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Științe medicale. Medicină (11480) |
![]() LIȚA, Andrei, MOGILIDEA, Mihail, VOLKOV, Vladimir. Surgical treatment of trophic ulcer of the lower limbs in varicose veins. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 26. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 617.58-007.64-089 | ||||||
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Background. Surgical treatment of varicose veins of the lower limbs is a current problem. According to the literature, from 1% to 73% of women and from 2% to 56% of men suffer from varicose veins, which leads to disability about 2% of the active population. Objective of the study. Improve the results of surgical treatment of patients with advanced varicose veins of the lower limbs using the method of obstructive phlebectomy. Material and Methods: In the surgery department, for 5 years (2015-2020), 57 patients with varicose veins of the lower limbs were operated on in stages C4, C5, C6 after CEAP. During the preoperative period, all patients underwent clinical trial, triplex angioscanning of the lower limbs (L-I) with preoperative marking of varicose veins and perforating veins. Results: When evaluating the treatment results, the following parameters were followed: the presence of numbness on the antero-medial surface of the leg after all types of phlebectomy; trophic ulcer healing time; the frequency of postoperative lymphostatic edema of the limb in both methods; the presence of the filling efficiency of the large saphenous vein segment (using the ultrasound method - triplex angioscanning); the degree and frequency of development of thrombophlebitis of the large saphenous vein segment in the calf region, when phlebectomy with the obstructive method was used. Conclusions: The method of obstructive phlebectomy of the large saphenous vein segment on the leg is an alternative and effective method in the advanced stages of varicose disease. The frequency of postoperative complications is lower using the obstructive phlebectomy method compared to standard phlebectomy. Keywords: trophic ulcer, |
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Cuvinte-cheie trophic ulcer, voracious disease, phlebectomy, ulcer trofic, boala varicoasă, flebectomie |
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