Clinical status assessment in patients with post–thrombotic syndrome of the lower extremities considering pathogenetic aspects of surgical treatment

  • V. A. Orynchak Ivano–Frankivsk National Medical University
Keywords: post–thrombotic syndrome, severity of the disease, surgical treatment

Abstract

We used VCSS scale to assess the severity of the disease in 64 patients with post–thrombotic syndrome of the lower extremities after surgery. Standard surgical procedures (crossectomy, vein extirpation) were used in 31 patient in order to remove horizontal and vertical reflux. In 33 patients crossed perforating vein dissection and paratibial fasciotomy was applied as a part of complex treatment in order to correct venous blood flow. Morphological study of fascial and muscular fragments revealed chronic destruction, which impaired the normal function of muscular pump.

References

1. Comerota AJ. The future of deep venous thrombosis and postthrombotic syndrome in 2020. Phlebology. 2012;27(1):95–102.

2. Baldwin MJ, Moore HM, Rudarakanchana N, et al. Post–thrombotic syndrome: a clinical review. J Thromb Haemost. 2013;11(5):795–805.

3. Hudz IM, Hudz OI. Konservatyvne likuvannia venoznykh vyrazok vidpovidno do rekomendatsii dokazovoi medytsyny. Khirurhiia Ukrainy. 2012;(2):73–7. [In Ukrainian].

4. Chernukha LM. Sovremennye podkhody k lecheniyu khronicheskikh zabolevaniy ven: novosti s Evropeyskogo venoznogo foruma, 2012. Zdorov’ia Ukrainy. 2012; Tematychnyi nomer, lystopad: 14–

5. [In Russian].

5. Jeanneret C, Aschwanden M, Staub D. Compression to prevent the postthrombotic syndrome. Phlebology. 2014;29(1):71–7.

6. Rabinovich A, Kahn SR. How to predict and diagnose postthrombotic syndrome. Pol Arch Med Wewn. 2014;124(7–8):410–16.
Published
2017-09-07
Section
General Problems of Surgery