scholarly journals OUTCOMES OF SURGICAL TREATMENT FOR PULMONARY EMBOLISM FOLLOWING PHLEBOLOGIC INTERVENTIONS

2021 ◽  
Vol 14 (3) ◽  
pp. 50-57
Author(s):  
SERGEY A. FEDOROV ◽  
◽  
ALEXANDER P. MEDVEDEV ◽  
SERGEY A. ZHURKO ◽  
ILDAR V. ABDULYANOV ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Surgical Treatment ◽  
Varicose Vein ◽  
Lower Extremities ◽  
Vein Disease

The aim of the study was to analyze the outcomes of surgical treatment for pulmonary embolism in the group of patients previously operated on for varicose vein disease of the lower extremities.

scholarly journals OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH A VARICOSE VEIN DISEASE OF THE LOWER EXTREMITIES

2020 ◽  
pp. 99-101
Author(s):  
K. Y. Parkhomenko ◽  
K. E. Payunov ◽  
S. M. Diahiliev ◽  
A. G. Drozdova ◽  
V. P. Kolesnik ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Varicose Vein ◽  
Comparison Group ◽  
Varicose Veins ◽  
Lower Extremities ◽  
Invasive Technique ◽  
Duration Of Treatment ◽  
Surgical Department ◽  
Commercial Enterprise ◽  
Vein Disease

Summary. The aim of the study — to improve the results of surgical treatment of patients with a varicose vein disease of the lower extremities by using a minimally invasive technique such as endovasal endowelding. Matherials and Methods of the study. The results of surgical treatment of 82 patients with varicose veins of the lower extremities who were treated in the surgical department of the Municipal non-commercial enterprise of the Kharkov regional council «Regional Clinical Hospital», from 2015 to 2020 were analyzed. All patients were divided into two groups: the main (43 patients) and the comparison group (39 patients). The main group consisted of patients, in the treatment of which the method of endovasal endowelding was used. These patients were treated in 2017–2020. The comparison group consisted of patients who were operated on by performing a combined venectomy in 2015–2017. Results of the study. In patients treated with the endovasal endowelding technique, there is a decrease in the frequency of postoperative complications and the duration of treatment in the surgical department. Conclusions. The study proves the feasibility of using endovasal endowelding in the surgical treatment of patients with varicose veins of the lower extremities.

scholarly journals A perioperative phlebotropic therapy compliance study in patients with varicose veins

2020 ◽  
pp. 81-88
Author(s):  
S. N. Zhabin ◽  
A. A. Shitikov ◽  
A. V. Tsukanov ◽  
E. G. Obedkov ◽  
S. S. Dudchenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lower Extremity ◽  
Varicose Vein ◽  
Conservative Therapy ◽  
Varicose Veins ◽  
Laser Coagulation ◽  
Entire Study ◽  
Wide Range ◽  
Vein Disease

Introduction: Lower extremity varicose vein disease is one of the common problems in vascular surgery. Clinically, this disease is accompanied by a wide range of complaints and external symptoms, which eventually lead to a worse patients’ quality of life. The integrated approach is being applied to the disease treatment, which involves the use of various phlebotropic drugs as conservative therapy along with minimally invasive surgical correction and sclerotherapy.Objective: to improve the quality of phlebotropic therapy for patients with lower extremity varicose vein disease, based on the study of factors that shape the patient’s compliance with the effective treatment of clinical symptoms. The term «compliance» means the precise and informed implementation of the doctor’s recommendations during the treatment by the patient. Most often, «compliance» is assessed by the drug use index, which is the quotient of dividing the number of days on which the full dose of the drug was taken by the duration of the entire study period. Materials and methods: The analysis of 368 + 111 patients with lower extremity varicose vein disease was carried out. Of these, 111 patients turned out to be beyond the correct study of compliance (a phlebectomy was performed in a hospital). 368 patients were divided into the following groups: Group 1: the patients, who were assigned modern surgical treatment of varicose veins (endovenous laser coagulation, scleroobliteration); Group 2: the patients, who withdrew from assigned interventions. As it turned out, the different groups of patients differed in compliance.Results. The patients who were shown and performed surgical treatment – 320 (86.9%), can be considered highly compliant with the prescribed conservative therapy – the average value of the compliance index is 0.83, compared to the representatives who refused to perform the recommended surgical procedures recommended by them – 48 (13.1%), the compliance index is 0.78.In the course of the investigation, the factors shaping compliance with phlebotropic drugs were identified, a comparative assessment was carried out on the main indicators of the effectiveness of phlebotropic drugs.Conclusion. Thus, the compliance of the patients suffering from LEVVV during the treatment with phlebotropic drugs varies depending on the multiplicity and convenience of the form of the drug, on the effectiveness of the proposed phlebotropic therapy according to the influence on the complaints and symptoms, on the psychological readiness of the patient to entrust the result of the final treatment of the disease to the surgeon.

scholarly journals Comparison of results of treatment varicose vein disease using a method of endovenous laser oblitetation with radial light guide and combined phlebectomy

2017 ◽  
Vol 16 (1) ◽  
pp. 16-20
Author(s):  
A. N. Galileeva ◽  
M. A. Parikov ◽  
V. B. Karpovich ◽  
A. A. Kotslova ◽  
V. V. Davydenko
Keyword(s):  
Quality Of Life ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Lower Extremities ◽  
Term Efficacy ◽  
Results Of Treatment ◽  
Radial Fiber ◽  
Vein Disease

