Samoylik Y. Surgical correction chronic venous insufficiency of posttrombophlebitic genesis at complete recanalization deep veins of lower extremities

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0410U001039

Applicant for

Specialization

  • 14.01.03 - Хірургія

18-12-2009

Specialized Academic Board

Д 58.601.01

I. Horbachevsky Ternopil State Medical University

Essay

In dissertation new decision scientific task carried out by introduction in surgical treatment chronic venous insufficiency posttrombophlebitic genesis at complete recanalization deep veins of lower extremities along with liquidation of vertical and horizontal reflux simultaneous a conduct correction valvular aparat deep veins and by the differentiated choice of miniinvasive surgical interferences. The valve of general femoral vein is formed from the premought segment of large saphena.For achievement the put purpose 126 patients are inspected and treated from CVI on the stage of С4-С6EsAs,pPr by classification of SEAR. It is set that the convolutional system in the state of overactivity with simultaneous exhaustion of the fibrinolytic system. The indicated state is answered by the level of index of D-dimer. Application of eubiotic A-bakterinu is promotes in sanitization of wound surface of trophic ulcer on 5-6 days treatment what was indication to xenodermoplastic wound surface of trophic ulcer. On 5-7 days after the last optimum terms are created for the leadthrough of operative interference on the venous system. Grounded advantages videoendoscopic method breaking horizontal venous-venous reflux, in results to decline postoperative complications and accompanied the speed-up rehabilitation of patients.

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