What is subfascial endoscopic perforator surgery (SEPS) for venous disease?

SEPS is a minimally invasive surgical technique used to treat chronic venous ulcers caused by perforating veins that may have been damaged due to deep vein thrombosis or chronic venous insufficiency.

Why is this procedure performed? Why do I need this procedure?

The goal of treatment is to heal the ulcer to prevent serious complications or to prevent ulcer recurrence. Patients with chronic venous ulcers may have developed chronic venous insufficiency as a result of damage to their perforating veins, which are veins located above the ankle that carry blood from the superficial veins into the deep veins. If not corrected, patients may experience prolonged symptoms of severe chronic venous insufficiency and recurrent venous stasis ulcer formation.

Each patient is evaluated, and treatment will be individualized for the patient’s circumstances.

Where is the procedure performed and who performs this procedure?

Surgical treatments are performed in the hospital or outpatient setting by a vascular surgeon.

What are the risks and potential complications of the procedure?

Your doctor will discuss the specific risks and potential benefits of the recommended procedure with you. This is generally a very safe procedure, causing relatively little pain and, in most cases, is well-tolerated. However, as with any surgical procedure, there are risks, including bleeding, infection, injury to the nerves and arteries that are adjacent to the veins, and recurrence of symptoms despite adequate ligation of the perforator vein.

Special precautions are taken to decrease these 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.