Riabushko R. Modern approaches to the pathogenetic complex treatment of venous trophic ulcers of the lower extremities

The dissertation is a clinical work, which is devoted to the study of causes of venous trophic ulcers of the lower extremities, improvement of methods of their pathogenetic complex treatment and improvement of the results of surgical interventions. Patients with the purpose of elimination of pathological reflux of venous blood on the lower extremities after its determination with the help of UZKAS were performed corresponding venektomy with a set of tools which differed in groups. The criteria that evaluated the effectiveness of surgical treatment were the type and duration of surgery, the frequency and nature of postoperative complications, the length of bed-day, the rate of healing of lower extremity VTV in patients treated with open defects, as well as the frequency of recurrence of ulcers. When performing a crossectomy, use a device to isolate and bandage the mouth of the ERW to determine the size of the stump of the great saphenous vein using a template. In this case, all anatomical structures on which the manipulations are performed are clearly visualized and are protected by the working surface of the device, and the ligature is placed on a vein that has not been deformed and has the shape of a cylinder, which allows it to tie evenly without unnecessary folds. When ligating perforating veins, it is recommended to use a device for diluting the edges of the wound when ligating perforating veins and a suitable method of diluting the edges of the wound when ligating perforating veins, as when diluting the edges of the wound with this device, the space for manipulation increases. tissue in the wound and its filling remains minimal, and even when changing the angle of the working part of the device, the bottom of the wound with a perforating vein always remains within visual control.