Modern approaches to treatment of chronic venous insufficiency at decompensation: surgical and pharmaco-economic aspects

Abstract

Results of the endoscopic dissections of the perforant veins are analyzed at severe chronic venous insufficiency at 141 patients (48 men and 93 women) in the age from 25 till 70 years in comparison with Linton method (26 cases). Patients suffered from severe forms of varicose and post-trombophlebitis illnesses. Good and satisfactory result at endoscopic intervention achieved in 97.2% of cases. Complications are registered in 2,1% of cases (at Linton method - 34.6%). It is judged, that endoscopic dissections is an effective method of treatment of chronic venous insufficiency of the 4-6th classes (on classification SEAP). At the expressed trophic changes it allows to provide one stage intervention on the perforant and superficial veins with significant reduction of purulent complications that reduces hospital stay of patients and charges on treatment.