POSSIBILITIES OF SURGICAL TREATMENT OF VENOUS STASIS ULCERS OF VENOUS GENESIS OF THE LOWER EXTREMITIES IN ELDERLY AND OLD AGE PATIENTS IN THE OUTPATIENT SETTING
DOI:
https://doi.org/10.11603/2415-8798.2016.3.6973Keywords:
trophic ulcer, meni-phlebectomy, surgical treatment.Abstract
A complex proposed by us: operative technique that “preserves stems of the saphenous veins”, miniphlebectomy by Muller, tumescent anesthesia for surgical treatment in outpatient setting of gerontological patients with lower extremity varicose veins of the functional class С5-6 Sep. As 2.3.4, p17.18 Pr according to СЕАР classification with lower extremity venous stasis ulcers of an area up to 10 cm2 in one stage that allowed to get a positive result in 6 months in all 78 postoperative patients: in 56 (71,8 %) postoperative patients – good, and in 22 (28.8 %) – satisfactory.References
Khirurhichne likuvannya varykoznoyi khvoroby nyzhnikh kintsivok, uskladnenoyi khronichnoyu venoznoyu nedostatnistyu / B. H. Bezrodnyy, O. M. Petrenko, L. D. Martynovych, I. V. Kolosovych // Khirurhiya Ukrayiny. – 2008. – № 2. – S. 47–51.
Bohachev V. YU. Novye dannye o khronycheskoy venoznoy nedostatochnosty ot épydemyolohyy k lechenyyu .Obzor materyalov sympozyuma na 14 Vsemyrnom konhresse mezhdunarodnoho obshchestva flebolohov / V. YU. Bohachev //Anhyolohyya y sosudystaya khyrurhyya. – 2002. – T. 8, № 2. – S. 1–6.
Vasyutkov V. YA. Trofycheskye yazvy stop y holeny / V. YA. Vasyutkov, N. V. Protsenko. – M. : Medytsyna,1993. – 160 s.
Venher I. K. Trofichni vyrazky venoznoho henezu – taktyka khirurhichnoho likuvannya / I. K. Venher, A. D. Bedenyuk, E. V. Romanyuk // Shpytalʹna khirurhiya. – 2011. – № 1. – S. 57–60.
Effektyvnostʹ khyrurhycheskoho lechenyya varykoznoy bolezny v zavysymosty ot adsorbtsyonno-reolohycheskykh svoystv krovy / V. K. Hrynʹ, P. H. Kondratenko, YU. V. Melekhovets [y dr.] // Klinichna khirurhiya. – 2015. – № 5. – S. 48–51.
Konstantynova H. D. Flebolohyya / H. D. Konstantynova, A. R. Zubarev, E. H. Hradusov. – M. : Yzdatelʹsʹkyy dom “Vydar.” – 2000. – 160 s.
Mishalov V. H. Standarty likuvannya khronichnoyi venoznoyi patolohiyi nyzhnikh kintsivok. Aktualʹni pytannya sudynnoyi ta rekonstruktyvnoyi khirurhiyi / V. H. Mishalov, O. I. Osadchyy, V. M. Selyuk // Sertse i sudyny. – 2005. – № 1 (dodatok) S. 110–112.
Mishalov V. H. Rolʹ skleroobliteratsiyi v likuvanni khronichnoyi venoznoyi nedostatnosti / V. H. Mishalov, V. V. Sulik, R. M. Matveyev // Khirurhiya Ukrayiny. – 2008. – № 1. – S. 76–81.
Saveʹev V. S. Flebolohyya : rukovodsvo dlya vrachey / V. S. Savelʹev, V. A. Holohorsʹkyy, A. Y. Kyryenko. – M. : Medytsyna, 2001. – 664 s.
Sravnytelʹnyy analyz effektyvnosty y bezopasnosty rastvorov, prymenyaemykh dlya futlyarnoy anestezyy pry maloynvazyvnom khyrurhycheskom lechenyy varykoznoy bolezny nyzhnykh konechnostey / R. R. Osmanov, O. S. Ryabynskaya, B. A. Kabakov, O. V.Kuzʹmenko // Sertse i sudyny. – 2016. – № 2. –S. 82–86.
Kyhyzbaev S. ZH. Éndovazalʹnaya lazernaya koahulyatsyya v lechenyy varykoznoy bolezny / S. ZH. Kyhyzbaev, A. D. Haybov, M. S. Ytoyatov // Novosty khyrurhyy. – 2013. – T. 21, № 5. – S. 99–117.
