ENDOSCOPIC DISSECTION OF PERFORANT VEINS IN TREATMENT OF CHRONIC VENOUS INSUFFICIENCY OF THE LOWER LIMBS

Abstract

Aim. To study the efficacy of SEPS in the treatment of chronic venous insufficiency (CVI) of the lower limbs.

Material and methods. 27 patients with CVI of the lower extremities due to varicose veins and post-thrombotic disease at the Republican Scientific Center for Cardiovascular Surgery from 2003 till present participated in the study. There were 17 men and 10 women. The average age of patients was 39 years.

Results and discussion. After the surgery, according to Linton-Felder, the frequency of such complications like purulent necrotic complications of wounds (up to 20% of cases), hematomas, lymphorrhea increases. It le to prolonged stay of patients in the hospital worsened their general condition. However, applying the method of endoscopic dissection of perforating veins in CVI, the following was achieved: complete surgical elimination of the pathological veno-venous reflux, with significantly minor trauma of the surrounding tissues. It improved the quality of patients’ life and had a good cosmetic effect.

Conclusion. Endoscopic dissection of perforating veins, both in case of varicose veins and post-thrombotic disease, eliminated the CVI. The benefits like the prevention of the main link of the disease pathogenesis, low invasiveness, good cosmetic effect, minimal risk of postoperative purulent-necrotic complications, a significant economic effect due to the reduction of patients’ rehabilitation period, are the main advantages of this method.