{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:41:32Z","timestamp":1777916492006,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,1,4]],"date-time":"2018-01-04T00:00:00Z","timestamp":1515024000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To clarify the surgical methods and the clinical results of subfascial endoscopic perforator surgery in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 1287 limbs of 1091 patients who underwent subfascial endoscopic perforator surgery in 14 hospitals. Simultaneous saphenous vein treatment was performed in 1079 limbs (83.8%), and 118 limbs (9.2%) had deep venous lesions. The venous clinical severity score was calculated before and 6 to 12 months after surgery. The ulcer healing rate and ulcer recurrence rate were calculated cumulatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Preoperative venous clinical severity score was significantly decreased from 10.0\u2009\u00b1\u20096.6 to 3.1\u2009\u00b1\u20093.4 ( P\u2009&lt;\u2009.0001) postoperatively. The primary ulcer healing rate was 96.2% (332\/345 C6 limbs) at an average follow-up of 47.7 months, and the ulcer recurrence rate was 12.0% (49\/393 C5, C6 limbs) at the average follow-up of 46.0 months after the ulcer healed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results indicate that subfascial endoscopic perforator surgery is an alternative to improve the long-lasting disease severity and\/or clinical outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0268355517750523","type":"journal-article","created":{"date-parts":[[2018,1,5]],"date-time":"2018-01-05T01:31:33Z","timestamp":1515115893000},"page":"678-686","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Surgical methods and clinical results of subfascial endoscopic perforator surgery in 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