Implementation of the fast track surgery program in the surgical treatment of primary chronic vein disease during pregnancy
DOI:
https://doi.org/10.11603/2414-4533.2021.2.12296Keywords:
ERAS, pregnancy, primary chronic venous diseaseAbstract
The aim of the work: to increase the safety and effectiveness of open minimally invasive surgical treatment of primary, progressive varicose veins of the lower extremities, perineum, inguinal canal and external genitalia and their combined forms during pregnancy based on the principles of fast track surgery.
Materials and Methods. In the period from the second quarter of 2015 to the first quarter of 2020 on the basis of the Department of Extragenital Pathology "Regional Perinatal Center" Rivne Regional Council examined and surgically treated 840 pregnant women in the second and third trimester with various forms of primary chronic disease of the lower extremities, perineum, groin canal and external genitalia and their combined forms. The method of selective miniphlebectomy – ASVAL, hemodynamic method – CHIVA in different variants and combinations were used in surgical treatment.
Results and Discussion. The multidisciplinary program in the perioperative period was optimized. The multidisciplinary fast track surgery program proposed in the perioperative period made it possible to provide 89.29 % of cases of natural childbirth without bleeding and reduce the number of thrombotic complications by 2 times.
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