Nabolotnyi O. Surgical treatment of lower limbs varicose veins combined with pelvic venous reflux

The thesis presents an analysis of the results of treatment of 100 patients of reproductive age with lower limbs varicose veins. Depending on the objectives of the study, the patients were divided into two groups: the main group (50 observations), which in turn was divided into subgroup A, which included patients with non-saphenous and non-saphenous – saphenous lower limbs varicose veins and varicose veins of the pelvis (n=25) and subgroup B, which included patients with varicose veins in the system of great saphenous vein and varicose veins of the pelvis (n=25). The comparison group included patients with systemic varicose veins in the system of great saphenous vein, which underwent the endovascular laser ablation of the great saphenous vein trunk (n=50). In the course of the study, the methods of hybrid surgical intervention in patients with combined pelvic veins reflux and the lower limbs superficial varicose veins have been developed, allowing to perform the one-step correction of the abovementioned conditions. On the basis of the obtained data, an algorithm for diagnosing and treating patients with lower limbs superficial varicose veins and varicose veins of the pelvis was developed, enabling to avoid the recurrence of lower limbs superficial varicose veins in the main study group for a period of observation of 2 years.