[Surgical treatment of varicosity-altered tributaries of saphenous veins].

A total of 469 patients presenting with lower-limb varicose disease were operated on at Municipal Clinical Hospital No 79 of the Chair of Hospital Surgery No 2 of the I.M. Sechenov First Moscow State Medical University over the period from 2008 to 2011.

[Surgical treatment of an aneurysm of the deep femoral artery].

We report herein a rare clinical case concerning an isolated deep aneurysm of the femoral artery with extravasal compression of the superficial femoral vein, complicated by venous insufficiency and oedema of the lower extremity. A 66-year-old female patient was admitted complaining of a pulsing formation on the left inguinal region, a feeling of puffiness and heaviness of the left lower extremity. The findings of the ultrasonographic Doppler scanning showed no signs of deep veins thrombosis, however, in the projection of the Skarpovsky's triangle of the left lower limb, there was an aneurysmatic dilatation of the deep femoral artery, arteriovenous malformation (?).

[Modern methods of comprehensive management of patients with varicose disease relapsing after surgical interventions].

Despite progress achieved by Russian phlebology in diagnosis and treatment of lower-limb varicose disease, the latter remains the most commonly encountered pathology of the vascular bed. Treatment for varicose disease includes a series of unsolved as yet problems, the main of which being a relapse of varicose disease after surgical interventions. The authors share herein their experience gained in using comprehensive methods while managing varicose disease relapses, also describing the technique of the procedures performed and analysing certain technical variants thereof.

[Minimally invasive methods for the treatment of the recurrent varicosis].

The experience of 193 cases of recurrent variceal disease (RVD) was summarized. Major reasons of recurrences after surgery were analyzed. Traditional and miniinvasive RVD treatment approaches are listed and its efficacy was thoroughly analyzed.

[Cell technologies in complex treatment of venous trophic ulcers].

Live skin equivalent and fibroblasts in gel were used in complex treatment of venous trophic ulcers to evaluate efficacy of cell transplants. Their efficacy depended on extent of trophic ulcer and time of their existence. Cell culture method is minimally traumatic, can be used in elder patients and seniors and gives positive results in 85% of cases.

[Diagnostics and treatment of pulmonary embolism in patients with floating thrombus of the infrainguinal area].

The results of management of 25 patients with floating thrombus of the deep infrainguinal veins were analyzed in the article. The US scanning proved to be enough for the reliable diagnostics of the disease. The surgical management of the category of patients was considered to be the mainstay of the pulmonary embolism prophylaxis.

[Minimally invasive interventions in surgical management of varicose diseases and its relapses].

Over the past several decades, many surgical methods of treatment for varicose disease have been implemented into clinical practice. Nonetheless, an intrinsically too traumatic nature thereof unsatisfactory cosmetic outcomes obtained, long-term postoperative rehabilitation required, and high recurrence rates reported send us in search of minimally invasive but at the same time highly efficient methods of treatment for varicose disease. The present article deals with the experience gained by Russian and foreign authors in and suggesting efficiency of novel minimally invasive technologies used for treatment of both newly diagnosed varicose disease and its relapsing forms.

[Errors in examination and management of patients with lower limb varicosity and their role in development of a relapse of the disease].

Analyzing the literature of the recent years and own clinical experience gained in management of patients diagnosed with recurrent varicose disease indicate that along with the progression of the disease one of the main causes of its relapses are certain medical errors leading to the development of relapsing varicosity of the lower limb veins. Moreover, the number of medical errors often appears to considerably exceed the total number of the patients in whom they were revealed, i. e.

[Outcomes of surgical management of patients with thromboses of the superficial and deep venous system].

Presented herein are the outcomes of examination, surgical management and conservative treatment of 211patients presenting with phlebothromboses of the superficial and deep venous system of the lower limbs. Of these, 119 were treated conservatively and 92 underwent various types of surgical intervention, however those treated conservatively were not included into the final analysis. The diagnosis was verified using ultrasonographic duplex scanning (USDS) of the venous system of the inferior vena cava basin, allowing of assessing the condition of the superficial and deep venous system of the both lower extremities, followed by determining the length of the thrombotic lesion.

[Surgical treatment of the acute thrombosis of superficial veins].

Treatment results of 53 patients with acute thrombosis of superficial veins are presented. Carrying-out of radical one-stage cross-ectomy with combined phlebectomy in the saphena magna system at the height of inflammation period is proposed. Radical one-stage cross-ectomy with phlebectomy in case of phlebothrombosis gives good therapeutic effect, improves the status of a patient.

[State of the greater saphenous vein following intraoperative truncal scleroobliteration in varicose disease].

The authors have analyzed the outcomes of intraoperative truncal scleroobliteration of the greater saphenous vein, which was used instead of stripping in patients presenting with varicose disease of the lower limbs. Obtained were three variants of the condition of the vessel concerned following the intervention: complete obliteration, preserved lumen, and alternating portions of obliteration and patency. It was determined that varicosity of saphenous veins and incompetent perforating vein of Dodd were more often encountered in preserved patency of the trunk of the greater saphenous vein on the femur, which required additional treatment.

[Combined therapy of lower limb variceal disease].

Complex surgical and medical therapy was used for 386 patients with lower limb variceal disease 2nd and 3rd form (segmental and disseminated varices with reflux through the superficial and perforant veins) and chronic venous insufficiency stage I (according to the Russian classification). Five main types of surgical interventions were fulfilled: combined phlebectomy, trunk scleroobliteration, short stripping with insufficient perforants ligation, short stripping with excision or damage of variceal influx, and short stripping with trunk scleroobliteration. Besides, vast majority of patients received venotonic drug Phlebodia 600 pre and postoperatively.

[Surgical treatment of initial forms of varicose veins of the lower extremities].

Experience in the treatment of 386 patients with stage 2-3 of varicose disease is analyzed. There are five main variants of surgical treatment in these patients: combined phlebectomy, sclero-obliteration of the trunk, short stripping with ligation of insufficient perforant veins, short stripping with excision or destruction of varicose branches, short stripping and sclero-obliteration of the trunk. It is demonstrated that minimally invasive surgical procedures decrease the number of postoperative subcutaneous haematomas, ensure good cosmetic effect, allow to avoid an injury of n.

[Comparison of variceal surgery methods].

Combined ablation of great saphenous vein (GSV) remains the most common way of lower limb variceal management. In recent years different surgical methods were proposed for the treatment of varices. Nevertheless, their invasiveness, poor esthetic outcome, prolonged postoperative rehabilitation and recurrences cail for the development of new minimally invasive and highly effective methods.

[Bilateral malignant carotid chemodectoma].

A clinical case of carotid chemodectoma is reported. Unique character of this case consists in combination of rare manifestations of this disease in a patient (malignancy, bilateral location). Summarizing their own experience and analysis of literature data the authors give recommendations for diagnosis and management of such patients.