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

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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

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