DOI: 10.25881/BPNMSC.2018.29.47.008

Authors

Temrezov M.B.1, Botashev R.N.1, Vladimirova O.V.2, Zhernosenko A.O.3

1. State budgetary educational institution of additional professional education “Russian Medical Academy of Postgraduate Education” of the Health Ministry of Russia

2. Stavropol State Medical University

3. Tuapse Regional Hospital

Abstract

Results of treatment of 68 patients with varicose veins. The aim of the study was to evaluate the efficacy of radiofrequency ablation (RFA) and combined phlebectomy (CFE) in the surgical treatment of varicosity of the lower extremities of the С56 class by CEAP. In the treatment of patients with chronic venous insufficiency (CVI) with closed trophic ulcers with RFA, the results were “good” in 15 (83,3%) patients, “satisfactory” in 1 (5,6%) and “unsatisfactory” in 2 (11,2%) patients, after CFT — “good” — in 9 (64,3%) patients, ‘satisfactory’ — in 2 (14,3%) and “unsatisfactory” — in 3 (21,4%) patients. When treating patients with CVI with open trophic ulcers 6 weeks after RFA, trophic ulcers completely epithelized in 14 (70%) patients, decreased by more than 50% — in 4 (20%), less than 50%, in 2 10%), whereas after CPE complete epithelialization of the ulcerative defect occurred in 8 (50%) patients, ulcers decreased by more than 50% — in 5 (31,25%), less than 50% — in 3 (18,75%) patients. Recur- rence of ulcers after 1 year after RFA noted in 11,2% of cases, after MFE — 20%.

Keywords: varicose veins disease, radiofrequency ablation, miniphlebec- tomy, treatment results.

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For citation

Temrezov M.B., Botashev R.N., Vladimirova O.V., Zhernosenko A.O. Surgical treatment of patients with varicose disease of class С5-С6. Bulletin of Pirogov National Medical & Surgical Center. 2018;3(13):38-42. (In Russ.) https://doi.org/10.25881/BPNMSC.2018.29.47.008