Justification of the choice of surgical treatment of varicose veins of the lower extremities depending on the physical and morphometric indicators of the thigh and the great saphenous vein.
1
Oncology Department, Uzhgorod National University, Ukraine
2
Surgical, Transcarpathian Regional Clinical Hospital named after A. Novak, Ukraine
3
Surgical Department, Uzhgorod National University, Ukraine
Submission date: 2025-03-18
Final revision date: 2025-06-17
Acceptance date: 2025-08-28
Publication date: 2025-10-30
Corresponding author
Fedir Mykolayovych Pavuk
Oncology Department, Uzhgorod National University, Sqr. Narodna 1, 88000, Uzhgorod, Ukraine
Oncology Department, Uzhgorod National University, Sqr. Narodna 1, 88000, Uzhgorod, Ukraine
Wiadomości Lekarskie 2025;(10):1933-1940
KEYWORDS
TOPICS
ABSTRACT
Aim:
To improve the results of traditional treatment and combined in patients with varicose veins, evaluate the long-term results of treatment depending on the magnitude of varicose transformation and morphometric parameters of the lower extremities.
Material and methods:
We analyzed the results of examination and treatment of 228 patients with varicose veins (VV) of the lower extremities who underwent treatment at the Andriy Novak Surgical Clinic from 2012 to 2023. The inclusion criteria in the study were patients with VV (C2-C6 according to CEAP) who gave their voluntary consent to the examination and measurement. In order to compare the results of sclerosurgical and surgical treatment the ultrasound, and the frequency of pathological signs were used.
Results:
It was obtained during the measurement of the limbs, when calculating the taper expressed in percentage, it was found that in people with a height of 180 cm and more and a weight of 80+ kg, taper reaches ≥15% in 68 (70%) patients (p<0.001). Analysis of long-term results in the two studied groups of patients revealed a statistically significant difference in the frequency of good results from medical interventions with an advantage in favor of surgical treatment (Fisher's criteria p=0.014).
Conclusions:
To prevent and reduce the rate of unsatisfactory results when choosing a method of surgical treatment of varicose veins, morphometric indicators and thigh taper should be taken into account.
To improve the results of traditional treatment and combined in patients with varicose veins, evaluate the long-term results of treatment depending on the magnitude of varicose transformation and morphometric parameters of the lower extremities.
Material and methods:
We analyzed the results of examination and treatment of 228 patients with varicose veins (VV) of the lower extremities who underwent treatment at the Andriy Novak Surgical Clinic from 2012 to 2023. The inclusion criteria in the study were patients with VV (C2-C6 according to CEAP) who gave their voluntary consent to the examination and measurement. In order to compare the results of sclerosurgical and surgical treatment the ultrasound, and the frequency of pathological signs were used.
Results:
It was obtained during the measurement of the limbs, when calculating the taper expressed in percentage, it was found that in people with a height of 180 cm and more and a weight of 80+ kg, taper reaches ≥15% in 68 (70%) patients (p<0.001). Analysis of long-term results in the two studied groups of patients revealed a statistically significant difference in the frequency of good results from medical interventions with an advantage in favor of surgical treatment (Fisher's criteria p=0.014).
Conclusions:
To prevent and reduce the rate of unsatisfactory results when choosing a method of surgical treatment of varicose veins, morphometric indicators and thigh taper should be taken into account.
| eISSN: | 2719-342X |
| ISSN: | 0043-5147 |
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