THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN

Anastasiia Glagolieva; Roman Gerashchenko; Andrii Kurmanskyi; Vladyslav Gorbovets; Sergii Savolyuk; Valentyn Khodos

doi:10.5114/hpc.2020.94100

Secondary venous aneurysm following intravenous drug abuse: A case report

Vojnosanitetski pregled ◽

10.2298/vsp140617026m ◽

2016 ◽

Vol 73 (5) ◽

pp. 500-503 ◽

Cited By ~ 1

Author(s):

Miroslav Markovic ◽

Marko Dragas ◽

Igor Koncar ◽

Igor Banzic ◽

Sinisa Pejkic ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Drug Application ◽

Rare Condition ◽

Intravenous Drug ◽

Venous Aneurysm ◽

General Surgeon ◽

Venous Flow

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.

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COMPARATIVE EVALUATION OF THE RESULTS OF SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN USING THE ENDOVASCULAR HIGH-FREQUENCY WELDING TECHNIQUE AND TRADITIONAL TECHNIQUE

Wiadomości Lekarskie ◽

10.36740/wlek202004103 ◽

2020 ◽

Vol 73 (4) ◽

pp. 638-641

Author(s):

Serhiy I. Savolyuk ◽

Valentyn A. Khodos ◽

Roman A. Herashchenko ◽

Vladyslav S. Horbovets

Keyword(s):

Saphenous Vein ◽

High Frequency ◽

Comparative Evaluation ◽

Great Saphenous Vein ◽

Pain Syndrome ◽

Surgical Operation ◽

Electric Welding ◽

Group I ◽

Group Ii ◽

Welding Technique

The aim of the study was to conduct a comparative evaluation of the effectiveness of surgical treatment of acute ascending thrombophlebitis of the great saphenous vein using the endovascular high-frequency welding technique and traditional phlebectomy. Materials and methods: Two groups were formed in the conducted study. Group I included patients (n=42) with the acute ascending thrombophlebitis of the great saphenous vein, in whom their thrombosed great saphenous vein was removed using the endovascular high-frequency welding technique. As a source of current, an EK300M1 Svarmed electric welding machine (Ukraine) was used. Electric welding of a thrombosed vein segment was carried out using the endovenous electric welding catheter. Group II included patients (n=31) with the acute ascending thrombophlebitis of the great saphenous vein, who underwent the traditional phlebectomy of the thrombosed great saphenous vein according to Babcock’s technique. Results: In group I no patient revealed presence of pain syndrome with significant intensity during the postoperative period. An infiltrate along the coagulated segments of the great saphenous vein, postoperative oedema and paresthesiae were observed in considerably fewer cases from group I versus group II (р=0.0005, р=0.0001, р=0.0018). During their follow-up for more than 12 months, 2 (4.76 %) of 42 patients from group I revealed partial recanalization of the great saphenous vein (р=0.632). In group I the postoperative inpatient period was 1.3±0.1 days. In group II the above period averaged 4.8±0.8 days (p<0.001). Absence of an intense pain syndrome in group I was caused by a gentle effect of high-frequency electric current itself on the venous wall and paravasal structures. A significant reduction of side effects and complications with a shorter stay of patients in hospital versus the traditional phlebectomy was achieved owing to reduction in the extent of injury of the surgical operation itself with the use of endovascular high-frequency welding. Conclusions: The technique of endovascular high-frequency welding in treatment of acute ascending thrombophlebitis of the great saphenous vein makes it possible to reduce the extent of injury of the surgical operation versus the traditional phlebectomy, results in a significant decrease in the number of side effects and complications and shortens the period of the patient’s stay in hospital.

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Neovascularization in Restoration of Continuity of the Rat Femoral Vein following Surgical Interruption

Phlebology The Journal of Venous Disease ◽

10.1177/026835558700200106 ◽

1987 ◽

Vol 2 (1) ◽

pp. 1-5 ◽

Cited By ~ 23

Author(s):

G.M. Glass

Keyword(s):

Surgical Treatment ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Varicose Veins ◽

Femoral Vein ◽

Histological Studies ◽

Venous Circulation ◽

Main Vein

Recurrence of varicose veins after surgical treatment by ligation and transection has been usually attributed to development of varicosity in veins collateral to the transected vessels. Early studies reported regeneration of the great saphenous vein at the site of previous transection. The present study in the rat was undertaken to determine whether restoration of normal venous circulation in a limb after surgical interruption of the main vein develops through enlargement of collateral veins or by restoration of continuity of the interrupted vein as a result of neovascularization at the site of ligation. Following ligation in continuity or ligation and surgical transection of the rat common iliac or femoral vein, phlebographic, surgical exploratory and histological studies showed restoration of its continuity through newly formed vessels. These findings suggest that in recurrence of varicose veins the roles of neovascularization and of collateral veins deserve further investigation.

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The arch of the great saphenous vein: anatomical bases for failures and recurrences after surgical treatment of varices in the pelvic limb. About 54 dissections

Surgical and Radiologic Anatomy ◽

10.1007/s00276-005-0046-z ◽

2005 ◽

Vol 28 (1) ◽

pp. 18-24 ◽

Cited By ~ 4

Author(s):

Ass Ndiaye ◽

Abd Ndiaye ◽

J. M. Ndoye ◽

O. Diarra ◽

M. Diop ◽

...

