Modern approaches to tactics and strategy of treatment of thrombophlebitis of the subcutaneous veins of the lower extremities
DOI:
https://doi.org/10.24144/2415-8127.2020.61.101-106Keywords:
varicotrombophlebitis, radiofrequency obliteration, endovenous laser vein coagulation.Abstract
Rationale. Endovenous techniques in recent years have actually superseded classic varicose veins surgery. But so far many experts believe that their use is justified only in uncomplicated forms of varicose veins, and the presence of varicotrombophlebitis requires emergency open surgery. The study aimed to show the possibilities and tactics of using modern endovenous techniques in varicose disease complicated by varicotrombophlebitis, taking into account current world trends. Methods. 3 groups of 15 patients were selected from patients who underwent varicotrombophlebitis treatment in 2016- 2019, one of which included patients treated with endovascular laser coagulation, the second group – radiofrequency obliteration, and the third group – patients were treated conservatively. The first two groups received postoperative thromboprophylaxis with direct anticoagulants. Results. The use of endovenous techniques in varicotrombophlebitis is effective and safe, but with localized forms conservative treatment is quite effective. Varicotrombophlebitis is an indication for the use of endovenous techniques if surgical treatment is indicated, except for situations with the placement of a blood clot in the area of junctions.
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