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