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https://doi.org/10.14300/mnnc.2021.16056

Analysis of surgical treatment of superficial thrombophlebitis as a complication of lower extremities varicosity

[Original research] [Surgery]
Roman Nikolaevich Komarov; Yuri Voskanyan; Ruslan Chemurziev; Evgeni Golubov; Konstantin Nikolaev; Yuri Alborov;

The article analyzes the results of open surgical treatment of varicose veins complicated by superficial thrombophlebitis (varicothrombophlebitis). The work is a cohort study that includes 153 cases in treated inpatients and outpatients for the period from 2005 to 2011. The analysis of modern methods of conservative and surgical treatment of this pathology has been carried out. The tactics of treating the disease have been developed and substantiated. To obtain the best treatment results for the purpose of surgical prophylaxis, it is recommended to limit oneself to crossectomy, ligation and transection of the corresponding anastomoses with deep vein thromboectomy. Conservative therapy involves the administration of anticoagulant therapy, various forms of non-steroidal anti-inflammatory drugs and the use of compression hosiery. Performing of a radical open surgical intervention, after a 4-week course of conservative therapy, can statistically significantly (p<0.05) reduce the likelihood of complications.

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References:
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Keywords: superficial venous thrombophlbitis of legs, leg varicosity, venous thromboembolism