| Abstract: | Overall 156 patients with lower limb chronic lymphovenous insufficiency were treated and analyzed. All the patients were divided into 3 groups depending on method of perforant veins dissection. First group consisted of 46 patients who underwent epifascial dissection (Cokket's operation), 2nd group--50 patients undergone isolated subfascial dissection from small separate incisions (Madden-Kim's operation), 3rd group--60 patients after endoscopic subfascial dissection (SEPS technology). The results were followed-up to 5 years. It is demonstrated that SEPS technology is associated with the best results in early and late postoperative period (8.3% of recurrences) and prevents the progress of chronic lymphovenous insufficiency. Subfascial dissection promotes early normalization of lower limb microcirculation parameters. Epifascial dissection permits to achieve satisfactory early results, but long-term results are associated with high rate of recurrences especially at the patients with trophic lesions. |
