Year 2006 Vol. 14 No 3



The aim of the work was to study the possibility of posterior tibial veins remote occlusion application for trophic ulcer of venous genesis treatment.
54 patients with chronic venous insufficiency of the lower limbs who have trophic ulcers were included in the research. All the patients were operated on. The plan before the operation presupposed conducting of isolated posterior tibial veins occlusion by means of catgut in the region of trophic disturbances. The process of intervention and the character of post-operative period were analyzed. To evaluate the effectiveness of the operative treatment, the patients were examined after 1-1,5 months. By that time trophic ulcers had healed in 93,7% patients.
The obtained results have shown that carrying out distant occlusion of posterior tibial veins contributes to rapid trophic ulcer of venous genesis healing. The given operation is pathogenetically proved because it affords to liquidate retrograde blood flow along posterior tibial and incompetent perforate veins in the lower third of the shin. Combination of distant occlusion with autodermaplasty helps to reach large ulcers healing. It can be regarded as the phase of complex operative treatment of the patients with trophic ulcers of venous genesis.

Keywords: chronic venous insufficiency, trophic ulcers, operative treatment, perforant veins, posterior tibial veins, distant occlusion
p. 17 - 22 of the original issue
  1. Флебология: руководство для врачей / В.С. Савельев [и др.]; под ред. В.С. Савельева. М.: Медицина, 2001. 664 с.
  2. Medical costs of treating venous stasis ulcers: evidence from a retrospective cohort study / J.W. Olin [et al.] // Vasc.Med. 1999. Vol.4, №1. P.1-7.
  3. Elder, D.M. Venous disease: how to heal and prevent chronic leg ulcers / D.M. Elder; K.E. Greer // Geriatrics. 1995. Vol.50, №8. P.30-36.
  4. Ruckley, C.V. Socioeconomic impact of chronic venous insufficiency and leg ulcers / C.V. Ruckley // Angiology. 1997. Vol.48, №1. P.67-69.
  5. Carpentier, P. Epidemiology of chronic venous insufficiency / P. Carpentier, P. Priollet // Presse.Med. 1994. Vol.23, №5. P.197-201.
  6. Allegra, C. Chronic venous insufficiency: the effects of healf-care reforms on the cost of treatment and hospitalization-an Italian perspective / C. Allegra // Current Medical Res.Opinion. 2003. Vol.19, №8. P.761-769.
  7. Socio-economic impact of chronic venous insufficiency. An underestimated public health problem / R. Van den Oever [et al.] // Int. Angiol. 1998. Vol.17, №3. P.161-167.
  8. Гришин, И.Н. Варикоз и варикозная болезнь нижних конечностей / И.Н. Гришин, В.Н. Подгайский, И.С. Старосветская. – Мн.: Выш.шк., 2005.– 253 с.
  9. Патогенез и хирургическое лечение при трофических язвах нижних конечностей на почве варикозной болезни / Б.С. Суковатых [и др.] // Вестник хирургии. 2000. №3. С.25-30.
  10. Возможности эндоскопической хирургии в лечении декомпенсированных форм хронической венозной недостаточности нижних конечностей / В.А. Лазаренко [и др.] // Вестник хирургии. 2005. №3. С.10-14.
  11. Endoscopic perforating vein surgery. Review of the literature and personal experience / F. D’Angelo [et al.] // Minerva Chir. 2001. Vol.56, № 4. P.365-381.
  12. Веденский, А.Н. Новый способ коррекции патологического кровотока в венах голени / А.Н.Веденский // Вестник хирургии. 1988. №4. С.143-144.
  13. Патогенетическое обоснование объёма и технология хирургической коррекции нарушений мышечно-венозной помпы нижних конечностей у больных с декомпенсированными формами варикозной болезни / Б.С. Суковатых [и др.] // Вестник хирургии 1999. №5. C. 27-30.
  14. Ошибки, опасности и осложнения в хирургии вен: руководство для врачей / под ред.Ю.Л.Шевченко. СПб: Питер Ком, 1999. 320 с.
  15. Аутовенозная обтурация заднеберцовых вен в комплексном хирургическом лечении хронической венозной недостаточности: методические рекомендации / К.Г. Абалмасов [и др.]; под ред. акад. РАМН Л.А. Бокерия. М.: Изд-во НЦССХ им А.Н.Бакулева РАМН, 2002. 12 с.
Contacts | ©Vitebsk State Medical University, 2007-2023