EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES
Current approach to operative treatment of varicose veins of lower extremities doesn’t suggest interventions on perforating veins due to the fact that they restore their function following surgery in majority of cases. The article presents the results of 2-year of follow-up study after phlebectomy w...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Pavlov First Saint Petersburg State Medical University
2017-02-01
|
| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/293 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846155897448955904 |
|---|---|
| author | R. E. Kalinin I. A. Suchkov I. N. Shanaev G. A. Puchkova S. V. Gryaznov S. V. Baranov |
| author_facet | R. E. Kalinin I. A. Suchkov I. N. Shanaev G. A. Puchkova S. V. Gryaznov S. V. Baranov |
| author_sort | R. E. Kalinin |
| collection | DOAJ |
| description | Current approach to operative treatment of varicose veins of lower extremities doesn’t suggest interventions on perforating veins due to the fact that they restore their function following surgery in majority of cases. The article presents the results of 2-year of follow-up study after phlebectomy without ligation of perforating veins the shin in patients with varicose veins of lower extremities C2-C3. Localization and extension of venous reflux were evaluated by duplex scanning. The main sign of incompetent perforating vein is a retrograde blood flow more than 0,5 sec. Varicose tributaries of incompetent perforating veins were preoperatively marked and removed using Muller’s hooks in zone not more than 1 cm from perforating vein. Postoperative duplex scanning showed1/3 of all perforating veins (surgery mainly resulted in Cockett ligation of perforating veins above mascular fascia). Visual signs of varicose disease relapse weren’t noted at examination of the patients, but according to duplex scanning the retrograde blood flow on perforating veins in proximal compression was kept in 45,1% of cases. |
| format | Article |
| id | doaj-art-befcf33c398a4f7e89dd376347d504e9 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2017-02-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-befcf33c398a4f7e89dd376347d504e92024-11-26T10:43:45ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252017-02-011761465110.24884/0042-4625-2017-176-1-46-51292EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIESR. E. Kalinin0I. A. Suchkov1I. N. Shanaev2G. A. Puchkova3S. V. Gryaznov4S. V. Baranov5I. P.Pavlov Ryazan State Medical UniversityI. P.Pavlov Ryazan State Medical UniversityRyazan Regional clinical cardiological dispensaryRyazan Regional clinical cardiological dispensaryRyazan Regional clinical cardiological dispensaryRyazan Regional clinical cardiological dispensaryCurrent approach to operative treatment of varicose veins of lower extremities doesn’t suggest interventions on perforating veins due to the fact that they restore their function following surgery in majority of cases. The article presents the results of 2-year of follow-up study after phlebectomy without ligation of perforating veins the shin in patients with varicose veins of lower extremities C2-C3. Localization and extension of venous reflux were evaluated by duplex scanning. The main sign of incompetent perforating vein is a retrograde blood flow more than 0,5 sec. Varicose tributaries of incompetent perforating veins were preoperatively marked and removed using Muller’s hooks in zone not more than 1 cm from perforating vein. Postoperative duplex scanning showed1/3 of all perforating veins (surgery mainly resulted in Cockett ligation of perforating veins above mascular fascia). Visual signs of varicose disease relapse weren’t noted at examination of the patients, but according to duplex scanning the retrograde blood flow on perforating veins in proximal compression was kept in 45,1% of cases.https://www.vestnik-grekova.ru/jour/article/view/293varicose diseasephlebectomyrestoration of perforating veinsperforating veins |
| spellingShingle | R. E. Kalinin I. A. Suchkov I. N. Shanaev G. A. Puchkova S. V. Gryaznov S. V. Baranov EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES Вестник хирургии имени И.И. Грекова varicose disease phlebectomy restoration of perforating veins perforating veins |
| title | EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES |
| title_full | EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES |
| title_fullStr | EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES |
| title_full_unstemmed | EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES |
| title_short | EVALUATION OF THE RESULTS OF PHLEBECTOMY WITHOUT LIGATION OF INCOMPETENT PERFORATING VEINS IN PRIMARY VARICOSE VEINS OF LOWER EXTREMITIES |
| title_sort | evaluation of the results of phlebectomy without ligation of incompetent perforating veins in primary varicose veins of lower extremities |
| topic | varicose disease phlebectomy restoration of perforating veins perforating veins |
| url | https://www.vestnik-grekova.ru/jour/article/view/293 |
| work_keys_str_mv | AT rekalinin evaluationoftheresultsofphlebectomywithoutligationofincompetentperforatingveinsinprimaryvaricoseveinsoflowerextremities AT iasuchkov evaluationoftheresultsofphlebectomywithoutligationofincompetentperforatingveinsinprimaryvaricoseveinsoflowerextremities AT inshanaev evaluationoftheresultsofphlebectomywithoutligationofincompetentperforatingveinsinprimaryvaricoseveinsoflowerextremities AT gapuchkova evaluationoftheresultsofphlebectomywithoutligationofincompetentperforatingveinsinprimaryvaricoseveinsoflowerextremities AT svgryaznov evaluationoftheresultsofphlebectomywithoutligationofincompetentperforatingveinsinprimaryvaricoseveinsoflowerextremities AT svbaranov evaluationoftheresultsofphlebectomywithoutligationofincompetentperforatingveinsinprimaryvaricoseveinsoflowerextremities |