[A relapse of lower-limb varicose disease: definition, diagnosis and causes of pathology (review of literature)].
Current trends are towards a permanent growth of the number of patients presenting with a relapse of lower-limb varicose disease (RVD). According to the data of various investigators, from 5 to 80 % of postoperative patients develop RVD. Despite the close attention paid over decades to this problem by phlebologists of all the world over, there is no common interpretation of the notion "relapse of varicose disease". Recommendations on carrying out examination are of too general character and do not take into consideration the necessity of maximal individualization of therapeutic policy. Attention is attracted by a wide variety of the data concerning the causes of RVD with considerable differences as to the percentage ratio thereof. All this results in various readings when assessing the outcomes of different therapeutic methods, as well as hampers development of a unified therapeutic policy. It is necessary to eliminate terminological ambiguity, to be followed by devising a present-day diagnostic and therapeutic policy in RVD. The structure and classification of the causes leading to development of a relapse should also be studied, especially in the light of using novel, including minimally invasive technologies.
Zolotukhin
I A
IA
Andriiashkin
A V
AV
Kirienko
A I
AI
D006801:Humans; D035002:Lower Extremity / Q000098:blood supply* / Q000503:physiopathology*; D012008:Recurrence; D014648:Varicose Veins / Q000175:diagnosis* / Q000503:physiopathology*