Minimally invasive methods of surgical treatment of patients with varicose disease of the lower extremities

Abstract

Objective: Aim: to improve the results of surgical treatment of patients with varicose veins of the lower extremities.

Patients and methods: Materials and Methods: A retrospective evaluation of the treatment of 97 patients with a diagnosis of «varicose veins of the lower extremities». Patients were divided into three groups: Group І (study), patients underwent EVLC, sclerotherapy foam-foam (STFF) and mini-phlebectomy - 61 cases; Group ІІ, patients underwent EVLC and STFF - 43 cases and Group ІІІ, patients underwent EVLC and mini-phlebectomy - 45 cases. The results of the performed intervention were evaluated clinically and with the help of duplex scanning (DS) the next day, after a week, 1 month, 6 and 12 months.

Results: Results: In group І, the total frequency of postoperative complications reached 6.4% (4 cases). The overall frequency of complications in the group ІІ reached 27.9% (13 cases). The overall frequency of complications in the group ІІІ reached 33.3% (15 cases).

Conclusion: Conclusions: 1) EVLK in combination with STFF and mini-phlebectomy gives the best results of surgical treatment of varicose veins. 2) In the studied group, where mini-phlebectomy and STFF were used, there is a mutual exclusion of postoperative complications.

Keywords: endovenous laser coagulation; mechanochemical obliteration; radiofrequency ablation; trunk foam sclerotherapy; varicose disease of the lower extremities.