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[Possibilities of endoscopic surgery in treatment of chronic venous insufficiency of the lower extremities].
Vestn Khir Im I I Grek. 2005; 164(3):10-4.VK

Abstract

The authors present their experiences with endoscopic dissection of perforating veins in patients with severe forms of chronic venous insufficiency with special reference to the peculiarities of blood supply of the extremity superficial tissue. The generalized morphological description of the perforating arteriovenous structures of the leg is presented as a vascular formation including the arteries and veins put in the general connective-tissue vagina and beginning from the profound or/and muscular veins and arteries. Operations were made on 56 patients aged 25-76 years, 40 of them had postthrombotic disease, 16 - varicose disease. The endoscopic subfascial dissection of the perforating veins was conducted using the standard set of tools for laparoscopic surgery of K. Storz Company. During the surgical procedure the perforating vascular bunch in the subfascial space was isolated, the veins were intersected electrosurgically, the other parts of the vascular bunch were preserved. On the average, the patients were in the hospital for 7+/-2 days. Trophic ulcers healed up during 7-30 days. Long-term results were good in 30%, satisfactory in 64%, unsatisfactory - in 6%. So, the selective endoscopical dissection of perforating veins is thought to be a radical, minimally invasive, anatomically and functionally reasonable method of elimination of the horizontal venous blood regurgitation. This technique resulted in a considerably decreased number of postoperative complications and less time of hospital treatment.

Authors

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Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

rus

PubMed ID

16281391

Citation

Lazarenko, V A., et al. "[Possibilities of Endoscopic Surgery in Treatment of Chronic Venous Insufficiency of the Lower Extremities]." Vestnik Khirurgii Imeni I. I. Grekova, vol. 164, no. 3, 2005, pp. 10-4.
Lazarenko VA, Okhotnikov OI, Prokopov VA, et al. [Possibilities of endoscopic surgery in treatment of chronic venous insufficiency of the lower extremities]. Vestn Khir Im I I Grek. 2005;164(3):10-4.
Lazarenko, V. A., Okhotnikov, O. I., Prokopov, V. A., Kopeĭko, I. L., Bobrovskaia, E. A., Es'kov, V. P., & Tulupova, L. N. (2005). [Possibilities of endoscopic surgery in treatment of chronic venous insufficiency of the lower extremities]. Vestnik Khirurgii Imeni I. I. Grekova, 164(3), 10-4.
Lazarenko VA, et al. [Possibilities of Endoscopic Surgery in Treatment of Chronic Venous Insufficiency of the Lower Extremities]. Vestn Khir Im I I Grek. 2005;164(3):10-4. PubMed PMID: 16281391.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Possibilities of endoscopic surgery in treatment of chronic venous insufficiency of the lower extremities]. AU - Lazarenko,V A, AU - Okhotnikov,O I, AU - Prokopov,V A, AU - Kopeĭko,I L, AU - Bobrovskaia,E A, AU - Es'kov,V P, AU - Tulupova,L N, PY - 2005/11/12/pubmed PY - 2005/12/15/medline PY - 2005/11/12/entrez SP - 10 EP - 4 JF - Vestnik khirurgii imeni I. I. Grekova JO - Vestn Khir Im I I Grek VL - 164 IS - 3 N2 - The authors present their experiences with endoscopic dissection of perforating veins in patients with severe forms of chronic venous insufficiency with special reference to the peculiarities of blood supply of the extremity superficial tissue. The generalized morphological description of the perforating arteriovenous structures of the leg is presented as a vascular formation including the arteries and veins put in the general connective-tissue vagina and beginning from the profound or/and muscular veins and arteries. Operations were made on 56 patients aged 25-76 years, 40 of them had postthrombotic disease, 16 - varicose disease. The endoscopic subfascial dissection of the perforating veins was conducted using the standard set of tools for laparoscopic surgery of K. Storz Company. During the surgical procedure the perforating vascular bunch in the subfascial space was isolated, the veins were intersected electrosurgically, the other parts of the vascular bunch were preserved. On the average, the patients were in the hospital for 7+/-2 days. Trophic ulcers healed up during 7-30 days. Long-term results were good in 30%, satisfactory in 64%, unsatisfactory - in 6%. So, the selective endoscopical dissection of perforating veins is thought to be a radical, minimally invasive, anatomically and functionally reasonable method of elimination of the horizontal venous blood regurgitation. This technique resulted in a considerably decreased number of postoperative complications and less time of hospital treatment. SN - 0042-4625 UR - https://www.unboundmedicine.com/medline/citation/16281391/[Possibilities_of_endoscopic_surgery_in_treatment_of_chronic_venous_insufficiency_of_the_lower_extremities]_ DB - PRIME DP - Unbound Medicine ER -