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.

How do I find out if I am a candidate for this procedure?

To find out if you are a candidate for this procedure, please call the Vascular Surgery Department at 216.444.4508 or 800.223.2273 ext. 4-4508.

Last reviewed by a Cleveland Clinic medical professional on 05/29/2019.

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