Tactics of treatment of the inflow varico-thrombophlebitis

Objective. To substantiate the indications for surgical treatment of the inflow thrombophlebitis, depending on state of venous hemodynamics in the large subcutaneous vein basin. Materials and methods. Analysis of the examination and treatment results was conducted in 23 patients, suffering the inflow varico-thrombophlebitis in the large subcutaneous vein basin. Results. Localization, length, borders, level of proximal and distal edges of thrombotic occlusion, and the thrombotic masses character were estimated in a case of the inflow thrombophlebitis diagnosis. Establishment of an acute inflow varico-thrombophlebitis diagnosis have had served the indication for performance of an urgent operation. At the same time, taking into account of the ultrasonographic investigation results obtained, it became possible to elaborate a differentiated tactics for the inflow varico-thrombophlebitis in the large subcutaneous vein basin present. Conclusion. Following an active surgical tactics for the inflow varico-thrombophlebitis have permitted to prevent effectively the spread of thrombtotic process on the large subcutaneous vein trunk and insufficient perforant veins, as well as to prevent the development of thrombosis in deep veins and venous thromboembolism morbidity. At the same time the operation volume reduction due to the inflow thrombophlebitis presence in the patient gave a chance to preserve the intact subcutaneous vein for possible further reconstructive interventions and to prevent the chronic venous insufficiency development as well.

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Surgical treatment for advanced chronic venous insufficiency in Hong Kong

Annals of the College of Surgeons Hong Kong ◽

10.1111/j.1442-2034.2004.00221.x ◽

2004 ◽

Vol 8 (4) ◽

pp. 135-140 ◽

Cited By ~ 4

Author(s):

Albert Chi-Wai Ting ◽

Stephen Wing-Keung Cheng ◽

Pei Ho ◽

Jensen Tung-Chung Poon ◽

Lisa Lai-Ha Wu ◽

...

Keyword(s):

Hong Kong ◽

Surgical Treatment ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency

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Surgical Treatment of the Superficial and Perforating Veins

Phlebology The Journal of Venous Disease ◽

10.1177/026835550001500309 ◽

2000 ◽

Vol 15 (3-4) ◽

pp. 131-136 ◽

Cited By ~ 2

Author(s):

P. Gloviczki

Keyword(s):

Surgical Treatment ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Varicose Veins ◽

High Ligation ◽

Ulcer Recurrence ◽

Perforating Veins ◽

Post Thrombotic Syndrome ◽

Venous Ulcers ◽

Ulcer Surgery

Objective: To review the techniques and results of surgical treatment of the superficial and perforating veins in patients with chronic venous insufficiency. Methods: The current techniques used at the Mayo Clinic for treatment of simple varicose veins and venous ulcers are presented. Results of subfascial endoscopic perforator vein surgery (SEPS) are discussed and data from large centres are tabulated. Results are compared with those reported following non-operative management. Synthesis: High ligation and invagination stripping of the incompetent segment of the saphenous vein, with stab avulsion of branch varicosities, is the optimal surgical technique to ablate superficial venous incompetence. SEPS is safer than open perforator vein ligation and is the technique of choice to interrupt incompetent perforating veins. A review of 12 series on SEPS, that included 361 limbs, found an ulcer recurrence rate of 10% in those 211 patients who underwent ablation of superficial reflux together with SEPS. One hundred and fifty limbs had SEPS alone, without saphenous stripping: ulcer recurrence in this group at a mean of 23 months was 12%. Results in primary valvular incompetence were significantly better than in post-thrombotic syndrome. Conclusions: Ablation of superficial reflux remains the main surgical treatment of all forms of chronic venous insufficiency. SEPS is safe and effective to interrupt medial calf perforators and results in rapid ulcer healing and low recurrence in patients with primary valvular incompetence. The treatment of post-thrombotic syndrome remains a challenge. Results of the North American Venous Ulcer Surgery (NAVUS) trial, a prospective, randomised, multicentre study, will be required to provide level 1 evidence of the effectiveness of surgical treatment over medical therapy in the treatment of venous ulcers.

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Outcomes of surgical treatment of lower-limb chronic venous insufficiency

Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam ◽

10.47972/vjcts.v28i.340 ◽

2020 ◽

Vol 28 ◽

pp. 57-60

Author(s):

Van Minh Tri ◽

Nguyen Hoai Nam

Keyword(s):

Surgical Treatment ◽

Lower Extremity ◽

Lower Limb ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Low Risk ◽

Indications For Surgery ◽

High Satisfaction ◽

Good Cosmetic ◽

Grade Ii

From 08/2004-08/2006, there were 157 patients diagnosed with lower-extremity CVI undergoing surgery at Medicine and Pharmacy Hospital. There were more females than males (2.2/1) and the disease was occupation-related. Indications for surgery was CVI of grade II or higher. Stripping surgery in isolation or in combination with Muller procedure was highly effective and provided good cosmetic results. Surgical treatment of lower-limb CVI was associated with low risk of complications, good outcomes and high satisfaction of patients. Surgery should be indicated for patients with grade II or higher CVI.

