Article 4113

Title of the article

APPLICATION OF ENDOVASCULAR ELECTROCOAGULATION FOR VARICOSITY

Authors

Alagulov Aleksey Aleksandrovich, Surgeon, Mordovia Republican Clinical Hospital, postgraduate student, Mordovia State University named after N. P. Ogaryov (Saransk, 63 Proletarskaya str.), Dr.alagulov@yandex.ru
Belyaev Aleksandr Nazarovich, Doctor of medical sciences, professor, head of sub-department of general surgery and anesthesiology named after N. I. Atyasov, Mordovia State University named after N.P.Ogaryov (Saransk, 63 Proletarskaya str.), belyaevan@ mail.ru

Index UDK

616.147.3-007.64-073.7

Abstract

The method of endovascular electrocoagulation was used for 48 patients (group 1). The comparison group (group 2) included 40 patients, which were operated using a combined venectomy. The article describes in detail a technique of the endovasal electrocoagulation and the applied electrodes and equipment. It is shown that the endovascular electrocoagulation is a less traumatic intervention compared to the combined venectomy. The area of subcutaneous hemorrhage is 10.8 times less and the length of skin incisions is 2.5 times less that demonstrates significant improvement of cosmetic results. In addition, the endovasal electrocoagulation leads to complete obliteration of varicose veins lumen which is quite radical.

Key words

varicose veins, endovascular electrocoagulation, venectomy, indications, technique.

Download PDF
References

1. Callam, M. J. Epidemiology of varicose veins/ M.J.Callam//British Journal of Surgery.–1994.–Vol. 81.–P.167–173.
2. Smith, J. J. Evaluating and improving health-related quality of life in patients with varicose veins / J. J. Smith, A.M.Garratt, M. Guest [et al.] // Journal of Vascular Sur-gery. – 1999. – Vol. 30. – P. 710–719.
3. Van den Oever, R. Socio-economic impact of chronic venous insufficiency. An underestimated public health problem/R. Van den Oever, B. Hepp, B. Debbaut, I. Simon//International Angiology.–1998.–Vol. 17.–P.161–167.
4. Ruckley, C. V. Chronic venous insufficiency: clinical and duplex correlations (The Edinburgh Vein Study of venous disorders in the general population) / C. V. Ruckley, C. J. Evans, P. L. Allan [et al.] // Journal of Vascular Surgery. – 2002. – Vol. 36. – P. 520–525.
5. Samuels, P. B. Technique of varicose vein surgery / P. B. Samuels // American Journal of Surgery. – 1981. – Vol. 142. – P. 239–244.
6. Rutherford, R. B. The fate of residual saphenous veins after partial removal or ligation / R. B. Rutherford, J.D.Sawyer, D. N. Jones // Journal of Vascular Surgery. – 1990. – Vol. 12. – P. 422–428.
7. Goren, G. Invaginated axial saphenectomy by a semirigid stripper: Perforate-invaginate stripping / G. Goren, A.E.Yellin // Journal of Vascular Surgery. – 1994. – Vol. 20. – P. 970–977.
8. Walsh, J. Femoral venous reflux abolished by greater saphenous vein stripping / J. Walsh, J. J. Bergan, S.Beeman, T. P. Comer // Annals Vascular Surgery. – 1994. – Vol. 8. – P. 566–570.
9. Harris, E. J. Raidofrequency ablation of the long saphenous vein without high loig-stion versus high ligation a stripping for primary varicose veins: Pros and cons/E.J.Harris//Semi. Vascular Surgery.–2002.–Vol.15.– P.34–38.
10. Durkin, M. T. A prospective randomized trial of Pin versus conventional stripping in varicose vein surgery / M. T. Durkin, E. P. Turton, D. J. Scott, D. C. Berridge // An-nals of The Royal College of Surgeons of England. – 1999. – Vol. 81. – P. 171–174.
11. Dwerryhouse, S. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial / S. Dwerryhouse, B. Davies, K. Harradine, J. J. Earnshaw // Journal of Vascular Surgery. – 1999. – Vol. 29. – P. 589–592.
12. The effect of long saphenous vein stripping on quality of life / R. K. MacKenzie [et al.] // Journal of Vascular Surgery. – 2002. – Vol. 35. – P. 1197–1203.
13. Durkin, M. T. Long saphenous vein stripping and quality of life – a randomized trial / M. T. Durkin, E. P. L. Turton, L. D. Wijesinghe [et al.] // European Journal of Vascular Surgery. – 2001. – Vol. 21. – P. 545–549.
14. Endovenous obliteration versus conventional stripping operation in the treatment of primary varicose veins: a randomized controlled trial with comparison of the costs / T. Rautio [et al.] // Journal of Vascular Surgery. – 2002. – Vol. 35. – P. 958–965.
15. Prospective randomized study of endovenous radiofrequency obliteration (Closure pro-cedure) versus ligation and stripping in selected patient population (EVOLVeS Study) / F. Lurie [et al.] // Journal of Vascular Surgery. – 2003. – Vol. 38. – P. 207–214.
16. Min, R. J. Endovenous EVL treatment of saphenous vein reflux: long-term results / R. J. Min, N. Khilnani, S.E.Zimmet // Journal of Vascular and Interventional Radiology. – 2003. – Vol. 14. – P. 991–996.
17. Proebstle, T. M. Infrequent early recanalization of greater saphenous vein after endovenous EVL treatment / T.M. Proebstle [et al.] // Journal of Vascular Surgery. – 2003. – Vol. 38. – P. 511–516.
18. Mundy, L. Systematic review of endovenous EVL treatment for varicose veins / L. Mundy, T. L. Merlin, R.A.Fitridge, J. E. Hiller // British Journal of Surgery. – 2005. – Vol. 92. – P. 1189–1194.
19. Morrison, N. Saphenous ablation: what are the choices, EVL or RF energy / N. Morrison // Semin. Vascular Surgery. – 2005. – Vol. 18. – P. 15–18.
20. Agus G. B. The first 1000 cases of Italian Endovenous-EVL Working Group (IEWG). Rationale, and long-term outcomes for the 1999–2003 period / G. B. Agus,
S. Mancini, G. Magi // International Journal of Angiology. – 2006. – Vol. 25. – P. 209–215.
21. Theivacumar, N. S. Neovascularisation and Recurrence 2 Years After Varicose Vein Treatment for Sapheno-Femoral and Great Saphenous Vein Reflux: A Comparison of Surgery and Endovenous Laser Ablation Original Research Article / N. S. Theivacumar, R. Darwood, M. J. Gough // European Journal of Vascular and Endovascular Surgery. – 2009. – Vol. 38. – P. 203–207.
22. Korchagina, V. YU. Endovazal'naya elektrokoagulyatsiya s podkozhnym pere¬seche-niyem varikoznykh i perforantnykh ven / V. YU. Korchagina, YU. I. Sedov // Novyye tekhnologii v khirurgii : materialy Mezhdunarod. khirurgicheskogo kongr. 5–7 oktyabrya 2005 g. – Rostov na /D., 2005. – S. 23.

 

Дата создания: 04.07.2014 07:47
Дата обновления: 04.07.2014 14:51