В статье представлено исследование по оценке эффективности лечения 12 пациентов с варикозным расширением вен нижних конечностей методом амбулаторной минифлебэктомии варикозных притоков с сохранением магистральной подкожной вены. Срок наблюдения за пациентами составил 1 год. При контрольном дуплексном сканировании большой подкожной вены у всех пациентов отмечено уменьшение диаметра вены и ликвидация рефлюкса. Клинических рецидивов варикозного расширения вен нижних конечностей выявлено не было.
Chronic venous disease of lower extremities is a common vascular problem in the developed countries. The aim of our study was to explore a potency of ambulatory selective varicose vein ablation under local anesthesia (ASVAL) without vein stripping. ASVAL method was carried out in 12 patients. All patients had reflux of great saphenous vein verified by duplex ultrasound before surgical treatment. Exclusion criteria were reflux of small saphenous vein, reflux of perforator veins and clinical class 4-6 by classification CEAP. Design of the study was series cases. Follow-up time lasted one year. The surgery was performed by tumescent anesthesia of 0.01% Lidocain. All patients were given Diclofenac 100 mg for one postoperative day. In all patients we observed decrease of size or disappearance of great saphenous vein reflux verified by duplex ultrasound. No recurrence of varicose veins for one year was detected.
The authors declare that there are no conflicts of interest present.