The use of echoscleroobliteration in patients with recurrent varicose veins

Introduction. Currently, surgeons are increasingly using endovasal treatment methods to treat patients with recurrent varicose veins. The most common method of eliminating recurrent varicose veins is echosclerobliteration. The question of the isolated use of echoscleroobliteration in patients with recurrent varicose veins remains unexplored.

Aim. To develop an algorithm for the optimal use of echosclerobliteration of recurrent veins and to improve the results of treatment of patients with recurrent varicose veins.

Materials and methods. Puncture echosclerobliteration was performed in 67 patients with relapses of varicose veins with clinical class C2, C3, C4 according to the CEAR classification. Among them there were 46 (68.7%) women and 21 (31.3%) men aged 21 to 79 years.

Results. The feasibility of echosclerobliteration of recurrent veins was 100%, the average course of treatment consisted of 2.5 ± 0.3 sessions. The development of thrombotic complications was observed in 10 (14.9%) patients, neurological disorders – in 3 (4.5%), hyperpigmentation – in 16 (23.9%), secondary telangiectasia – in 11 (16.4%). After 2 years, a recurrence of the disease was detected in 5 (7.5%) patients. In the process of dynamic follow-up, all patients after echosclerotherapy showed a decrease in the clinical manifestations of varicose veins by 4.3–82.1%, an improvement in all quality oflife factors by 12.1–24.8%.

Discussion. The use of echoscleroobliteration in patients with recurrent varicose veins allows achieving good clinical results, reliable obliteration of recurrent veins was achieved in 62 (92.5%) patients after 2 years, and the positive dynamics of all quality oflife factors 1 year after treatment was 12.1–24.8%.

Conclusion. The use of echoscleroobliteration allows to provide a good clinical, cosmetic result of treatment, to improve the quality of life in patients with recurrent varicose veins.

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