EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES
Aim. To improve the results of treatment of severe chronic venous insufficiency (CEAP 4-6) using the methods of minimally invasive phlebology. Materials and methods. The study included 158 patients aged 26-72 (mean age 49,5±1,2) suffering from chronic venous insufficiency (CEAP 4-6). All patients un...
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| Language: | Russian |
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Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
2017-12-01
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| Series: | Кубанский научный медицинский вестник |
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| Online Access: | https://ksma.elpub.ru/jour/article/view/937 |
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| author | A. G. KHITARYAN K. S. VELIEV S. A. DEGTYARENO E. A. KHITARYAN A. A. LEDENEV |
| author_facet | A. G. KHITARYAN K. S. VELIEV S. A. DEGTYARENO E. A. KHITARYAN A. A. LEDENEV |
| author_sort | A. G. KHITARYAN |
| collection | DOAJ |
| description | Aim. To improve the results of treatment of severe chronic venous insufficiency (CEAP 4-6) using the methods of minimally invasive phlebology. Materials and methods. The study included 158 patients aged 26-72 (mean age 49,5±1,2) suffering from chronic venous insufficiency (CEAP 4-6). All patients underwent the following examination methods: assessment of subjective and objective symptoms, duplex ultrasound scan and laboratory examinations. Results. Comparative study of endovenous laser hemadostenosis of great and small saphenous veins in combination with subfascial endoscopic perforator vein surgery (SEPS) in the control group and the combined use of endovenous laser coagulation and microfoam echo-sclerotherapy in the main group showed significant benefits in the primary group in the form of a significant reduction of pain syndrome, decrease of postoperative complications, a significant reduction of terms of rehabilitation. The study demonstrated the absence of significant differences between main and control groups of respondents according to the criteria of recurrence of the disease in the late postoperative period (difference in frequency of the detected unsatisfactory effects of the studied medical interventions in the late postoperative period was not statistically significant (p=0,67). Conclusions. Positive dynamics of the combined use of endovenous laser coagulation and microfoam echosclerotherapy of the main group in the immediate postoperative period demonstrate the effectiveness of this method in patients with chronic venous insufficiency (CEAP 4-6). |
| first_indexed | 2024-03-07T21:48:46Z |
| format | Article |
| id | doaj.art-b270e830d4204f28af708bc2c1874b71 |
| institution | Directory Open Access Journal |
| issn | 1608-6228 2541-9544 |
| language | Russian |
| last_indexed | 2025-03-14T11:29:04Z |
| publishDate | 2017-12-01 |
| publisher | Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” |
| record_format | Article |
| series | Кубанский научный медицинский вестник |
| spelling | doaj.art-b270e830d4204f28af708bc2c1874b712025-03-02T10:05:32ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442017-12-010613413810.25207/1608-6228-2017-24-6-134-138853EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIESA. G. KHITARYAN0K. S. VELIEV1S. A. DEGTYARENO2E. A. KHITARYAN3A. A. LEDENEV4Railway Clinical Hospital on the Railway Station Rostov-Mail Station North Caucasus Railway; Federal State Budgetary Educational Institution of Higher Education "Rostov State Medical University", Ministry of Healthcare of the Russian FederationRailway Clinical Hospital on the Railway Station Rostov-Mail Station North Caucasus Railway; Federal State Budgetary Educational Institution of Higher Education "Rostov State Medical University", Ministry of Healthcare of the Russian FederationRailway Clinical Hospital on the Railway Station Rostov-Mail Station North Caucasus RailwayRailway Clinical Hospital on the Railway Station Rostov-Mail Station North Caucasus RailwayRailway Clinical Hospital on the Railway Station Rostov-Mail Station North Caucasus RailwayAim. To improve the results of treatment of severe chronic venous insufficiency (CEAP 4-6) using the methods of minimally invasive phlebology. Materials and methods. The study included 158 patients aged 26-72 (mean age 49,5±1,2) suffering from chronic venous insufficiency (CEAP 4-6). All patients underwent the following examination methods: assessment of subjective and objective symptoms, duplex ultrasound scan and laboratory examinations. Results. Comparative study of endovenous laser hemadostenosis of great and small saphenous veins in combination with subfascial endoscopic perforator vein surgery (SEPS) in the control group and the combined use of endovenous laser coagulation and microfoam echo-sclerotherapy in the main group showed significant benefits in the primary group in the form of a significant reduction of pain syndrome, decrease of postoperative complications, a significant reduction of terms of rehabilitation. The study demonstrated the absence of significant differences between main and control groups of respondents according to the criteria of recurrence of the disease in the late postoperative period (difference in frequency of the detected unsatisfactory effects of the studied medical interventions in the late postoperative period was not statistically significant (p=0,67). Conclusions. Positive dynamics of the combined use of endovenous laser coagulation and microfoam echosclerotherapy of the main group in the immediate postoperative period demonstrate the effectiveness of this method in patients with chronic venous insufficiency (CEAP 4-6).https://ksma.elpub.ru/jour/article/view/937chronic venous insufficiency of lower extremities (ceap 4-6)endovenous laser treatmentmicrofoam echo-sclerotherapysubfascial endoscopic perforator vein surgery (seps) |
| spellingShingle | A. G. KHITARYAN K. S. VELIEV S. A. DEGTYARENO E. A. KHITARYAN A. A. LEDENEV EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES Кубанский научный медицинский вестник chronic venous insufficiency of lower extremities (ceap 4-6) endovenous laser treatment microfoam echo-sclerotherapy subfascial endoscopic perforator vein surgery (seps) |
| title | EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES |
| title_full | EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES |
| title_fullStr | EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES |
| title_full_unstemmed | EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES |
| title_short | EFFICIENCY ASSESSMENT OF MINIMALLY INVASIVE TREATMENT OF SEVERE FORMS OF CHRONIC VENOUS INSUFFICIENCY OF LOWER EXTREMITIES |
| title_sort | efficiency assessment of minimally invasive treatment of severe forms of chronic venous insufficiency of lower extremities |
| topic | chronic venous insufficiency of lower extremities (ceap 4-6) endovenous laser treatment microfoam echo-sclerotherapy subfascial endoscopic perforator vein surgery (seps) |
| url | https://ksma.elpub.ru/jour/article/view/937 |
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