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Krylov A.Yu.

Sechenov First Moscow State Medical University

Shulutko A.M.

Sechenov First Moscow State Medical University

Khmyrova S.E.

Sechenov First Moscow State Medical University

Osmanov E.G.

Sechenov First Moscow State Medical University

Gogokhiya T.R.

Sechenov First Moscow State Medical University

Petrovskaya A.A.

Sechenov First Moscow State Medical University

Varicose Syndrome Correction in Complex Treatment of Lower Limb Varicose Veins

Authors:

Krylov A.Yu., Shulutko A.M., Khmyrova S.E., Osmanov E.G., Gogokhiya T.R., Petrovskaya A.A.

More about the authors

Journal: Journal of Venous Disorders. 2020;14(4): 336‑344

DOI: 10.17116/flebo202014041336

Read: 1243 times

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Table of contents

VARICOSE SYNDROME CORRECTION IN COMPLEX TREATMENT OF LOWER LIMB VARICOSE VEINS
VARICOSE SYNDROME CORRECTION IN COMPLEX TREATMENT OF LOWER LIMB VARICOSE VEINS

To cite this article:

Krylov AYu, Shulutko AM, Khmyrova SE, Osmanov EG, Gogokhiya TR, Petrovskaya AA. Varicose Syndrome Correction in Complex Treatment of Lower Limb Varicose Veins. Journal of Venous Disorders. 2020;14(4):336‑344. (In Russ.)
https://doi.org/10.17116/flebo202014041336

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate an efficacy of various methods of varicose syndrome correction in complex treatment of lower limb varicose veins.

MATERIAL AND METHODS

A total of 147 patients with primary varicose veins C2-C4 were included. Inclusion criteria were great or small saphenous vein reflux with visible varicose veins on a thigh and/or calf. High ligation and stripping or laser ablation were performed to eliminate stem reflux. Patients were divided into 3 groups depending on the method of varicose syndrome elimination (miniphlebectomy — MFE; preoperative compression sclerotherapy — CST; postoperative CST). Early outcomes were assessed after 2, 7 days and 1 month in 147 patients, mid-term results — in 86 patients.

RESULTS

Postoperative morbidity rate was higher after phlebectomy and compression sclerotherapy. Complications were cosmetic and disappeared within 1-6 months in most patients. Preoperative CST reduced surgery time, the number of skin incisions and ensured «completeness» of treatment. Postoperative CST lengthened duration of treatment. In all patients, quality of life had a positive trend before treatment and after surgery without significant between-group differences.

CONCLUSION

Mid-term freedom from recurrences was similar for different methods of varicose vein correction. Quality of life is improved in the same way regardless type of correction. Postoperative complications are more common after MFE, less common — in case of preoperative CST.

Keywords:

varicose veins
sclerotherapy
phlebectomy

Authors:

Krylov A.Yu.

Sechenov First Moscow State Medical University

Shulutko A.M.

Sechenov First Moscow State Medical University

Khmyrova S.E.

Sechenov First Moscow State Medical University

Osmanov E.G.

Sechenov First Moscow State Medical University

Gogokhiya T.R.

Sechenov First Moscow State Medical University

Petrovskaya A.A.

Sechenov First Moscow State Medical University

Received:

07.03.2019

Accepted:

29.04.2020

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References:

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  8. Shulutko AM, Osmanov EG, Nagovitsyn ES, Krylov AYu. Predoperatsionnaya fleboskleroziruyushchaya terapiya v kompleksnom lechenii bol’nykh varikoznoj bolezn’yu ven nizhnikh konechnostej. Journal Tibb Azerbaidjan. 2000;4:46-50. (In Russ.).
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  13. Pittaluga P, Chastanet S, Guex JJ. Great saphenous vein stripping with preservation of sapheno-femoral confluence: hemodynamic and clinical results. Journal of Vascular Surgery. 2008;47(6):1300-1304. https://doi.org/10.1016/j.jvs.2008.01.042
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