[The pathogenetic validation of the volume and the technology for the surgical correction of disorders in the musculo-venous pump of the lower extremities in patients with decompensated forms of varicose veins].
The state of the venous, capillary blood circulation and lymph flow was studied in 70 patients with varicose disease at the stage of trophic disorders with the help of photoplethysmography, rheovasography, dopplerography, distal ascending and retrograde femoral, popliteal, talocrural phlebography, lymphography. It was established that a sharp disturbance of the musculo-venous pump function caused decompensation of not only the venous blood circulation but also the lymph flow, while the removal of the subcutaneous veins of the crus is not possible without deterioration of the lymphatic drainage. The authors propose not to ablate the main trunks of the subcutaneous veins on the crus but to perform occlusion of the autovein ablated from the femur. A technology of resection of the pathologically altered vein of the soleus and gastrocnemius muscles and retrograde occlusion of the posterior tibial veins is developed for improving the work of the musculo-venous pump of the leg. Good results of treatment were obtained in 84.3% of the patients.
Sukovatykh
B S
BS
Nazarenko
P M
PM
Belikov
L N
LN
Rodionov
O A
OA
Abramova
S A
SA
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009131:Muscle, Smooth, Vascular / Q000503:physiopathology / Q000601:surgery*; D014648:Varicose Veins / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D014680:Veins / Q000503:physiopathology / Q000601:surgery*
Patogeneticheskoe obosnovanie ob''ema i tekhnologiia khirurgicheskoĭ korrektsii narusheniĭ myshechno-venoznoĭ pompy nizhnikh konechnosteĭ u bol'nykh s dekompensirovannymi formami varikoznoĭ bolezni.