[Microsurgical reconstruction of incompetent femoral vein valve in varicose disease].
We report here the results of examination and treatment of 2.178 patients with clinical class 3-6 varicose disease (CEAP). Comprehensive examination of the patients included Doppler ultrasonography, duplex scanning of the lower limbs veins with dynamic and energy mapping, retrograde femoral videophlebography, and intraoperative the test. Based on the findings of the examination, insufficiency of the femoral vein valve was revealedin 1.357 (62.3%) patients. The authors determined the indications for and contraindications to correction of valvular insufficiency in varicosity of the lower extremities, having performed a total of 1.168 microsurgical reconstructions of the femoral venous valve according to own methodology. There were neither any thromboses of the reconstruction zone observed, nor were any lethal outcomes noted to ensue. The obtained intraoperative outcomes were assessed as good in 722 patients (61.8%), as satisfactory in 427 (36.6%), and as poor in 19 (1.6%). During the early postoperative period, good short-term outcomes were observed in 972 patients (83.2%), satisfactory in 177 (15.2%), and unsatisfactory in 19 patients (1.6%).
Alukhanian
O A
OA
Aristov
D S
DS
Serdiuchenko
I D
ID
Shchepotina
I V
IV
Alukhanian
A O
AO
Borsov
M Kh
MKh
D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008866:Microsurgery; D010690:Phlebography; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014648:Varicose Veins / Q000150:complications* / Q000000981:diagnostic imaging; D014656:Vascular Surgical Procedures / Q000379:methods*; D014689:Venous Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*