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№1' 2016
SURGERYInternational Medical Journal, Vol. 22., Iss. 1, 2016, P. 30−34.
MINIMALLY INVASIVE TECHNIQUES IN SURGICAL TREATMENT FOR VARICOSE VEINS OF LOWER EXTREMITIES
V. T. Zaytsev Institute of General and Emergency Surgery, Ukraine
National Academy of Medical Science of Ukraine, Ukraine
Despite significant advances made in treatment of varicose veins of the lower extremities and chronic venous insufficiency, a problem of diagnosis and treatment of this disease is important. This is due to the high prevalence and high rate of relapse, increasing its frequency and the presence of complicated forms of the disease, leading to long−term disability. In addition, varicose disease is characterized by a decrease in the quality of life of patients resulting from cosmetic and functional changes. Various forms of the disease occur in 26−38 % of women and 10−20 % of men of working age. Its annual growth in industrialized countries is 2.6 % among women and 1.9 % among men. At present a promising methods of treatment of varicose veins is compression sclerotherapy. In recent years, «foam−form» sclerotherapy has become the main method of vein sclerosis, i.e. sclerosis using the foamed drug. The information about it appeared in English literature at the beginning of the century. Its undeniable advantage is its close contact with the walls of the veins sclerotherapy with displacement from the latter the blood injected with the foam. Minimally invasive and high efficiency techniques have allowed many phlebologists to put it to the forefront of treatment of varicose veins. However, development of international criteria for application of «foam−form» sclerotherapy contributes to its highly efficient use in certain ways and at certain stages of development of varicose veins. Not all patients can be carried out stripping of the varices. Elderly patients or those with concomitant diseases such as diabetes, obesity, the history of deep−vein thrombosis, the presence of venous ulcers are indicated an alternative method. The indications for «foam−form» techniques were determined by the recent consensus on sclerotherapy, and can be recommended for widespread use in treatment of varicose veins. Today is a full sclerotherapy treatment of varicose veins. Though surgical correction of hemodynamics at certain stages of chronic venous insufficiency of the lower limbs is the main method, this technique can be used in the complex of measures at various manifestations of this disease.
Key words: varicose veins, sclerotherapy, ultrasound duplex scanning.