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Khirurgii

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Year 2007 Vol. 15 No 3

MODERN DIAGNOSTICS AND THERAPY

CHUR S.N., GRISHIN I.N., SHVED I.A., VLADIMIRSKAYA T.E.

ENDOVENOUS LASER COAGULATION OF VEINS IN COMLEX TREATMENT OF THE LOWER LIMBS TROPHIC ULCERS

The results of hypodermic veins laser coagulation in the experiment on animals, and also influences of laser radiation on the paravasal tissue are presented in this article. The basic coagulation parameters of the 3-channel laser apparatus MUL-1 are defined. The analysis of laser technology clinical application in complex treatment of trophic ulcers in 82 patients (the main group) in comparison with the control group (130 patients), who were operated on by standard techniques, is given. It is established, that application of laser coagulation allows to reduce operational trauma significantly, to shorten the duration of operative intervention in 3 times, to cut down duration of hospitalization more than in 2 times, to lower considerably the risk of purulent-necrotic complications.

Keywords: trophic ulcer, endovenous laser coagulation, extended lateral inflows, perforans, chronic venous insufficiency.
p. 35 - 44 of the original issue
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