RESUMEN
Results of examination and treatment of 339 patients, suffering an acute varicothrombophlebitis, complicated by transfascial thrombosis, were analyzed. Indications for surgical prophylaxis of pulmonary thromboembolism in transfascial thrombosis in a system of vena cava inferior were studied. After the operation in all the patients, while presence of transfascial thrombosis, not taking into account the operation radicalism, the treatment was prescribed, similar to that for the deep veins thrombosis. In the deep veins thrombosis, combined with superficial varicothrombophlebitis , an access for excision of a small subcutaneous vein of lower extremity must be differentiated, depending on spreading of thrombotic occlusion and localization of the calf veins inflowing place. Introduction of active surgical tactic in presence of floating thrombus in the anklepopliteal venous segment secures conduction of effective prophylaxis of pulmonary thromboembolism
Asunto(s)
Extremidad Inferior/cirugía , Embolia Pulmonar/prevención & control , Trombectomía/métodos , Tromboflebitis/cirugía , Várices/cirugía , Trombosis de la Vena/cirugía , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Fascia/patología , Fasciotomía/métodos , Femenino , Humanos , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/patología , Masculino , Persona de Mediana Edad , Vena Poplítea/patología , Vena Poplítea/cirugía , Estudios Retrospectivos , Tromboflebitis/patología , Várices/patología , Vena Cava Inferior/patología , Vena Cava Inferior/cirugía , Trombosis de la Vena/patologíaRESUMEN
In 36 patients, suffering trophic ulcers on a chronic venous insufficiency background in a decompensated stage (C6 in accordance to CEAP), echoscleroobliteration of perforant veins, using a "foam-form" method in accordance to Tessari, was performed. In 29 patients postrombophlebitic syndrome in incomplete recanalization stage was diagnosed, in 7 recurrence of varicose disease of the lower extremities. In all the patients during echoscleroobliteration there was possible to obliterate the insufficient perforant veins, in 3 patients two perforant veins were obliterated in each of them. In a one week a pathological blood flow along perforant veins, in accordance to data of ultrasound duplex scanning, was absent. This effect lasted during 6 mo in 29 (80.6%) patients. In 25 (69.4%) patients a trophic ulcers healing was achieved in 1 - 3 mo. In a one year in 30 (83.3%) patients a stable obliteration was noted, in 3 (8.3%) - partial recanalization, in 3 (8.3%) - complete recanalization of perforant veins.