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On the question of improving the efficiency and safety of surgical treatment of patients with chronic venous insufficiency

ScienceRise ◽

10.15587/2313-8416.2016.67692 ◽

2016 ◽

Vol 4 (3 (21)) ◽

pp. 53

Author(s):

Рустем Рамзиевич Османов ◽

Оксана Сергеевна Рябинская ◽

Борис Алексеевич Кабаков

Keyword(s):

Surgical Treatment ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency

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Ways to improve outpatient phlebological care with “one day” technology

Ambulatornaya khirurgiya = Ambulatory Surgery (Russia) ◽

10.21518/1995-1477-2021-18-1-30-39 ◽

2021 ◽

Vol 18 (1) ◽

pp. 30-39

Author(s):

A. V. Pelevin ◽

O. N. Guzhkov ◽

D. L. Mushnikov

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Varicose Veins ◽

Treatment Options ◽

Health Sector ◽

Laser Coagulation ◽

Personalized Approach

Introduction. Chronic venous insufficiency is one of the most common diseases, so finding the best treatment options is one of the most urgent tasks of surgery. One of the methods of implementing this direction is to apply a personalized approach. The aim of the study is to improve surgical care for patients with VVPC by introducing a personalized approach.Materials and methods. The study was based on clinical observations and special studies in 428 patients with uBVNC in outpatient settings. All of those surveyed were women. The average age of the patients was 42.3 ± 15.5 years. All patients were operated on — endovasal laser coagulation (EVLk) was performed in the traditional way. Clinical examination of patients, as well as special methods of research was carried out. A questionnaire was used to assess the quality of life of patients. The peculiarity of the study was the use of social and hygienic methods: survey, psychological testing, expert. Statistical analysis and mathematical processing of results were carried out with the help of modern computer technologies based on the Statisticala 6 application package.Results. It has been established that over the past five years in the Ivanovo region there has been an increase in the incidence of vessels of the lower extremities. The frequency of varicose veins exceeds 47 per 100 patients examined. The desire to perform surgery in the nonstate health sector is observed in 9.8 cases. In 85.0% of patients with VBNC, received for surgical treatment, have a lack of preparedness. Their information, clinical and psychological level is 65.0–89.0% of the due and direct influence on the formation of an unfavorable result.Conclusion. Thus, the implementation of a personalized approach to the surgical treatment of patients with chronic venous insufficiency by laser coagulation provides on a par with the reliable obliteration of altered veins the fastest clinical recovery of patients, improvement of their quality of life, satisfaction with results, good hemodynamic and cosmetic effects.

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The value of air plethysmography in predicting clinical outcome after surgical treatment of chronic venous insufficiency

Journal of Vascular Surgery ◽

10.1067/mva.2000.110508 ◽

2000 ◽

Vol 32 (5) ◽

pp. 961-968 ◽

Cited By ~ 64

Author(s):

Lewis V. Owens ◽

Mark A. Farber ◽

Mary L. Young ◽

Robert E. Carlin ◽

Enrique Criado-Pallares ◽

...

Keyword(s):

Surgical Treatment ◽

Clinical Outcome ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Air Plethysmography

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QUANTITATIVE EVALUATION OF SYMPTOMS OF CHRONIC VENOUS INSUFFICIENCY AFTER SURGICAL TREATMENT OF ACUTE VARICO-THROMBOPHLEBITISIN THE GREAT SAPHENOUS VEIN BASIN

Kharkiv Surgical School ◽

10.37699/2308-7005.1.2021.21 ◽

2021 ◽

pp. 112-116

Author(s):

S. S. Filip ◽

I. I. Hadzheha

Keyword(s):

Surgical Treatment ◽

Saphenous Vein ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

High Efficiency ◽

Great Saphenous Vein ◽

Clinical Score ◽

Long Term Results ◽

Results Of Treatment ◽

Severity Of The Disease

Summary. Objective. Toquantify the symptoms of chronic venous insufficiency after surgical treatment of AVTF in the basin of the great saphenous vein. Materials and methods. The results of treatment of 355 patients with AVTF in the basin of the great saphenous vein were quantified. Of these, 234 (65.9 %) patients underwent surgical treatment of AVTF. Depending on the location and method of treatment, patients were divided into seven groups. Results. The overall clinical score before surgery ranged from (11.71±1.87) to (19.78±5.74) points, and 12 months after surgery it was highest in patients of group VII and amounted to (9.75 ± 2.89)points. Restriction of physical activity before surgery in patients with AVTF ranged from (1.13±0.21) to (2.82±0.38) points, and after 12 months — from (0.43±0.19) to (1.05±0.22) points . Assessing the severity of the disease on three components, the following results were obtained: in patients before surgery, the clinical score ranged from (10.21±2.55) to (20.51±6.43,6) months after it — from (5.27±0.78) to (13.44 ± 3.21), and after 12 months — from (2.59±0.76) to (8.24±2.17) points. Conclusions. The obtained quantitative results of the assessment of symptoms of chronic venous insufficiency convincingly demonstrate the high efficiency and expediency of surgical treatment of AVTF in large subcutaneous vein pools in comparison with isolated conservative treatment, which allows to obtain good early and long-term results in most patients.

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