Subfascial Endoscopic Perforator Surgery

Subfascial Endoscopic Perforator Surgery (SEPS) is a minimally invasive approach for ligation (clipping) of abnormal perforator veins under the muscle fascia in the legs. It treats chronic venous ulcers caused by perforating veins that are damaged due to deep vein thrombosis (DVT) or chronic insufficiency of venous flow. SEPS involves making small incisions in the calf region for placement of the endoscope. Sutures are placed under the skin to minimize scarring and recovery time is minimal as well. Perforator veins, located above the ankle, carry blood from the superficial veins into the deep veins. The outpatient procedure may be under a sedative and regional anesthesia or under general anesthesia. Physicians who specialize in treating veins make some tiny cuts in the leg and insert a catheter with a type of balloon on its tip. A telescope is put into the catheter for viewing into the space created by the inflated balloon. When the abnormal perforator veins are identified, they are blocked (occluded) with a surgical clip inserted via the catheter. The procedure takes two to three hours; recovery takes up to two weeks. Venous stasis ulcers may take longer to heal. 


Whether you are looking for treatment for spider and varicose veins or a more complex vein problem, The UAB Vein Clinic offers comprehensive evaluation, specialized treatment, and compassionate care for the health of your veins.

As central Alabama’s premier comprehensive vein center, The UAB Vein Clinic provides state-of-the-art cosmetic, minimally-invasive, and surgical treatments by vascular specialists and medical experts who are specialty trained in vein disease.

The clinic, located at UAB Hospital-Highlands, provides outpatient care, while more intensive treatment is provided at UAB Hospital. The UAB Vein Clinic is part of the larger UAB Vein Program. As the only program of its kind in the state, the UAB Vein Program is designed to care for a wide range of venous problems.

When you choose UAB Medicine to care for your vein condition, you gain instant access to physicians who are leaders in the most complex vascular conditions and offer the latest in cutting-edge treatment options. 






UAB is an active participant in research and clinical trials. We encourage you to speak to your physician about research and clinical trial options and browse the link below for more information.

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