Year 2009 Vol. 17 No 2

GENERAL AND SPECIAL SURGERY

KONSTANTINOVA G.D., DONSKAYA E.D.

SCLEROSURGERY AS UP-TO-DATE TECHNOLOGY OF THE LOWER LIMBS VARICOSITY TREATMENT

The methods of the sclerosurgical treatment of the lower limbs varicosity are presented in the article. The authors grounding on their own experience of the subcutaneous veins trunks of the lower limbs scleroobliteration performed in 3000 patients describe the technology of its carrying-out; they distinctly determine all indications and contra-indications to its use. On the basis of the distant result study advantages and disadvantages of sclerosurgical treatment are presented. Shortening of surgical intervention duration, minimal number of scars, almost painless post-operative period, restoration of the capacity for work 12 weeks after the first stage of treatment are the main advantages. Necessity to carry out post-operative sclerotherapy may be referred to the negative aspects of treatment.
Sclerosurgical treatment is indicated to the majority of patients with varicosity. It has significant advantages in comparison with classic radical veinectomy. The indication to the intra-operative trunk scleroobliteration is valve insufficiency of the large and/or small subcutaneous veins at width of the vein lumen not more than 8 mm. Intra-operative scleroobliteration of the large subcutaneous vein trunk isnt indicated when there are conditions impeding effective post-operative hip compression.

Keywords: varicosity, sclerosurgery, intra-operative scleroobliteration, echosclerotherapy
p. 32 - 37 of the original issue
References
  1. Kaeseberg, U. Segmental Sclerosing or Stripping in Outpatient Treatment / U. Kaeseberg // XII Wordl Congress Union Internationale de Phlebologie. London, 1995. P. 521-523.
  2. / . . . . : , 2006. 188 .
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