Automatic regime of endovenous electric welding in treatment of varicose disease of the lower extremities


Keywords: varicose disease of the lower extremities; endovenous electric welding; automatic electric welding of living tissues

Abstract

Objective. To study up the application efficacy of automatic regime in endovenous electric welding (EVEW) in treatment of varicose disease of the lower extremities (VDLE).

Materials and methods. Automatic regime of EVEW was investigated on excised segments of big subcutaneous vein (BSV), registering the temperature, resistance and morphological changes. The results of the method application in 56 patients, suffering VDLE Classes C2 - C5 (in accordance to  the CEAP classification were analyzed - clinic, etiology, anatomy, pathogenesis): in 21 men and 35 women ageing 18 - 63 yrs old. Postoperative pain, anatomic result and complications have served as a criteria for the outcome estimation. The intervention was performed under infiltrative anesthesia using 0.125% solution of bupivacaine. The results were determined using ultrasound angioscanning in 14 days, 3 and 6 mo.

Results. During automatic cycle of EVEW (5 - 12 sec) the BSV occlusion in 55 - 75 °C temperature have occurred. The vein alteration on the depth of endothelial and subendothelial layers without damage of endothelial layer and paravasal cellular tissue was determined. Postoperative pain was moderate. Fibrous transformation (FT) of BSV in 6 mo was determined in 55 (98.2%) patients. Ecchimosis and paresthesia were observed in 4 (7.1%) and 2 (3.6%) patients.

Conclusion. Automatic regime of EVEW, which is based on interrelationship of electric parameters of welding and resistance of tissues, providing the BSV occlusion with further FT, is accompanied by low heat of vein and excludes the impact of subjective factors on results of the operation.

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Author Biographies


V. S. Horbovets, Shupyk National medical Academy of Postgraduate Education, Kyiv

Horbovets Vladislav Sergeevich, assistant,

Department of surgery and vascular Surgery,

Shupyk National Medical Academy of Postgraduate Education,

Ukraine, Kyiv, Dorogozhyzka str., 9.

(044) 502 64 19,

e-mail: gorbovezz@bigmir.net

https://orcid.org/0000-0003-1744-9544 (мoб. 38 067 955 33 08)


S. I. Savoluk, Shupyk National medical Academy of Postgraduate Education, Kyiv

Savoluk Sergey Ivanovich, , MD, Dr. Sci.,

Head of Department of surgery and vascular Surgery

Shupyk National Medical Academy of Postgraduate Education,

Kiyv, Dorogozhyzka str., 9.

(044) 432 24 52

e-mail savoluk@meta.ua

https://orcid.org/0000-0001-5406-8228


O. O. Dyadyk, Shupyk National medical Academy of Postgraduate Education, Kyiv

Dyadyk Olena Oleksandrivna, Professor, MD, Dr. Sci.,

Head of department of Pathologic and Topographic Anatomy

Shupyk National Medical Academy of Postgraduate Education,

Kiyv, Dorogozhyzka str.,9.

(044) 483 86 63,

pathology-nmapo@ukr.net

https://orcid.org/0000-0002-9912-4286


M. M. Gvozdiak, Shupyk National medical Academy of Postgraduate Education, Kyiv

Gvozdiak Mykola Mykolaiyovich, Ph D,

Department of surgery and vascular Surgery

Shupyk  National Medical Academy of Postgraduate Education, Kiyv,

Dorogozhyzka str., 9.

(044) 432 24 52,

e-mail gvozdiak@gmail.com

https://orcid.org/0000-0001-9461-3788


A. A. Balabai, Bogomolets National Medical University, Kyiv

Balabai Alina Anatoliivna, Ph D, docent,

Department of Pathological Anatomy №2,

Bogomolets National Medical University,

Ukraine, Kyiv, boulevard of Taras Shevchenko, 13

(044) 234 40 62

e-mail:alina.balabai@gmail.com

https://orcid.org/0000-0001-6716-5334

Published
2018-11-01
How to Cite
Horbovets, V. S., Savoluk, S. I., Dyadyk, O. O., Gvozdiak, M. M., & Balabai, A. A. (2018). Automatic regime of endovenous electric welding in treatment of varicose disease of the lower extremities. Klinicheskaia Khirurgiia, 85(11), 37-39. https://doi.org/10.26779/2522-1396.2018.11.37
Section
General Problems of Surgery