Korolova K. Improvement of surgical treatment technology of uncomplicated forms varicose veins of the lower extremities

The dissertation is devoted to the actual scientific problem - surgical treatment of uncomplicated varicose veins of the lower extremities. According to WHO experts, varicose veins of the lower extremities are the most common peripheral vascular disease. 41% of women over 50 have reticular varicose veins (RV) and telangiectasia (TAE) in the lower extremities. Minimally invasive injection and hardware techniques are widely used in the world, but surgical intervention is currently the leading place in the treatment of varicose veins of the lower extremities (VVLE), mainly due to cost-effectiveness. To date, the introduction of mini-invasive techniques that would reduce the length the patient's stay in the hospital, reduce the cost of treatment, and improve the cosmetic effect of treatment is relevant. The aim of this study is to improve the immediate and long-term functional and cosmetic results of complex treatment of uncomplicated forms varicose veins of the lower extremities by improving diagnostic methods, optimizing conservative and surgical approaches. Research objectives: 1. Investigate the causes of unsatisfactory treatment results, recurrence of reticular varicose veins and telangiectasias in the lower extremities after sclerotherapy and improve methods for detecting venous reflux in the reticular venous plexuses. 2. To optimize the approach to the study of anatomical and hemodynamic features of veins in patients with uncomplicated forms of varicose veins of the lower extremities. 3. Develop new and improve existing surgical methods that can improve the aesthetic outcome of the operation, reduce the frequency of postoperative complications and ensure a stable result. 4. To study the possibilities of using minimally invasive techniques in patients with reticular varicose veins and telangiectasias, as well as the possibility of hemodynamic treatment of uncomplicated forms of VVLE. 5. To develop an algorithm for the treatment of patients with uncomplicated forms of VVLE. 6. Evaluate the effectiveness of the proposed methods of treatment and their impact on the quality of life of patients, to implement them in health care practice.