Keyword(s):

Surgical Treatment ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Pelvic Limb

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Surgical Treatment of a Thrombosed Proximal Great Saphenous Vein Aneurysm

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2015.11.009 ◽

2016 ◽

Vol 51 (2) ◽

pp. 274

Author(s):

K. Spanos ◽

A.D. Giannoukas

Keyword(s):

Surgical Treatment ◽

Saphenous Vein ◽

Great Saphenous Vein

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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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The operation of Troyanov - Trendelenburg in the modern minimally invasive approach to the treatment of varicose disease with endovenous laser photocoagulation

Vestnik of Russian military medical Academy ◽

10.17816/brmma25920 ◽

2019 ◽

Vol 21 (2) ◽

pp. 58-62

Author(s):

R A Akhadov ◽

A B Sazonov ◽

V V Sizenko ◽

G G Khubulava

Keyword(s):

Surgical Treatment ◽

Minimally Invasive ◽

Saphenous Vein ◽

Laser Photocoagulation ◽

Great Saphenous Vein ◽

Laser Coagulation ◽

Obese Patients ◽

Invasive Approach ◽

Minimal Trauma ◽

Venous Diseases

Despite the widespread and active introduction of new minimally invasive technologies in clinical phlebology, the Troyanov - Trendelenburg operation today is an important step in the extensive complex of various methods of surgical treatment of varicose veins of the lower extremities. This intervention can be performed under local anesthesia with minimal trauma and excellent cosmetic results. The leading position in the treatment of chronic venous diseases currently takes endovenous laser photocoagulation, the implementation of which is being offered now even to patients with complicated and advanced forms of the disease. The combination of Troyanov - Trendelenburg operation and laser thermocoagulation can significantly reduce the risk of downward recanalization of the great saphenous vein, as well as eliminate side effects and complications that occur during traction of the vein. To eliminate technical errors in the course of ligation of great saphenous vein in the area of sapheno-femoral anastomosis under local infiltration anesthesia and to simplify the detection of the target vessel, especially in obese patients with severe subcutaneous fat, we have developed a method for performing Troyanov - Trendelenburg, which decreases the time of the surgical treatment of the mouth section is up to 10-15 min; the risk of possible complications is reduced. In addition, this treatment does not increase the bed-day and recovery periods. It was concluded that the use of a laser beam at the end of the working part of the fiber, previously carried out under ultrasound control directly into the area where the great saphenous vein falls into the deep system, as a visual guide, greatly facilitates the search for the main saphenous vein, especially in obese patients. The operation of Troyanov -Trendelenburg allows you to process all branches of the Delbe beam and eliminate the continued progression of thermally induced thrombosis proximal to the anastomosis, and therefore possible pulmonary thromboembolism from the large subcutaneous vein subjected to laser coagulation.

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Surgical Treatment of the Great Saphenous Vein Aneurysm Resulting in Pulmonary Embolization in Two Patients

Annals of Vascular Surgery ◽

10.1016/j.avsg.2011.02.003 ◽

2011 ◽

Vol 25 (5) ◽

pp. 700.e13-700.e15 ◽

Cited By ~ 4

Author(s):

Grigol Keshelava ◽

Kakha Beselia ◽

Merab Nachkepia ◽

Sophio Chedia ◽

Giorgi Janashia ◽

...

Keyword(s):

Surgical Treatment ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Pulmonary Embolization

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Efficacy of varicose vein surgery with preservation of the great safenous vein

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912015002008 ◽

2015 ◽

Vol 42 (2) ◽

pp. 111-115 ◽

Cited By ~ 1

Author(s):

Bernardo Cunha Senra Barros ◽

Antonio Luiz de Araujo ◽

Carlos Eduardo Virgini Magalhães ◽

Raimundo Luiz Senra Barros ◽

Stenio Karlos Alvim Fiorelli ◽

...

Keyword(s):

Surgical Treatment ◽

Saphenous Vein ◽

Varicose Vein ◽

Great Saphenous Vein ◽

Varicose Veins ◽

Clinical Severity ◽

Venous Disease ◽

Varicose Vein Surgery ◽

Beneficial Effects ◽

Venous Clinical Severity Score

OBJECTIVE: To evaluate the efficacy of surgical treatment of varicose veins with preservation of the great saphenous vein. METHODS: We conducted a prospective study of 15 female patients between 25 and 55 years of age with clinical, etiologic, anatomic and pathophysiologic (CEAP) classification 2, 3 and 4. The patients underwent surgical treatment of primary varicose veins with great saphenous vein (GSV) preservation. Doppler ultrasonography exams were carried out in the first and third months postoperatively. The form of clinical severity of venous disease, Venous Clinical Severity Score (VCSS) was completed before and after surgery. We excluded patients with history of deep vein thrombosis, smoking or postoperatively use of elastic stockings or phlebotonics. RESULTS: All patients had improved VCSS (p <0.001) and reduction in the diameter of the great saphenous vein (p <0.001). There was a relationship between VCSS and the GSV caliber, as well as with preoperative CEAP. There was improvement in CEAP class in nine patients when compared with the preoperative period (p <0.001). CONCLUSION: The varicose vein surgery with preservation of the great saphenous vein had beneficial effects to the GSV itself, with decreasing caliber, and to the symptoms when the vein had maximum caliber of 7.5 mm, correlating directly with the CEAP. The decrease in GSV caliber, even without complete abolition of reflux, leads to clinical improvement by decreasing the reflux volume.

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