Percutaneous-supracutaneous ligation of the veins in the complex surgical treatment of varicose veins

The proposed method of percutaneous-supracutaneous ligation in combination with the method of Troyanov--Trendelenburg--Bebkock was used in operation on 233 patients. Long-term results were studied in 125 patients. Excellent results were obtained in 98 patients, good results-in 27 patients.     

腔内激光治疗下肢静脉曲张:附170例报告

目的　评价腔内激光治疗静脉曲张的效果。方法　对 170例下肢静脉曲张患者采用810nm激光仪进行治疗。治疗后绷带加压包扎 2d后改穿弹力袜 6～ 8周。随访期间用多普勒检查。结果　全组无并发症。 170例术后随访 1～ 12个月 ,所有大隐静脉均闭塞 ,无并发症 ;所有症状改善或消失。其中 80例随访 1年 ,大隐静脉无再通 ,无复发。结论　腔内激光治疗静脉曲张的效果满意。该微创治疗技术显示安全 ,具有良好的大隐静脉闭塞作用     

Substantiation of the extent of surgery in varicose veins of the lower extremities

The authors have distinguished 2 forms of the varicose disease of lower extremities determining the volume of surgical operation. Since the "simple" form is characterized only by incompetent valves of the superficial veins, the radical veinectomy is thought to be a sufficient operation and gives a complete recovery of the adequate venous return. In patients with the 2nd form of the varicose disease the radical veinectomy only is not the optimal operative intervention. Ligation of incompetent perforated crus veins by super- or subfascial methods is indicated to such patients.     

Advantages of the combination of surgical and sclerosing treatment of varicose veins. A new kind of therapy for varicose veins

In many patients with varicose veins the combination of surgery and sclerotherapy gives good results and reduces the operating time for each patient considerably. Especially in all patients with recurrent and side branch varicose veins this method seems to be advantageous. During the last ten years we treated 3328 patients with varicose veins. The combined method was used in 64% (2130 patients).     

Autovenous obturation of subcutaneous veins in surgical treatment of varicose disease

753 patients were operated on varicose veins of lower limbs in the period from 1997 to 2006 years. Autovenous obturation of the shin and backfoot varicose veins was performed in all cases. Bands of great saphenous vein, extracted from the patient's hip, were used as an obturation material. 7 (0,9%) patients developed wound inflammation postoperatively. After removal of the saphenous graft, the inflammation had rapidly diminished and the wound healed by primary intention. The authors declare, that the use of varicose veins obturation with an autovenous graft during the combined phlebectomy favours a considerable improvement of direct and follow-up results of the operation.