Petrenko O. Surgical treatment of varicose illness of lower extremities, complicated chronic venous insufficiency with trophic ulcers.

Purpose of work - to perfect technology of surgical treatment of patients with varicose illness complicated chronic venous insufficiency for the improvement of direct and remote results. On the basis of analysis of results of surgical treatment of two groups of patients (209 patients) the study of efficiency of application of the improved technology of their surgical treatment is conducted. At the study of gemodynamic, microcirculation disorders and state of the oxygen providing of fabrics of lower extremities for patients with varicose illness, complicated chronic venous insufficiency it is set that vertical reflux took place in 44,7 % patients. Helpless perforans was localized in 85 % cases on the medial surface of shin. The indexes of tension of oxygen in the area of trophic violations on the perimeter of ulcer went down on 80 %, that is a critical level for viability of fabrics. Cytologic for patients which sorbtion preparation was applied "Siliks", on 5-6 days a wound clears up, makrophags appearin cytologic imprints, and single poliblasts. At treatment of patient after a traditional method it was found out the similar type of cytograms on 3,0 ± 0,29 days later. Application of method of the subfastial crossing of helpless perforans veins on the medial surface of shin provides untraumatic and cosmetic effect. Basic part in development of trophic violations of lower extremities at varicose illness is acted by venous hypertensia, microcirculation disorders and hypoxya. Use of the developed technology of surgical treatment of patients with varicose ulcers with application of sorbtiion preparation "Siliks" and the improved method of operative interference provides the decline of specific gravity of pislyaoperatsiynikh complications and the best remote results.