Palamarchuk V. Y. Ambulatornaya khyrurhyya varykoznoy bolezny na osnove ulʹtrazvukovoy dyahnostyky y maloynvazyvnykh tekhnolohyy “V. Y. Palamarchuk, V. A. Khodos, V. S. Horbovets // Khirurhiya Ukrayiny. – 2014. – № 2. –S. 100–104.
Stoyko YU. M. Kompleksnoe lechenye khronycheskoy venoznoy nedostatochnosty nyzhnykh konechnostey v stadyy trofycheskykh rasstroystv / YU. M. Stoyko, E. V. Shaydakov, N. A. Ermakov // Consilium medicum. – 2001. –№ 2. – S. 28–32.
Savolyuk S. I. Nayblyzhchi ta viddaleni rezulʹtaty ekhoskleroobliteratsiyi nespromozhnykh perforantnykh ven pry varykozniy khvorobi funktsionalʹnoho klasu S6 / S. I. Savolyuk, V. A. Khodos // Khirurhiya Ukrayiny. – 2015. – 4 (56). –S. 91–95.
Savolyuk S. I. Dosvid zastosuvannya endovenoznoyi radiochastotnoyi obliteratsiyi v likuvanni varykoznoyi khvoroby nyzhnikh kintsivok / S. I. Savolyuk, M. I. Muzʹ, V. A. Khodos // Khirurhiya Ukrayiny. – 2016. – 1 (57). – S. 81–84.
Khodos V. A. Kateter-kerovana mikropinna stovburna fleboskleroobliteratsiya pid ulʹtrazvukovym dupleksnym kontrolem pry likuvanni varykoznoyi khvoroby nyzhnikh kintsivok / V. A. Khodos // Khirurhiya Ukrayiny. – 2015. – 2 (54). – S. 29–34.
Tsukanov YU. T. Rehyonarnaya venoznaya hypertenzyya – vedushchyy klynyko-patofyzyolohycheskyy fenomen pry varykoznoy bolezy / YU. T. Tsukanov // Anhyolohyya y sosudystaya khyrurhyya. – 2001. – T. 7, № 2. – S. 53–58.
Shevchenko YU. L. Lazernaya khyrurhyya varykoznoy bolezny : monohrafyya / YU. L. Shevchenko, YU. M. Stoyko, K. V. Mazayshvyly. – M. : Borhes, 2010. – 196 s.
Shvalʹb P. H. Osobenosty techenyya trofycheskykh yazv v zavysymosty ot prychyn khronycheskoy venoznoy nedostatochnosty / P. H. Shvalʹb, A. E. Kachynsʹkyy, R. E. Kalynyn // Aktualʹnye problemy sovremennoy khyrurhyy. Mezhdunarodnyy konhress. – M., 2003. – S. 197
Abbade I.P. Lastoria S.Venous ulser:tpidemiologe,phesiopathologu,diagnosis and treatment.Int.J/Dermatol.2005Jbn.44(6).449-56.
Bergan J. The Vein Book|J.Bergan-Amsterdam Elsevein Acad.ress-2007.617 p .
Nelzen O.,Fransson I. Varicose vein Recurrence and Patient Satisfaction 10-14 Years Follwing Combined Superficial and Perforator Vein Surgery. A Prospective Case Study||European Journal of Vascular and Endovascular Surgery.2013.-vol.46.Issue 3.-P.372-377.
Tatsioni A. Balk E., O’Donnell T.F.Jr. ,Lau J. Usual care in the management of chronic wounds .A review of the recent literature. /J.Am. Coll Surg.2007.205.617-624.
Mosti G. Wound care in venous ulcers||Phlebology,-2013.-V.28.,Suppl. 1 –P.79-85.
/Muller R .Joubert B.La Phlebectomi 44e Ambulatoire.de I.Anatomie au Geste||L.Hau-les-Roses.Switzerland.Les editions medicales Innothera.-1992.-P.105-112.
Ricci S. Georgiev M. Office varicose vein surgery under local anesthesiaJ.Dermftol.Surg.Jncol.-1992.-#18-P/55-58
.Ramelet A.-A P.Kern. M.Perrin. Les varices et telangiectasies.Masson.Paris.2003.288c.
.Rutherford R.B.Venous severitu scoring in adjnct to venous outcame assessment |Padberg F.T.Jn.Comerota J/Kistner R/L/ et.al.||J.Vasc.Surg.-31.-2000.-p.1307-1312.
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