RESUMO
An analysis of long-term results of treatment of 1258 patients with chronic lymphovenous insufficiency of lower extremities has shown the necessity of differentiated approach to different categories of the patients. A substantial improvement of results of the treatment of patients with complicated forms of varicose disease is observed in combination of operations on the venous and lymphatic systems. The character of these operations (lymphovenous anastomoses, lymphonodovenous anastomoses) must be determined strictly individually on the basis of an analysis of clinical course of the disease, data of lympho- and phlebography.
Assuntos
Perna (Membro) , Linfedema/cirurgia , Insuficiência Venosa/cirurgia , Anastomose Cirúrgica/métodos , Doença Crônica , Humanos , Perna (Membro)/irrigação sanguínea , Ligadura , Linfedema/complicações , Linfedema/diagnóstico por imagem , Linfografia , Flebografia , Fatores de Tempo , Insuficiência Venosa/complicações , Insuficiência Venosa/diagnóstico por imagemRESUMO
The article analyzes the causes of relapses of varicose veins of lower extremities in 60 patients: in 38 patients after preceding surgery and in 22 patients after phlebo-sclerosing treatment. Of 60 patients 52 were operated upon. The operation in case of recurrence of the disease after surgery must include careful revision of the sapheno-femoral anastomosis, removal of the remaining trunks and segments of veins, detection and ligation of communicating veins with deficient valves.