Comparative evaluation of endovenous and hemodynamic methods of correction of chronic venous insufficiency

Authors

  • I. Ya. Dzuibanovskyi I. Horbachevsky Ternopil National Medical University
  • V. M. Antonyuk-Kisil Central City Hospital of Rivne City Council
  • E. F. Kucheruk Central City Hospital of Rivne City Council
  • R. D. Levchuk Ternopil Municipal City Hospital No. 2
  • N. A. Al Dzhehani I. Horbachevsky Ternopil National Medical University
  • A. M. Prodan I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2021.4.12710

Keywords:

CHIVA, office surgery, varicose veins of the lower extremities

Abstract

The aim of the work: to evaluate the effectiveness of thermo-obliterating and hemodynamic methods of treatment of chronic venous insufficiency in the conditions of “office surgery” and “one-day surgery”.

Materials and Methods. A comparative analysis of the results of surgical treatment of primary chronic lower extremity venous disease in 297 patients was performed. The main group consisted of 201 patients operated by CHIVA on the principles of “office surgery”. The control group consisted of 96 patients operated by endovenous laser coagulation (EVLC) on the principles of “one-day surgery”. The distribution of patients was carried out according to the CEAP 2020 classification. Clinical assessment of disease manifestations before and after surgery was established using scales (VCSS, VDS, VSS).

Results and Discussion. The CHIVA method allows preserving the anatomical trunk of the great saphenous vein (GSV) for optimal functioning of the venous system of the lower extremity; providing low-trauma, safety and short-term surgical intervention, which meets the principles of “office surgery”. Excellent cosmetic result is on a par with endoluminal methods (RFA and EVLC) with much higher economic benefits.

In addition, it is possible to save GSV for use as an autoshunt in surgical correction of cardiovascular pathology. No need for general anes­thesia and the use of analgesic opioids, which does not limit early motor activity and promotes rapid discharge.

References

Bellmunt‐Montoya, S., Escribano, J. M., Dilme, J., & Martinez‐Zapata, M. J. (2015). CHIVA method for the treatment of chronic venous insufficiency. Cochrane Database of Systematic Reviews, (6).

Bohler, K. (2016). Surgery of varicose vein insufficiency. Wien Med. Wochenschr., 166, 293-296.

Kakkos, S.К., Rivera, M.A., Matssagas, M.I., Lazarides, M.K., Robless, P., Belcaro, G., Geroulakos, G. (2003). Validation of the new venous severity scoring system in varicose vein surgery. Journal of Vascular Surgery, 38 (2), 224-228.

Lurie, F., Passman, M., Meisner, M., Dalsing, M., Masuda, E., Welch, H., ... & Wakefield, T. (2020). The 2020 update of the CEAP classification system and reporting standards. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 8 (3), 342-352.

Mohamed, A. H., Leung, C., Wallace, T., Smith, G., Carradice, D., & Chetter, I. (2021). A randomized controlled trial of endovenous laser ablation versus mechanochemical ablation with ClariVein in the management of superficial venous incompetence (LAMA trial). Annals of Surgery, 273 (6), e188-e195.

Pittaluga, P., Chastanet, S., Rea, B., & Barbe, R. (2009). Midterm results of the surgical treatment of varices by phlebectomy with conservation of a refluxing saphenous vein. Journal of Vascular Surgery, 50 (1), 107-118.

Rabe, E., Berboth, G., Pannier, F. (2016). Epidemiology of chronic venous diseases. Wien Med. Wochenschr., 166, 260-263.

Reed, W.A. (1995). International Association for Ambulatory Surgery: Ambulatory surgery: a worldwide concern. Ambulatory Surgery, 3 (3), 155-160.

Serra, R., Grande, R., Buffone, G., Costanzo, G., Damiano, R., De Franciscis, S. (2013). Chronic venous disease is more aggressive in patients with varicocele. Acta Phlebol., 14, 57-60.

Yolgösteren, A., Leba, L.K., & Demir, A.B. (2020). Investigation of chronic venous insufficiency in patients with sleep disorders due to restless legs syndrome. Phlebology, 35 (10), 771-776.

Zamboni, P., Cisno, C., Marchetti, F. (2001). Reflux elimination without any ablation or disconnection of the saphenous vein. A haemodynamic model for surgery. European Journal of Vascular and Endovascular Surgery, 21, 361-369.

Downloads

Published

2022-02-18

How to Cite

Dzuibanovskyi, I. Y., Antonyuk-Kisil, V. M., Kucheruk, E. F., Levchuk, R. D., Al Dzhehani, N. A., & Prodan, A. M. (2022). Comparative evaluation of endovenous and hemodynamic methods of correction of chronic venous insufficiency. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 10–15. https://doi.org/10.11603/2414-4533.2021.4.12710

Issue

No. 4 (2021)

Section

ORIGINAL INVESTIGATIONS

License

Copyright (c) 2022 Hospital Surgery. Journal named by L.Ya. Kovalchuk

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).