PREVENTION OF THROMBOTIC COMPLICATIONS WHILE USING ENDOVENOUS TECHNIQUES IN TREATMENT OF VARICOSE DISEASE OF THE LOWER LIMBS

  • O. Yu. Usenko Shalimov National Institute for Surgery and Transplantology
  • M. O. Artemenko Shalimov National Institute for Surgery and Transplantology
  • A. V. Varga Shalimov National Institute for Surgery and Transplantology
  • G. M. Uninets Shalimov National Institute for Surgery and Transplantology
Keywords: varicose disease of the lower limbs, endovenous laser coagulation, radiofrequency ablation, thromobophilia, thromboprophylaxis

Abstract

Substantiation. The most promising modern methods of treatment of varicose disease of lower limbs is endovenous techniques. Along with the many benefits these techniques inherited shortcomings of classical surgery, including postoperative thrombotic complications. Increase of identified trombophilia amonth patients also draws attention to prevention of the thrombotic complications. Materials and methods. Two groups of 27 patients were selected, in 25 treated with endovenous laser coagulation, and in 2 – radiofrequency ablation. The first group patients received thromboprophylaxis using nadroparin, and the second group – rivaroxaban; thromboprophylaxis duration for 5 days. Results. Endovenous techniques are safe enough from the perspective of postoperative thrombotic complications, but a risk of its rise still exists. Thromboprophylaxis has reduced the risk of postoperative thrombotic complications for 3.7% (5.3% according to the literature date).

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Published
2017-07-26
Section
General Problems of Surgery