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[Comprehensive outpatient treatment of varicose disease of the lower limbs].
Angiol Sosud Khir. 2008; 14(2):91-4.AS

Abstract

The article deals with the findings obtained in examining a total of 8,000 people presenting with varicose disease of the lower extremities. The examination included a clinical (physical) examination and coloured duplex scanning of the lower-limb veins. The examination was carried out in outpatient conditions, whereas surgical treatment was performed either out-patiently, or at a <<one-day>> hospital. Revealing complete valvular insufficiency of the great saphenous vein was followed by surgical treatment - intraoperative stem catheter scleroobliteration (SSO) or short-term screening and postoperative puncture sclerotherapy. Detecting partial valvular insufficiency of the greater saphenous vein (pathological sapheno-femoral reflux only in the vertical position) was managed by applying the principle of the so-called <<incremental radicalism>>: i. e. the patients were subjected to the procedure of puncture sclerotherapy of varicose veins on the crus in ambulatory conditions to be followed by secondary ultrasonographic scanning with permanent dynamic follow-up. The cases of preserved reflux along the greater saphenous vein were subjected to sclerosurgical management. Valvular insufficiency of perforating veins was coped with by minimally invasive surgical interventions: subtotal endoscopic dissection of incompetent perforating veins, suprafascial ligation from a miniaccess and echosclerotherapy of the perforating veins. Also performed were histological and histochemical studies of the portions the greater saphenous vein and surrounding tissues procured during cross-ectomy of the sapheno-femoral anastomosis in 43 patients, who had endured preliminary puncture sclerotherapy on the crus. Good functional and cosmetically pleasing outcomes were achieved in the majority of cases. In 75% of the patients with partial valvular insufficiency of the greater saphenous vein, we managed to avoid operations since repeat ultrasonographic study revealed no pathological veno-venous shunts.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

rus

PubMed ID

19156057

Citation

Gavrilov, V A., et al. "[Comprehensive Outpatient Treatment of Varicose Disease of the Lower Limbs]." Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery, vol. 14, no. 2, 2008, pp. 91-4.
Gavrilov VA, Chabbarov RG, Piatnitskiĭ AG, et al. [Comprehensive outpatient treatment of varicose disease of the lower limbs]. Angiol Sosud Khir. 2008;14(2):91-4.
Gavrilov, V. A., Chabbarov, R. G., Piatnitskiĭ, A. G., & Khvorostukhin, V. S. (2008). [Comprehensive outpatient treatment of varicose disease of the lower limbs]. Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery, 14(2), 91-4.
Gavrilov VA, et al. [Comprehensive Outpatient Treatment of Varicose Disease of the Lower Limbs]. Angiol Sosud Khir. 2008;14(2):91-4. PubMed PMID: 19156057.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comprehensive outpatient treatment of varicose disease of the lower limbs]. AU - Gavrilov,V A, AU - Chabbarov,R G, AU - Piatnitskiĭ,A G, AU - Khvorostukhin,V S, PY - 2009/1/22/entrez PY - 2009/1/22/pubmed PY - 2009/4/25/medline SP - 91 EP - 4 JF - Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery JO - Angiol Sosud Khir VL - 14 IS - 2 N2 - The article deals with the findings obtained in examining a total of 8,000 people presenting with varicose disease of the lower extremities. The examination included a clinical (physical) examination and coloured duplex scanning of the lower-limb veins. The examination was carried out in outpatient conditions, whereas surgical treatment was performed either out-patiently, or at a <<one-day>> hospital. Revealing complete valvular insufficiency of the great saphenous vein was followed by surgical treatment - intraoperative stem catheter scleroobliteration (SSO) or short-term screening and postoperative puncture sclerotherapy. Detecting partial valvular insufficiency of the greater saphenous vein (pathological sapheno-femoral reflux only in the vertical position) was managed by applying the principle of the so-called <<incremental radicalism>>: i. e. the patients were subjected to the procedure of puncture sclerotherapy of varicose veins on the crus in ambulatory conditions to be followed by secondary ultrasonographic scanning with permanent dynamic follow-up. The cases of preserved reflux along the greater saphenous vein were subjected to sclerosurgical management. Valvular insufficiency of perforating veins was coped with by minimally invasive surgical interventions: subtotal endoscopic dissection of incompetent perforating veins, suprafascial ligation from a miniaccess and echosclerotherapy of the perforating veins. Also performed were histological and histochemical studies of the portions the greater saphenous vein and surrounding tissues procured during cross-ectomy of the sapheno-femoral anastomosis in 43 patients, who had endured preliminary puncture sclerotherapy on the crus. Good functional and cosmetically pleasing outcomes were achieved in the majority of cases. In 75% of the patients with partial valvular insufficiency of the greater saphenous vein, we managed to avoid operations since repeat ultrasonographic study revealed no pathological veno-venous shunts. SN - 1027-6661 UR - https://www.unboundmedicine.com/medline/citation/19156057/[Comprehensive_outpatient_treatment_of_varicose_disease_of_the_lower_limbs]_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -