Selection of Treatment Techniques for Lower Extremity Varicose Vein Disease

The article deals with available literature analysis, as well as authors’ own clinical observations concerning treatment of varicose vein disease. The article presents traditional surgery and endovascular methods of treatment and emphasizes that no technique has been recognized as universally applicable. The issue of reducing postoperative trauma, as well as shortening hospitalization and rehabilitation periods remains topical. Vein removal or any other way of excluding it from blood circulation has to be aimed only at areas with abnormalities in the area with venous reflux confirmed by ultrasonography. Such approach enables preserving autograft, indispensable in cardiovascular surgery. Nowadays, classical combined phlebectomy is replaced by endovascular techniques. The reason is that it is less traumatic, has a good aesthetic effect and a shorter rehabilitation period. Laser coagulation proves to become a priority trend in treating varicose vein disease, as an instrument of so-called “office surgery” when patients can leave the medical center on their own and proceed with their usual activities in a short time. All known treatment techniques should not be considered as rivals. Combination of various treatment techniques with consideration to their peculiarities makes it possible to achieve better clinic results than when aiming at a single technique. The main criterion to choose a treatment technique is preoperative vascular ultrasonography, which determines anatomic and morphological peculiarities of varicose vein disease, special features of hemodynamic disorders and helps select an optimal treatment option.

Download Full-text

A perioperative phlebotropic therapy compliance study in patients with varicose veins

Ambulatory surgery hospital-replacing technologies ◽

10.21518/1995-1477-2020-1-2-81-88 ◽

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.

Download Full-text

Ways of Improvement of Safety and Efficiency of Endovenous Laser Coagulation in Treatment of Lower Limb Varicose Vein Disease

Galician Medical Journal ◽

10.21802/gmj.2016.3.33 ◽

2016 ◽

Vol 23 (3) ◽

Author(s):

Roman Kohan ◽

Volodymyr Goshchynsky

Keyword(s):

Mathematical Model ◽

Laser Radiation ◽

Varicose Vein ◽

Lower Limb ◽

Linear Density ◽

Varicose Veins ◽

Laser Coagulation ◽

Light Pipe ◽

The Mathematical Model ◽

Vein Disease

Nowadays endovenous laser coagulation is the priority method of treatment of lower limb varicose vein disease. However, there are a number of specific complications that reduce efficiency of its usage.The objective of the research was to decrease specific postoperative complications after endovenous laser coagulation due to the introduction of its mathematical design.Materials and methods. The study included 168 patients with lower limb varicose vein disease. Prior to surgery the mathematical calculation of the basic parameters of laser coagulation such as density of laser irradiation and rate of reverse movement of the light pipe depending on the diameter of varicose veins was made. The control group consisted of 146 patients with varicose vein disease; the aforementioned parameters were established according to the instruction of using a laser device.Results. The analysis of complications such as induration of skin over coagulase great or small saphenous vein, phlebitis in the projection of the great or small saphenous vein, ecchymosis or dermatomelasma in the early postoperative period, pain syndrome showed the reduction in the number of complications while applying the mathematical model of calculation of linear density of laser radiation and the speed of reverse traction of the light pipe with its transfer to the graphic image.Conclusions. The application of the mathematical model of calculation of linear density of laser radiation and the speed of reverse traction of the light pipe with its transfer to the graphic image allows us to improve the results of endovenous laser coagulation for varicose veins due to the reduction in specific complications.

Download Full-text

Duplex Power Phlebography (DPP): Guideline in Management of Varicose Vein Disease

European Journal of Ultrasound ◽

10.1016/s0929-8266(97)87237-0 ◽

1997 ◽

Vol 6 ◽

pp. S21-S22

Author(s):

T Alekperova

Keyword(s):

Varicose Vein ◽

Vein Disease

Download Full-text

Removal of Toxic Elements and Microbial Contaminants from Groundwater Using Low-Cost Treatment Options

Current Pollution Reports ◽

10.1007/s40726-021-00187-3 ◽

2021 ◽

Author(s):

Dana A. Da’ana ◽

Nabil Zouari ◽

Mohammad Y. Ashfaq ◽

Mohammed Abu-Dieyeh ◽

Majeda Khraisheh ◽

...

Keyword(s):

Cost Analysis ◽

Toxic Elements ◽

Low Cost ◽

Treatment Technique ◽

Groundwater Treatment ◽

Efficient Treatment ◽

Treatment Techniques ◽

Cost Treatment ◽

Treatment Technologies ◽

Microbial Contaminants

Abstract Purpose of Review This paper reviews various low-cost treatment techniques such as adsorption, permeable reactive barrier, and biological techniques for the simultaneous removal of chemical and microbial contaminants from groundwater and discusses treatment mechanisms of different treatment techniques. This paper also discusses the challenges of groundwater treatment, how to choose the appropriate treatment technique, and cost analysis of groundwater treatment. Recent Findings Various treatment technologies have been used for the treatment of groundwater: physical, chemical, and biological technologies with different success rates. In the literature, various adsorbents have been successfully synthesized from low-cost and environmentally friendly materials. Adsorption is considered an efficient treatment technique for the removal of both toxic elements and pathogens by utilizing different adsorbents. For example, the nanostructures of MgO with a BET surface area of up to 171 m2/g obtained a very high adsorption capacity of 29,131 mg/g for fluoride ions in water, while the incorporation of iron in activated carbon has improved its adsorption capacity to 51.3 mg/g for arsenic. Moreover, certain adsorbents have shown the capability to remove 99% of the rotavirus and adenovirus from groundwater. Summary Groundwater resources are contaminated with toxic metals and pathogens. Therefore, water treatment technologies should be evaluated for their efficiency to remove such contaminants. Determination of the most cost-effective and efficient treatment technique is not an easy task and requires the understanding of various aspects such as the contaminants present in water, the reuse options considered, and cost analysis of the treatment technique.

