[Surgery of communicating veins of the leg in complicated varicose disease].
Comparative analysis of elimination of blood regurgitation via crus communicant veins in varicose disease complicated by trophic disorders (lipodermal sclerosis and trophic ulcers) was carried out in two groups of patients. In groups 1(120 cases) routine Cocett's and Linton's operations with long stripping of venous trunks were performed. In group 2 (68 cases) minimally-invasive methods--distant communicantectomy and partial stripping--were used. Surgical techniques, short- and long-term results are described. In group 1 there were 26.6% of wound complications and 60% of crus neuropathies in remote period. In 2 group operations were performed 4 times faster, with insignificant blood loss, accompanied by primary adhesion and early discharge of patients. Period of temporary disability in these patients was less than in group 1, rate of neuropathies was 5.8%.
Les'ko
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D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012598:Sclerosis / Q000601:surgery; D013997:Time Factors; D014647:Varicose Ulcer / Q000601:surgery; D014648:Varicose Veins / Q000150:complications* / Q000601:surgery*; D014680:Veins / Q000601:surgery*