THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS

OBJECTIVE. The aim of the research was to compare the influence of the endovenous laser coagulation (EVLC) on the pulmonary system with the performing of the Troyanov–Trendelenburg operation and without it. MATERIAL AND METHODS. We performed 108 endovenous laser coagulation for 16 patients without g...

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Main Authors: R. A. Akhadov, A. B. Sazonov, K. V. Kitachev, V. V. Sizenko, G. G. Khubulava
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-02-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/823
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author R. A. Akhadov
A. B. Sazonov
K. V. Kitachev
V. V. Sizenko
G. G. Khubulava
author_facet R. A. Akhadov
A. B. Sazonov
K. V. Kitachev
V. V. Sizenko
G. G. Khubulava
author_sort R. A. Akhadov
collection DOAJ
description OBJECTIVE. The aim of the research was to compare the influence of the endovenous laser coagulation (EVLC) on the pulmonary system with the performing of the Troyanov–Trendelenburg operation and without it. MATERIAL AND METHODS. We performed 108 endovenous laser coagulation for 16 patients without great saphenous vein trunk dressing and for 92 patients with dressing. The Russian portable laser device «Diolan» was used for the endovenous laser coagulation, wavelength of 980 nm, capacity of 16–20 watts. An intraoperative transesophageal echocardiography was carried to 12 patients to visualize heart chambers in the moment of the laser exposure. RESULTS. The patients without Troyanov–Trendelenburg operation had massive inflow of gas bubbles and detritus into pulmonary system during the endovenous laser coagulation. CONCLUSION. The obtained results showed the qualitative and quantitative differences in the character of the substrate entering the heart and the pulmonary system.
format Article
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issn 0042-4625
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publishDate 2018-02-01
publisher Pavlov First Saint Petersburg State Medical University
record_format Article
series Вестник хирургии имени И.И. Грекова
spelling doaj-art-cae1cbdaef6d4cb6b0eac5a985356e1d2025-08-20T03:02:10ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-02-011771161910.24884/0042-4625-2018-177-1-16-19812THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBSR. A. Akhadov0A. B. Sazonov1K. V. Kitachev2V. V. Sizenko3G. G. Khubulava4S. M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint-PetersburgS. M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint-PetersburgS. M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint-PetersburgS. M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint-PetersburgS. M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint-PetersburgOBJECTIVE. The aim of the research was to compare the influence of the endovenous laser coagulation (EVLC) on the pulmonary system with the performing of the Troyanov–Trendelenburg operation and without it. MATERIAL AND METHODS. We performed 108 endovenous laser coagulation for 16 patients without great saphenous vein trunk dressing and for 92 patients with dressing. The Russian portable laser device «Diolan» was used for the endovenous laser coagulation, wavelength of 980 nm, capacity of 16–20 watts. An intraoperative transesophageal echocardiography was carried to 12 patients to visualize heart chambers in the moment of the laser exposure. RESULTS. The patients without Troyanov–Trendelenburg operation had massive inflow of gas bubbles and detritus into pulmonary system during the endovenous laser coagulation. CONCLUSION. The obtained results showed the qualitative and quantitative differences in the character of the substrate entering the heart and the pulmonary system.https://www.vestnik-grekova.ru/jour/article/view/823varicose veinstroyanov–trendelenburg operationgreat saphenous veindevice «diolan»laserotherapytransesophageal echocardiographyembolism
spellingShingle R. A. Akhadov
A. B. Sazonov
K. V. Kitachev
V. V. Sizenko
G. G. Khubulava
THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS
Вестник хирургии имени И.И. Грекова
varicose veins
troyanov–trendelenburg operation
great saphenous vein
device «diolan»
laserotherapy
transesophageal echocardiography
embolism
title THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS
title_full THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS
title_fullStr THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS
title_full_unstemmed THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS
title_short THE PREVENTION OF PULMONARY EMBOLISM FOLLOWING ENDOVENOUS LASER COAGULATION OF VARICOSE VEINS OF THE LOWER LIMBS
title_sort prevention of pulmonary embolism following endovenous laser coagulation of varicose veins of the lower limbs
topic varicose veins
troyanov–trendelenburg operation
great saphenous vein
device «diolan»
laserotherapy
transesophageal echocardiography
embolism
url https://www.vestnik-grekova.ru/jour/article/view/823
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