Journal «Angiology and Vascular Surgery» • 

2005 • VOLUME 11 • №3

A COMPLEX PROGRAM FOR THE TREATMENT OF PATIENTS WITH POSTTHROMBOPHLEBITIC DISEASE OF THE LOWER LIMBS

M.G. Magomedov, A.A. Dyuzhikov, M.R. Ramazanov, G.N. Emirov
Chair of General Surgery, Dagestan State Medical Academy,
Rostov Interregional Center of Cardiology and Cardiovascular Surgery,
Makhachkala, Rostov-on-Don, Russia

The aim of the work was to improve the results of the treatment of patients suffering from postthrombophlebitic disease (PTPD) of the lower limbs. An analysis was made of the results of examination and treatment of 800 patients, obtained over the recent 12 years. Wide spreading of operations carried out on the saphenous and communicating veins led to a decrease in the number of the long-term positive results in the presence of valvular insufficiency of the deep veins. At the same time combined operations performed on all three venous systems according to the indications cannot provide for stable results. This circumstance necessitates the carrying out of preventive and anti-recurrence measures. This formed the basis for revision of the treatment policy and development of a complex program for combined surgical and conservative treatment, provided there are strict indications for each of them, depending on the character and the degree of venous insufficiency in PTPD.We have worked out our own technology for conservative treatment; preoperative preparation and postoperative rehabilitation constituted a part of the program suggested. The program for permanent rehabilitation includes an individual training of patients in elementary practices of the treatment and prevention of disease progression. According to the program we undertook the treatment of 343 patients; the positive results could be attained in 87.5% of cases as shown by the 6-year follow up.

KEY WORDS: postthrombophlebitic disease, complex program, treatment.

P. 70

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