We compare the short- and long-term efficacy of endovenous laser oblitetation (EVLO) using a radial fiber with radial emission versus combined phlebectomy for the surgical treatment of varicose vein disease of the lower extremities. Participated 58 patients (46 females, 12 males) with ages ranging between 24 and 75 years with varicose vein disease of the lower extremities affecting the great saphenous vein (GSV) were prospectively enrolled in this observational trial. Patients were randomized to receive either combined phlebectomy - first group - 29 patients (33 extremities) or endovenous laser obliteration using a radial fiber-second group - 29 patients (36 extremities). A total of 69 extremities with functional classes C2 - 28 (40.58 %) cases, C3 - 30 (43.48 %) cases and C4 - 11 (15.94 %) cases according to CEAP classification were treated. Post-treatment CIVIQ-2 Questionnaire and VCSS scale, physical examination, duplex angioscan was conducted at 1st day, 1 week, 12 and 36 months later. The frequency of recurrence was assessed at one and three years after the surgery. 2nd group is characterized by higher quality of life in postoperative period. 100 % ablation in group with EVLO and 93.1 % - with combined phlebectomy. The frequency of recurrence presenting with new visible varicose veins was noted through 3 year in 8 patients (9 extremities) (34 %) from first group and in 4 patients (6 extremities) (21 %) from the second of 80 % examined patients. Endovenous laser obliteration has significant advantages in short-term efficacy: lower post-procedure pain, quicker rehabilitation period, possibility to carry out in outpatient settings, higher quality of life in long-term efficacy, lower frequency of recurrence.

Varicose Veins in Pregnancy: A Health Professional's Questionnaire

2001 ◽  
Vol 16 (4) ◽  
pp. 164-166
Author(s):  
L. B. Coughlin ◽  
R. Gandy ◽  
S. Rosser ◽  
L. de Cossart
Keyword(s):  
Surgical Treatment ◽  
Family History ◽  
Pregnant Women ◽  
Varicose Vein ◽  
Health Professionals ◽  
Varicose Veins ◽  
Postal Questionnaire ◽  
Factors Associated ◽  
Vein Disease ◽  
In Pregnancy

Objective: To acertain the knowledge of varicose vein disease amongst health professionals dealing with pregnant women. Method: Postal questionnaire survey. Results: General practitioners (GPs) and midwives estimated an incidence of varicose veins in pregnancy of 20-50%. Factors associated with varicose veins included second and subsequent pregnancies, thrombophlebitis, family history and obesity, although obesity was thought to be less of an association by the vascular surgeons (57%). Half the respondents linked varicose veins to deep venous thrombosis. Support hosiery is the main management, with 10% of obstetricians asking for a vascular surgeon's opinion, but never vice versa. Surgical treatment was recommended on family completion but 38% of vascular surgeons will consider surgery between pregnancies. Eighty per cent of GPs and 91% of midwives would welcome guidelines. Fifty-seven per cent of vascular surgeons stated that they already have guidelines although these are the professionals least likely to deal with pregnant women. Conclusion: Knowledge amongst health professionals of varicose vein disease in pregnancy is generally good. However, guidelines would be welcomed.

PATHOPHYSIOLOGICAL AND PATHOMORPHOLOGICAL ASPECTS OF RELAPSE OF VARICOSE VEINS AFTER ENDOVASCULAR LASER VEIN COAGULATION

2020 ◽  
Vol 73 (11) ◽  
pp. 2468-2475
Author(s):  
Volodymyr B. Goshchynsky ◽  
Bogdan O. Migenko ◽  
Svitlana S. Riabokon
Keyword(s):  
Endothelial Dysfunction ◽  
Postoperative Period ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Lower Extremities ◽  
Venous System ◽  
Circulating Endothelial Cells ◽  
Electron Microscopic ◽  
Deep Venous System ◽  
Vein Disease

The aim: With the help of biochemical and morphological methods of investigation to identify the causes of a false postoperative recurrence of varicose veins after the EVLC. Materials and methods: In 173 patients with varicose veins of the lower extremities, the level of markers of endothelial dysfunction was determined: P-selectin, E-selectin, tissue plasminogen activator, endothelin-1, adhesion molecules of type 1 vascular endothelium (sVCAM-1-soluble vascularcellularmolecula), circulating endothelial cells (CEC) before surgery (EVLC), on the 10th and 60th day of the postoperative period.At the same time, a morphological and electron microscopic examination of the state of the deep venous system in 31 patients with varicose vein disease of the lower extremities who died from acute heart failure, was performed. Results: Increased values of markers of endothelial dysfunction in patients with varicose veins of the lower extremitiesbefore surgery of EVLC were established. We found that, despite the operation, the parameters of endothelial dysfunction decrease, but in the remote postoperative period do not come to the norm. Morphological and electron microscopic studies of the deep vein wall revealed pathomorphological changes in all of their layers, especially the endothelial layer. At the heart of the development of endothelial dysfunction in the postoperative period, the leading role belongs to changes in mitochondria. Conclusions: 1. Based on our research, we can state that there are significant pathomorphological and pathophysiological changes in the deep venous system of the lower extremities in conditions of varicose vein disease. 2. The initiator of postoperative relapse of varicose veins are structural changes in the wall of deep veins with a violation of the integrity of the endothelial lining, contributing to the absorption of plasma and leukocyte contents from the blood stream in the interstitium, with the following pathological changes in the layers of deep veins.Such changes are the basis for the manifestations of endothelial dysfunction in the postoperative period.

An approach to the surgical treatment of pulmonary embolism

JAMA ◽  
1966 ◽  
Vol 196 (1) ◽  
pp. 11-16 ◽  
Author(s):  
R. W. Frater
Keyword(s):  
Pulmonary Embolism ◽  
Surgical Treatment
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