VARICOSE VEINS.

Background: Varicose veins is a common problem present in at least 10% of the general population and 5% in India.
Subfascial endoscopic perforator surgery is a minimally invasive approach for ligation of abnormal perforator veins
under the muscle fascia of the legs. Aim: To compare subfascial endoscopic perforator surgery with open perforator legation in the treatment of
varicose veins. This prospective study comprised of 60 patients with varicose ve Materials And Methods: ins. Of the 60 cases, 20 cases
underwent subfascial endoscopic perforator surgery and 40 Patient underwent Open subfascial perforator surgery. The operative time for Result:
subfascial endoscopic perforator surgery was less than that of open subfascial perforator surgery. Improvement in the skin pigmentation, aedema,
ulcer healing was better with subfascial endoscopic perforator surgery. The recurrence rate was found to be 30% with open subfascial perforator
ligation whereas it was 0% with subfascial endoscopic perforator surgery. Subfas Conclusion: cial endoscopic perforator surgery is easy,
technically efcient, has less operative time, better healing of ulcer and low recurrence.