Journal «Angiology and Vascular Surgery» • 

2009 • VOLUME 15 • №1

MINIMALLY INVASIVE SURGERY OF LOWER-LIMB VARICOSE DISEASE
REVIEW OF LITERATURE

Belentsov S.M.
Chair of General Surgeryof the Uralian State Medical Academy,
Department of Vascular Surgery of the Municipal Facility City Clinical Hospital № 40,
Ekaterinburg, Russia

The article reviews the worldwide current literature devoted to one of the presently important problems, i. e., lowerlimb varicose disease, systematizing all available information concerning modern methods of examination and treatment of patients suffering from venous insufficiency, including operations, scler other ару, echo scler other ару, endovasal laser coagulation and radiofrequency ablation. It was underlined that ultrasonographic diagnosis is currently becoming the main method in assessing haemodynamic disorders in the venous system and determining the methods of removal of varicose veins. Also analysed are advantages and disadvantages of these methods both in elective surgery and in emergency states. Reflected are contradictions presently existing in phlebology and a trend towards minimising interventions in varicose disease. The classical combined phlebotomy, remaining for long years the main surgical procedure, has gradually been replaced by the socalled «office» methods of treatment. It was shown that there are a lot of unsolved problems requiring investigation from the positions of efficacy and safety.

KEY WORDS: chronic venous insufficiency, phlebectomy, sclerotherapy, radiofrequency ablation, greater saphenous vein, smaller saphenous vein, perforating veins.

P. 85-90

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