Download Full-text

Endovenous laser ablation for the treatment of recurrent varicose vein disease – A single centre experience

International Journal of Surgery ◽

10.1016/j.ijsu.2010.02.012 ◽

2010 ◽

Vol 8 (4) ◽

pp. 299-301 ◽

Cited By ~ 6

Author(s):

N. Nwaejike ◽

P.D. Srodon ◽

C. Kyriakides

Keyword(s):

Laser Ablation ◽

Varicose Vein ◽

Single Centre ◽

Endovenous Laser Ablation ◽

Single Centre Experience ◽

Vein Disease

Download Full-text

Isolation of myosalvarsan'a

Kazan medical journal ◽

10.17816/kazmj58447 ◽

1930 ◽

Vol 26 (9) ◽

pp. 942-942

Author(s):

H. Bauer

Keyword(s):

Maximum Amount ◽

The Body ◽

Drug Excretion ◽

Clinical Observations ◽

Short Time ◽

Detailed Technique ◽

Cessation Of Treatment

Abstracts. Venereology and Dermatology. Hugo Bauer (D. Z. Bd. 57, H. 4, 29), aiming to study the secretion of myosalvarsan'a, took under observation 4 syphilitics treated with injections of the drug. Excretion of myosalvarsan'a, as well as its absorption, is similar to 'neo' and sulfoxylsalvarsan'y. Most of the arsenobenzol'a introduced into the body is released within a "short time" after injection; four weeks after the cessation of treatment, the body is freed from the maximum amount of introduced As. The author believes that the clinical observations, on the basis of which it is argued that if certain intervals are observed between courses, the cumulative action of As does not occur, are completely fair. The author gives a detailed technique for determining As in selections and supplies the article with visual tables and curves of his own observations.

Download Full-text

The cost analysis of varicose vein treatment techniques in Turkey: a benefit or profit problem?

Journal of Clinical and Analytical Medicine ◽

10.4328/jcam.5930 ◽

2018 ◽

Vol 9 (6) ◽

Author(s):

Omer Tanyeli

Keyword(s):

Cost Analysis ◽

Varicose Vein ◽

Treatment Techniques ◽

The Cost

Download Full-text

Treatment of Children with Chemical Burns of Esophagus with Various Etiology

Innovative medicine of Kuban ◽

10.35401/2500-0268-2019-14-2-45-50 ◽

2019 ◽

Vol 14 (2) ◽

pp. 45-50

Author(s):

A. E. Stryukovsky ◽

V. A. Tarakanov ◽

V. M. Starchenko ◽

N. V. Pilipenko ◽

V. M. Nadgeriev ◽

...

Keyword(s):

Inflammatory Process ◽

Preventive Treatment ◽

Esophageal Stenosis ◽

Endoscopic Examination ◽

Treatment Technique ◽

Chemical Burns ◽

Severe Condition ◽

Continuous Growth ◽

Treatment Techniques ◽

Treat Ment

Background At present continuous growth of pathology after chemical burns of the esophagus (CBE) in children is observed. The lack of uniform statistical infor-mation about this pathology in domestic and foreign literature considerably complicates studying of that nosology. The purpose of the present study is optimization of treat-ment techniques in children with chemical burns of the esophagus with various etiology and generalization of our own experience of treatment in this contin-gent of patients. Material and Methods We have analyzed treatment techniques in 147 children with CBE with various etiology and severity for last decade. The gen-eral method of diagnosis was esophago-gastroscopy performed within the first day of hospitalization. Endoscopic examination showed following stages of CBE: I stage in 36 patients, II stage in 67 cases and 44 patients had III stage. Results In children with I stage CBE erosive inflammatory process was controlled by conservative therapy in 10-14 days. This cohort of patients from 3-4 day of disease was considered outpatient. Patients with II stage CBE erosive inflammatory changes were treated by complex therapy on 21-23 day. There were surgical complications observed. Patients with III stage CBE referred in most severe condition. Length of conservative treatment for erosive inflammatory process was 1 month. In this group of patients we observed complications in 24 cases (16.3%) and bougienage was performed according to different techniques. Duration of bougienage varied from 3 to 24 months. Later on all children wereobserved out-patiently according to the place of residence. Conclusions Performed therapy should be complex and differentiated re-garding the severity of trauma. Complex treatment technique designed in our hospital is quite efficient and could be recommended for clinical application. All children suffered from CBE are to be followed up regularly. Preventive medical check-up should include endoscopic examination, once every three months to avoid possible esophageal stenosis development. Preventive treatment for esophagitis is mandatory during the period of preventive medical check-up.

Download Full-text