Novosti
Khirurgii
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Year 2006 Vol. 14 No 3

S.A. SUSHKOV

TREATMENT METHOD OF TROPHIC ULCERS

The aim of the work was to study the possibility of posterior tibial veins remote occlusion application for trophic ulcer of venous genesis treatment.
54 patients with chronic venous insufficiency of the lower limbs who have trophic ulcers were included in the research. All the patients were operated on. The plan before the operation presupposed conducting of isolated posterior tibial veins occlusion by means of catgut in the region of trophic disturbances. The process of intervention and the character of post-operative period were analyzed. To evaluate the effectiveness of the operative treatment, the patients were examined after 1-1,5 months. By that time trophic ulcers had healed in 93,7% patients.
The obtained results have shown that carrying out distant occlusion of posterior tibial veins contributes to rapid trophic ulcer of venous genesis healing. The given operation is pathogenetically proved because it affords to liquidate retrograde blood flow along posterior tibial and incompetent perforate veins in the lower third of the shin. Combination of distant occlusion with autodermaplasty helps to reach large ulcers healing. It can be regarded as the phase of complex operative treatment of the patients with trophic ulcers of venous genesis.

Keywords: chronic venous insufficiency, trophic ulcers, operative treatment, perforant veins, posterior tibial veins, distant occlusion
p. 17 - 22 of the original issue
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