[Efficacy of endoscopic dissection of perforant veins in lower limb chronic lymphovenous insufficiency].
Overall 156 patients with lower limb chronic lymphovenous insufficiency were treated and analyzed. All the patients were divided into 3 groups depending on method of perforant veins dissection. First group consisted of 46 patients who underwent epifascial dissection (Cokket's operation), 2nd group--50 patients undergone isolated subfascial dissection from small separate incisions (Madden-Kim's operation), 3rd group--60 patients after endoscopic subfascial dissection (SEPS technology). The results were followed-up to 5 years. It is demonstrated that SEPS technology is associated with the best results in early and late postoperative period (8.3% of recurrences) and prevents the progress of chronic lymphovenous insufficiency. Subfascial dissection promotes early normalization of lower limb microcirculation parameters. Epifascial dissection permits to achieve satisfactory early results, but long-term results are associated with high rate of recurrences especially at the patients with trophic lesions.
Lutsevich
O E
OE
Ivanov
V V
VV
Tugarinov
A I
AI
Chizhikov
N N
NN
D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods*; D006439:Hemodynamics; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery*; D008196:Lymph / Q000502:physiology*; D010690:Phlebography; D014648:Varicose Veins / Q000503:physiopathology* / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000295:instrumentation*; D014689:Venous Insufficiency / Q000503:physiopathology* / Q000601:surgery*