Completing sclerotherapy of recurrent and residual varicosely changed veins of the lower extremities after surgical and endovenous methods of treatment

Keywords: chronic venous insufficiency; varicose nodes; color ultrasound dopplerography; stripping; endovenous laser ablation; radio-frequency ablation; sclerotherapy

Abstract

Objective. Improvement of the treatment results in patients, suffering recurrent and residual varicosely changed veins and varicose nodes of the lower extremities, developed after surgical and endovenous laser methods of treatment.

Materials and methods. In 32 patients (21 women and 11 men) ageing from 28 to 71 yrs old, a miniinvasive definitive sclerotherapy of recurrent and residual varicosely changed veins and varicose nodes of the lower extremities, which have developed after surgical and endovenous laser methods of treatment in 45 patients, were performed.

Results. Complete occlusion of subcutaneous veins and varicose nodes of the lower extremities without their recanalization were revealed in 45 patients in accordance to data of the control color ultrasound dopplerography. Transitory thrombophlebitis have developed in 3 patients. There were following symptoms: a foreign body feeling like of a small chords - in 3 patients, paresthesia and feeling of numbness - in 2, and ecchimosis - in 2. These complications did not demand special medicinal and physiotherapeutic methods of treatment and spontaneously resolved during 1 - 6 mo. Serious complications were absent.

Complications. In patients with unsatisfactory results of surgical treatment of chronic venous insufficiency and varicose nodes (the recurrence rate constitutes 48.1%, and in the residual pathology of subcutaneous veins - 25.0%) the alternative miniinvasive methods of treatment must be applied. Complex approach and correct choice of endovenous laser methods of treatment permits to achieve a complete occlusion of subcutaneous veins in 97.37% of this patients, to reduce the rate of the disease recurrence and serious complications occurrence down to minimum. Conduction of a definitive sclerotherapy under local infiltrative anesthesia in ambulatory or stationary conditions is expedient in patients with the subcutaneous veins recanalization, development of recurrence and residual disease in the lower extremities.

Author Biography

V. A. Musayev, Medical Faculty of University of Gazi, Ankara

Vugar Alishir oglu Musayev

Gazi University Medical Faculty Hospital.

Emniyet Mahallesi, Mevlana Blv. No: 89, Yeni mahalle /Ankara, Turkey.

Tel. +90 312 202 40 00 / +90 4440212. Mobil - + 90 5415241350

https://orcid.org/0000-0003-0885-2382.

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Published
2018-11-01
Section
General Problems of Surgery