SEPS vs Open Ligation for Varicose Veins in the Leg
Official title: "COMPARATIVE OUTCOMES OF SUBFASCIAL ENDOSCOPIC PERFORATOR SURGERY (SEPS) VERSUS OPEN LIGATION FOR TREATING LOWER LIMB VARICOSITIES"
Run by King Edward Medical University · NCT07872150 · Data updated 2026-11-12
This study tests whether subfascial endoscopic perforator surgery (SEPS) works better than open perforator ligation for adults with varicose veins in the leg.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 62 (estimated) |
| Sponsor | King Edward Medical University Academic / other |
| Locations | 1 site (Lahore, Punjab Province) |
| Status | Recruiting |
| Started | July 10, 2026 |
| Main results expected | December 25, 2026 |
| Study ends | January 1, 2027 |
| Registry record updated | October 14, 2026 |
| Trial ID | NCT07872150 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults 18–70 with CEAP C4–C6 varicose veins and confirmed incompetent perforators who are fit for elective anesthesia.
✕Probably not a fit
Patients with recurrent varicose veins after previous surgeries, DVT, extensive deep venous obstruction, or contraindications to surgery may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults aged 18–70 with advanced chronic venous insufficiency and incompetent perforating veins will be randomized to receive SEPS or open perforator ligation. The trial will compare recovery, complications, and post-surgical outcomes between the two approaches. It uses standard surgical anesthesia and follows patients to assess short- and medium-term results. The goal is to determine which procedure provides better symptom relief and healing with fewer issues.
Why it matters
Potential benefit: If SEPS shows advantages, patients may experience faster recovery and fewer complications after surgery.
How similar studies have gone: Previous studies have compared SEPS and open techniques in varicose veins, with mixed results but some suggesting comparable efficacy and differing recovery profiles.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 18-70 years. * Diagnosed with lower limb varicose veins with incompetent perforating veins confirmed by duplex ultrasonography. * CEAP clinical classification C4-C6 (advanced chronic venous insufficiency). * Fit for elective surgery under spinal or general anesthesia. Exclusion Criteria: * Recurrent varicose veins after previous interventions. * Deep vein thrombosis (DVT) or extensive deep venous obstruction. * Severe systemic comorbidities contraindicating surgery. * Patients unwilling to provide informed consent
Where it's running
-
King Edward Medical University(KEMU), Lahore
Lahore, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Muhammad Usman, MBBS — King Edward Medical University (KEMU) Lahore
- Study coordinator: Muhammad Usman, MBBS
- Email: m.usman1320@gmail.com
- Phone: +923124010222
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.