THE ROLE OF ULTRASOUND DUPLEX ANGIOSCANNING IN DETECTING RECURRENCES OF VARICOSE DISEASE OF THE LOWER EXTREMITIES

Authors

  • F. M. Pavuk Uzhhorod National University
  • M. I. Borsenko Transcarpathian Regional Clinical Hospital named after A. Novak, Uzhhorod
  • N. M. Popovych Uzhhorod National University
  • V. V. Rusyn Uzhhorod National University

DOI:

https://doi.org/10.11603/2414-4533.2023.1.13813

Keywords:

varicose disease, ultrasound diagnostics, sclerosurgical treatment, phlebectomy, recurrence

Abstract

The aim of the work: development of a systemic approach in the diagnosis of recurrence of varicose veins of the lower extremities (LEV) after sclerosurgical and surgical treatment in the remote postoperative period.

Materials and Methods. The analysis of the results of the examination and treatment of 228 patients with varicose disease (VD) of the lower extremities, who were treated in the surgical clinic of Transcarpathian Regional Clinical Hospital named after A. Novak from 2012 to 2015. The criteria for inclusion in the study were patients with VD (C2–C6 according to CEAP). The first group of patients consisted of 153 patients (operated on 189 limbs) who underwent sclerosurgical intervention. The second group of patients included 75 patients (96 limbs) who underwent surgical treatment, mainly Babcock-Narat phlebectomy.

Results and Discussion. In the comparative assessment of the results of treatment of patients with varicose veins of the lower extremities, it was found that in 96 (100 %) patients of the second group, incompetent penetrating veins of the leg were found, and in the first group, these indicators were found in 183 (96.83 %) patients. Incompetent penetrating veins of the thigh were detected in 60 (31.75%) patients of the first group and 30 (31.25 %) of the second group.

The most frequent ultrasound finding in the examined patients was failure of the valvular apparatus of penetrating veins in 96.83 % of the first group, and in 100 % of the cases of patients in the second group. The detection of the residual trunk of the main LSV or its fragments is evidence of tactical and/or technical errors made during operative treatment. Varicose transformation of the previously intact SSV and its tributaries after the presented methods of treatment is evidence of the progressive nature of the course of the disease. The analysis of duplex angioscanning showed that, according to 7 ultrasound criteria, statistically significant differences were not observed after sclerosurgical and surgical (venectomy) treatment of varicose disease of the lower extremities.

References

Rusyn, V.I., Popovych, Ya.M., Boldizhar, P.O., Boiko, S.O., & Nebylitsyn, Yu.S. (2014). Funktsionalnyi stan klubovoho kolektoru pry hostrykh ileofemoralnykh venoznykh trombozakh. Arkhiv klinichnoi medytsyny – Archive of Clinical Medicine, 2 (20), 108-110.

Campbell, B., Chinai, N., Hollering, P., Wright, H., & McCarthy, R. (2017). Factors influencing the choice of treatment modality for individual patients with varicose veins. The Annals of The Royal College of Surgeons of England, 99 (8), 624-630. DOI: https://doi.org/10.1308/rcsann.2017.0122

Cañas, E.G., López, S.F., Vilagut, R.V., Guevara-Noriega, K.A., Espí, M.S., Rios, J., ... & Gaibar, A.G. (2021). A randomized controlled noninferiority trial comparing radiofrequency with stripping and conservative hemodynamic cure for venous insufficiency technique for insufficiency of the great saphenous vein. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 9 (1), 101-112. DOI: https://doi.org/10.1016/j.jvsv.2020.04.019

Davies, A.H. (2019). The seriousness of chronic venous disease: a review of real-world evidence. Advances in therapy, 36 (Suppl. 1), 5-12. DOI: https://doi.org/10.1007/s12325-019-0881-7

Kushwaha, J.K., Gupta, A., Yadav, P., & Sonkar, A.A. (2020). A comparative study to evaluate early postoperative complications and short-term quality of life assessment between stripping and endovenous laser therapy in the treatment of chronic venous insufficiency patients: a study from North India. Indian Journal of Public Health Research & Development, 11 (3), 134-140.

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. DOI: https://doi.org/10.1016/j.jvsv.2019.12.075

Usenko, O.Y., Artemenko, M.O., Varga, A.V., & Uni­nets, G.M. (2017). Profilaktyka trombotychnykh uskladnen pry zastosuvanni endovenoznykh metodyk v likuvanni varykoznoi khvoroby nyzhnikh kintsivok [Prevention of thrombotic complications when using endovenous methods in the treatment of varicose veins of the lower extremities]. Klinicheskaya khirurgiya – Clinical Surgery, (7), 25-27 [in Russian].

Yang, S.S. (2020). Diagnosis and treatment of varicose veins and chronic venous insufficiency. Journal of the Korean Medical Association, 63 (12), 756-763. DOI: https://doi.org/10.5124/jkma.2020.63.12.756

Youn, Y.J., & Lee, J. (2019). Chronic venous insufficiency and varicose veins of the lower extremities. The Korean Journal of Internal Medicine, 34 (2), 269. DOI: https://doi.org/10.3904/kjim.2018.230

Zuker-Herman, R., Ayalon Dangur, I., Berant, R., Sitt, E. C., Baskin, L., Shaya, Y., & Shiber, S. (2018). Comparison between two-point and three-point compression ultrasound for the diagnosis of deep vein thrombosis. Journal of Thrombosis and Thrombolysis, 45, 99-105. DOI: https://doi.org/10.1007/s11239-017-1595-9

Downloads

Published

2023-03-30

How to Cite

Pavuk, F. M., Borsenko, M. I., Popovych, N. M., & Rusyn, V. V. (2023). THE ROLE OF ULTRASOUND DUPLEX ANGIOSCANNING IN DETECTING RECURRENCES OF VARICOSE DISEASE OF THE LOWER EXTREMITIES. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 55–62. https://doi.org/10.11603/2414-4533.2023.1.13813

Issue

No. 1 (2023)

Section

EXPERIENCE OF WORK

License

Copyright (c) 2023 .

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. Лицензия Creative Commons
  3. 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.
  4. 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)