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[Perforating veins insufficiency in patients with varicose disease].

Abstract

MATERIAL AND METHODS

It was analyzed the results of complex survey and treatment of 181 patients with varicose disease CEAP degrees C3-C6. Ultrasonic scanning was applied to define localization, severity and extension of blood reflux in venous system.

RESULTS

Superficial reflux was revealed in all patients, perforating--in 59.7%, deep--in 22.8% of cases. We concluded that high-intensive total-subtotal blood reflux in superficial veins was main hemodynamic factor resulted perforating insufficiency in 42% of patients, high-intensive deep reflux--in 17.7% of cases additionally. In patients with subcompensated course of disease superficial reflux removal and large perforating veins (diameter 4.5±0.5 mm) ligation are advisable. Small perforating veins insufficiency (diameter 3.5±0.5 mm) is eliminated independently after superficial reflux removal. Two-staged treatment should be used in patients with decompensated course of disease and trophic disorders ofshin. Perforating veins sclerotherapy under ultrasonic control is advisable secondarily after superficial reflux removal.

Authors+Show Affiliations

Chair of General Surgery, Kursk State Medical University.Chair of General Surgery, Kursk State Medical University.

Pub Type(s)

Journal Article

Language

rus

PubMed ID

26271317

Citation

Sukhovatykh, B S., and M B. Sukhovatykh. "[Perforating Veins Insufficiency in Patients With Varicose Disease]." Khirurgiia, 2015, pp. 14-18.
Sukhovatykh BS, Sukhovatykh MB. [Perforating veins insufficiency in patients with varicose disease]. Khirurgiia (Mosk). 2015.
Sukhovatykh, B. S., & Sukhovatykh, M. B. (2015). [Perforating veins insufficiency in patients with varicose disease]. Khirurgiia, (5), 14-18. https://doi.org/10.17116/hirurgia2015514-18
Sukhovatykh BS, Sukhovatykh MB. [Perforating Veins Insufficiency in Patients With Varicose Disease]. Khirurgiia (Mosk). 2015;(5)14-18. PubMed PMID: 26271317.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perforating veins insufficiency in patients with varicose disease]. AU - Sukhovatykh,B S, AU - Sukhovatykh,M B, PY - 2015/8/15/entrez PY - 2015/8/15/pubmed PY - 2015/10/1/medline SP - 14 EP - 18 JF - Khirurgiia JO - Khirurgiia (Mosk) IS - 5 N2 - MATERIAL AND METHODS: It was analyzed the results of complex survey and treatment of 181 patients with varicose disease CEAP degrees C3-C6. Ultrasonic scanning was applied to define localization, severity and extension of blood reflux in venous system. RESULTS: Superficial reflux was revealed in all patients, perforating--in 59.7%, deep--in 22.8% of cases. We concluded that high-intensive total-subtotal blood reflux in superficial veins was main hemodynamic factor resulted perforating insufficiency in 42% of patients, high-intensive deep reflux--in 17.7% of cases additionally. In patients with subcompensated course of disease superficial reflux removal and large perforating veins (diameter 4.5±0.5 mm) ligation are advisable. Small perforating veins insufficiency (diameter 3.5±0.5 mm) is eliminated independently after superficial reflux removal. Two-staged treatment should be used in patients with decompensated course of disease and trophic disorders ofshin. Perforating veins sclerotherapy under ultrasonic control is advisable secondarily after superficial reflux removal. SN - 0023-1207 UR - https://www.unboundmedicine.com/medline/citation/26271317/[Perforating_veins_insufficiency_in_patients_with_varicose_disease]_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -