The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein
Purpose of the study. Comparative evaluation of the results of treatment of patients with varicose veins (VVs) in stage C6, with the valve incompetence of the trunks of GSV and ASSV in one lower limb, by traditional venectomy and radiofrequency ablation (RFA). Materials and methods. The study was...
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Zaporizhzhia State Medical and Pharmaceutical University
2021-04-01
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| Series: | Сучасні медичні технології |
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| Online Access: | https://zmapo-journal.com/index.php/journal/article/view/12 |
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| author | O. V. Sokolov |
| author_facet | O. V. Sokolov |
| author_sort | O. V. Sokolov |
| collection | DOAJ |
| description | Purpose of the study. Comparative evaluation of the results of treatment of patients with varicose veins (VVs) in stage C6, with the valve incompetence of the trunks of GSV and ASSV in one lower limb, by traditional venectomy and radiofrequency ablation (RFA).
Materials and methods. The study was conducted on the basis of MI «RCH n.a. І.І. Mechnikov», MNE «CCH №16» DCC and MC «JMC Menorah» from 2010 to 2020 yy. Included 43 patients: women – 29 (67,4%), men – 14 (32,6%). Age – from 29 to 74 years (average – 52,7 ± 10,8 years). Patients are divided into 2 groups. The I group (n = 22) included patients who underwent traditional venectomy of GSV and ASSV, the II group (n = 21) – patients who underwent RFA under local anestesia. The observation lasted 12 months.
Results. The average area of ulcers ranged from 1 to 12 cm2. The average area of ulcers in group I was 6,3 ± 3,1 cm2, in group II – 6,2 ± 2,7 cm2. Complete epithelialization of ulcers occurred faster with the use of RFA (group II) – 38,1 ± 5,7 days against 44,7 ± 6,2 days in group I. After 3 months. the number of healed ulcers in group I. was 20 (83,3%), in II – 24 (96,0%). Ulcer recurrence one year after surgery occurred in 4 (5,6%) patients of group I, in group II there were no recurrences. After 6 months the difference between the severity of CVI (VSS) was 10,5 ± 2,8 points in group I and 13,9 ± 2,2 points in group II.
Conclusions. 1. Surgical treatment of VVs at unilateral defeat of GSV and ASSV with use of RFA differs in the better profile of a postoperative pain syndrome, less traumatism, has the best indicators of recovery in comparison with a traditional venectomy. 2. Treatment with RFA in comparison with traditional phlebectomy one year after surgery had an advantage in the number of recurrences of trophic ulcers |
| format | Article |
| id | doaj-art-afde0fb443c64496b62428f60d394cc2 |
| institution | DOAJ |
| issn | 2072-9367 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
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| series | Сучасні медичні технології |
| spelling | doaj-art-afde0fb443c64496b62428f60d394cc22025-08-20T02:52:02ZengZaporizhzhia State Medical and Pharmaceutical UniversityСучасні медичні технології2072-93672021-04-011(48)596610.34287/MMT.1(48).2021.1012The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous veinO. V. Sokolov0State institution «Dnipropetrovsk medical academy of the ministry of health of Ukraine»Purpose of the study. Comparative evaluation of the results of treatment of patients with varicose veins (VVs) in stage C6, with the valve incompetence of the trunks of GSV and ASSV in one lower limb, by traditional venectomy and radiofrequency ablation (RFA). Materials and methods. The study was conducted on the basis of MI «RCH n.a. І.І. Mechnikov», MNE «CCH №16» DCC and MC «JMC Menorah» from 2010 to 2020 yy. Included 43 patients: women – 29 (67,4%), men – 14 (32,6%). Age – from 29 to 74 years (average – 52,7 ± 10,8 years). Patients are divided into 2 groups. The I group (n = 22) included patients who underwent traditional venectomy of GSV and ASSV, the II group (n = 21) – patients who underwent RFA under local anestesia. The observation lasted 12 months. Results. The average area of ulcers ranged from 1 to 12 cm2. The average area of ulcers in group I was 6,3 ± 3,1 cm2, in group II – 6,2 ± 2,7 cm2. Complete epithelialization of ulcers occurred faster with the use of RFA (group II) – 38,1 ± 5,7 days against 44,7 ± 6,2 days in group I. After 3 months. the number of healed ulcers in group I. was 20 (83,3%), in II – 24 (96,0%). Ulcer recurrence one year after surgery occurred in 4 (5,6%) patients of group I, in group II there were no recurrences. After 6 months the difference between the severity of CVI (VSS) was 10,5 ± 2,8 points in group I and 13,9 ± 2,2 points in group II. Conclusions. 1. Surgical treatment of VVs at unilateral defeat of GSV and ASSV with use of RFA differs in the better profile of a postoperative pain syndrome, less traumatism, has the best indicators of recovery in comparison with a traditional venectomy. 2. Treatment with RFA in comparison with traditional phlebectomy one year after surgery had an advantage in the number of recurrences of trophic ulcershttps://zmapo-journal.com/index.php/journal/article/view/12varicose veinsvenectomyradiofrequency ablationtrophic ulcers |
| spellingShingle | O. V. Sokolov The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein Сучасні медичні технології varicose veins venectomy radiofrequency ablation trophic ulcers |
| title | The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein |
| title_full | The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein |
| title_fullStr | The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein |
| title_full_unstemmed | The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein |
| title_short | The use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein |
| title_sort | use of various technologies in the surgical treatment of decompensated forms of varicose veins of the lower extremities with unilateral valvular incompetence of the great saphenous and anterior accessory saphenous vein |
| topic | varicose veins venectomy radiofrequency ablation trophic ulcers |
| url | https://zmapo-journal.com/index.php/journal/article/view/12 |
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