[Quality of life in surgical treatment of varicose disease].
A decrease of surgical trauma and improvement of anesthesia quality are the key points in quality life improvement after surgical treatment of varicose disease. Two variants of incisions were used: mini approaches of length not more than 20 mm and micro approaches of length to 2 - 3 mm. During surgery instruments of decreased sizes were applied. Direct and distant mini approaches were used for crossectomy. Disjunction of Coccett's perforated veins in trophic disorders was performed through distant mini approach, valvuloplasty of the femoral vein - through two mini approaches. Removal of subcutaneous and communicated veins was performed through few micro approaches. One hundred and seventy-four patients with various forms of varicose disease underwent surgery under combined (general - fentanil, sibazon, propofol and local - lidocain, novocain) anesthesia. Total length of cutaneous incisions ranged from 15 to 85 mm. Fast achievement of primary state after surgery and complete recovery during first week was seen. High index of quality of life both in the surgery day and nearest days after it was noted.
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D000328:Adult; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D014648:Varicose Veins / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*