Journal «Angiology and Vascular Surgery» • 

2005 • VOLUME 11 • №2

SURGICAL METHOD FOR CORRECTION OF ABSOLUTE VALVULAR INSUFFICIENCY IN POSTTHROMBOPHLEBITIC DISEASE OF THE LOWER LIMBS

M.G. Magomedov, A.A. Dyuzhikov, M.R. Ramazanov
Chair of General Surgery and Advanced Training in Endoscopic Surgery,
Dagestan State Medical Academy,
Rostov Center of Cardiology and Cardiovascular Surgery,
Makhachkala, Rostov-on-Don, Russia

A new technique has been worked out for intravasal autovenous valvuloplasty. It is based on the "ink-pot that does not spill" principle with creation of two cusps and is used in the treatment of patients with postthrombophlebitic disease of the lower limbs induced by absolute valvular incompetence of the great veins. Criteria are offered for assessment of the efficacy of the technique for formation of venous valves. Altogether 54 operations were performed including those provided to 29 patients (the main group) operated on according to the technique proposed and those in 25 patients (control group) operated on the basis of the known technique reported in the literature. In 51 patients, these operations were accomplished in combination with different variants of procedures on the communicating and saphenous veins of the lower limbs. The time of some follow ups was as long as 7 years. The beneficial short-term results were obtained in 96.5% of cases whereas the long-term outcomes were positive in 92% of the basic group patients.

KEY WORDS: postthrombophlebitic disease of the lower limbs, management.

P. 82

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