Surgical aspects of treatment of total varicothrombophlebitis of the great subcutaneous vein

Authors

  • S. S. Filip Uzhhorod National University
  • V. V. Rusyn Uzhhorod National University
  • I. I. Hadzheha Uzhhorod National University

DOI:

https://doi.org/10.11603/2414-4533.2021.1.11902

Keywords:

total varicothrombophlebitis, great saphenous vein, scleroobliteration, phlebocentesis, crossectomy

Abstract

The aim of the work: to justify the indications for surgical treatment of total varicothrombophlebitis in the basin of the great saphenous vein.

Materials and Methods. The analysis of the results of examination and treatment of 27 patients with total varicothrombophlebitis in the basin of the great saphenous vein is presented.

Results and Discussion. In 24 (88.9 %) patients, the apex of thrombotic masses was localized in the upper third of the thigh by an average of (5.2±1.4) cm from the saphenofemoral cotyledon. In 3 (11.1 %) patients, the apex of thrombotic masses reached the ostial valve, but did not pass through the saphenofemoral cotyledon. The lower limit of thrombotic lesions in 4 (14.8 %) patients was loca­lized in the upper, in 16 (59.3 %) – in the middle and in 7 (25.9 %) – in the lower thirds of the leg. In 22 (81.5 %) patients, in addition to the main trunk, the tributaries of VTP were involved in the pathological process. Varicose veins were observed in 21 (95.5 %) patients with thrombotic lesions.

Surgery necessarily included a crossectomy, removal of the thrombosed trunk of the VTP and, if necessary, thrombosed inflows, subfascial ligation of failed veins. In the absence of varicose veins and failed penetrating veins, the volume of surgery was reduced by phlebocentesis followed by scleroobliteration. Active surgical tactics for total varicothrombophlebitis have effectively prevented the development of venous thromboembolic complications.

References

Bodnar, P.Ya., Trach Rosolovska, S.V., & Mykolenko, A.Z. (2014). Patolohoanatomichna kharakterystyka uskladnenoi hostroi khirurhichnoi sudynnoi patolohii, poiednanoi z somatychnymy zakhvoriuvanniamy [Pathomorthological characteristics of complicated surgical acute vascular pathology combined with somatic diseases]. Shpytalna khirurhiia. Zhurnal imeni L.Ya. Kovalchuka – Hospital Surgery. Journal named after L. Ya. Kovalchuk, 65 (1), 79-81. DOI: https://doi.org/10.11603/1681-2778.2014.1.4426 [in Ukrainian].

Kozek-Langenecker, S., Fenger-Eriksen, C., Thienpont, E., & Barauskas, G. (2018). European guidelines on perioperative venous thromboembolism prophylaxis: surgery in the elderly. European Journal of Anaesthesiology (EJA), 35(2), 116-122. DOI: 10.1097/EJA.0000000000000705

Rusyn, V.I., Korsak, V.V., Popovych, Ya.M., Boldi­zhar, P.O., & Kochmar O.M. (2016). Profilaktyka uskladnen pry transfatsialnomu trombozi nyzhnikh kintsivok [Prophylaxis of thromboembolic complications in transfascial thrombosis of the lower extremities]. Klinichna khirurhiia – Clinical Surgery, (12), 29-31 [in Ukrainian].

Kovalenko, V.N. (2008). Rukovodstvo po kardiologii [Cardiology guide]. Kyiv: MORION [in Russian].

Rusyn, V.I., Korsak, V.V., & Popovych, Ya.M. (2017). Khi­rurhichne likuvannia tromboziv nyzhnoi porozhnystoi veny: monohrafiia [Surgical treatment of inferior vena cava thrombosis: a monograph]. Uzhhorod: Karpaty [in Ukrainian].

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Published

2021-04-30

How to Cite

Filip, S. S., Rusyn, V. V., & Hadzheha, I. I. (2021). Surgical aspects of treatment of total varicothrombophlebitis of the great subcutaneous vein. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 50–53. https://doi.org/10.11603/2414-4533.2021.1.11902

Issue

No. 1 (2021)

Section

EXPERIENCE OF WORK

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