Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment

Introduction. The wide prevalence of varicose veins of the lower extremities and relapses of this disease causes a frequent combination of this pathology with other surgical and traumatological diseases. The expediency of using simultaneous operations is manifested in their obvious economic advantag...

Full description

Saved in:
Bibliographic Details
Main Authors: A. I. Chernookov, M. R. Kuznetsov, N. Yu. Korobova, S. I. Kandyba, A. A. Atayan, A. A. Ramazanov, E. N. Belykh, A. M. Nikolaev, A. Z. Pshmakhova
Format: Article
Language:Russian
Published: Remedium Group LTD 2023-05-01
Series:Амбулаторная хирургия
Subjects:
Online Access:https://www.a-surgeon.ru/jour/article/view/362
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850182541169917952
author A. I. Chernookov
M. R. Kuznetsov
N. Yu. Korobova
S. I. Kandyba
A. A. Atayan
A. A. Ramazanov
E. N. Belykh
A. M. Nikolaev
A. Z. Pshmakhova
author_facet A. I. Chernookov
M. R. Kuznetsov
N. Yu. Korobova
S. I. Kandyba
A. A. Atayan
A. A. Ramazanov
E. N. Belykh
A. M. Nikolaev
A. Z. Pshmakhova
author_sort A. I. Chernookov
collection DOAJ
description Introduction. The wide prevalence of varicose veins of the lower extremities and relapses of this disease causes a frequent combination of this pathology with other surgical and traumatological diseases. The expediency of using simultaneous operations is manifested in their obvious economic advantages.Objective. To substantiate the expediency and effectiveness of simultaneous laser thermal obliteration of recurrent veins of the lower extremities and Baker’s cyst.Materials and methods. 9 patients with recurrent varicose veins and Baker’s cyst were operated on. Of these, there were 7 (77.8%) women and 2 (22.2%) men, the average age was 52.8 ± 0.2 years. The average duration of the incidence of varicose veins was 14.1 ± 0.3 years, Baker’s cyst – 3.5 ± 0.1 years. As planned, patients underwent simultaneous laser endovenous coagulation of recurrent veins and intracavitary thermal obliteration of Baker’s cyst.Results. There were no complications, the duration of operations was 40.3 ± 0.4 minutes. The intensity of the pain syndrome in 6–8 hours after surgery was 4.1 ± 0.2 points. On the 10th day, no pain was observed in any patient. The duration of pain was 7.8 ± 0.4 days. Long-term results were studied 12–16 months after completion of treatment in 9 (100%) patients. Recurrent varicose veins were not detected. In 8 (88.9%) patients, complete obliteration of Baker’s cyst was established.Conclusions. Reliable obliteration of Baker’s cyst and recurrent varicose veins, 100% technical success, disappearance of clinical symptoms of this pathology, absence of relapses of both diseases in 8 (88.9%) patients after 12-16 months indicates high efficiency and indisputable prospects of such an approach to the treatment of this category of patients. However, the study is based on a small number of observations, so further accumulation of experience is required to generalize the results of the study.
format Article
id doaj-art-46e294fb816240cb8d0a557e335e8696
institution OA Journals
issn 2712-8741
2782-2591
language Russian
publishDate 2023-05-01
publisher Remedium Group LTD
record_format Article
series Амбулаторная хирургия
spelling doaj-art-46e294fb816240cb8d0a557e335e86962025-08-20T02:17:37ZrusRemedium Group LTDАмбулаторная хирургия2712-87412782-25912023-05-0120118519210.21518/akh2023-008302Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatmentA. I. Chernookov0M. R. Kuznetsov1N. Yu. Korobova2S. I. Kandyba3A. A. Atayan4A. A. Ramazanov5E. N. Belykh6A. M. Nikolaev7A. Z. Pshmakhova8Russian Biotechnological University (ROSBIOTECH)Sechenov First Moscow State Medical University (Sechenov University)Phlebology CenterMain Clinical Hospital named after Academician N.N. BurdenkoSechenov First Moscow State Medical University (Sechenov University)Clinical Center for Restorative Medicine and RehabilitationSechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Russian Biotechnological University (ROSBIOTECH)Introduction. The wide prevalence of varicose veins of the lower extremities and relapses of this disease causes a frequent combination of this pathology with other surgical and traumatological diseases. The expediency of using simultaneous operations is manifested in their obvious economic advantages.Objective. To substantiate the expediency and effectiveness of simultaneous laser thermal obliteration of recurrent veins of the lower extremities and Baker’s cyst.Materials and methods. 9 patients with recurrent varicose veins and Baker’s cyst were operated on. Of these, there were 7 (77.8%) women and 2 (22.2%) men, the average age was 52.8 ± 0.2 years. The average duration of the incidence of varicose veins was 14.1 ± 0.3 years, Baker’s cyst – 3.5 ± 0.1 years. As planned, patients underwent simultaneous laser endovenous coagulation of recurrent veins and intracavitary thermal obliteration of Baker’s cyst.Results. There were no complications, the duration of operations was 40.3 ± 0.4 minutes. The intensity of the pain syndrome in 6–8 hours after surgery was 4.1 ± 0.2 points. On the 10th day, no pain was observed in any patient. The duration of pain was 7.8 ± 0.4 days. Long-term results were studied 12–16 months after completion of treatment in 9 (100%) patients. Recurrent varicose veins were not detected. In 8 (88.9%) patients, complete obliteration of Baker’s cyst was established.Conclusions. Reliable obliteration of Baker’s cyst and recurrent varicose veins, 100% technical success, disappearance of clinical symptoms of this pathology, absence of relapses of both diseases in 8 (88.9%) patients after 12-16 months indicates high efficiency and indisputable prospects of such an approach to the treatment of this category of patients. However, the study is based on a small number of observations, so further accumulation of experience is required to generalize the results of the study.https://www.a-surgeon.ru/jour/article/view/362varicose diseasebaker’s cystendovenous coagulationthermal obliterationvisual analog scale
spellingShingle A. I. Chernookov
M. R. Kuznetsov
N. Yu. Korobova
S. I. Kandyba
A. A. Atayan
A. A. Ramazanov
E. N. Belykh
A. M. Nikolaev
A. Z. Pshmakhova
Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment
Амбулаторная хирургия
varicose disease
baker’s cyst
endovenous coagulation
thermal obliteration
visual analog scale
title Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment
title_full Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment
title_fullStr Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment
title_full_unstemmed Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment
title_short Simultaneous laser obliteration of recurrent veins and Baker’s cyst: indications, technique, results of treatment
title_sort simultaneous laser obliteration of recurrent veins and baker s cyst indications technique results of treatment
topic varicose disease
baker’s cyst
endovenous coagulation
thermal obliteration
visual analog scale
url https://www.a-surgeon.ru/jour/article/view/362
work_keys_str_mv AT aichernookov simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT mrkuznetsov simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT nyukorobova simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT sikandyba simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT aaatayan simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT aaramazanov simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT enbelykh simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT amnikolaev simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment
AT azpshmakhova simultaneouslaserobliterationofrecurrentveinsandbakerscystindicationstechniqueresultsoftreatment