STUDYING THE EFFECT OF SURGICAL TREATMENT ON THE DYNAMICS OF PAIN INTENSITY IN PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY IN DIFFERENT PERIODS OF RECOVERY
DOI:
https://doi.org/10.32689/2663-0672-2023-4-1Keywords:
endovenous laser coagulation, pain syndrome, venous insufficiency, chronic varicose veinsAbstract
Relevance of the study. The pathogenesis of varicose veins is complex and poorly understood. One of the possible mechanisms of the disease development is the disruption of vascular matrix proteins that have been exposed to proteolytic effects, which leads to changes in the physicochemical properties of venous blood. Current research is aimed at studying the pain syndrome and finding effective methods of treating chronic varicose veins of the lower extremities. Endovascular laser coagulation is one of the methods of treating patients with varicose veins of the lower extremities, but it requires further study and improvement. Aim. The aim of the study was to analyse the intensity of pain in patients after endovenous laser coagulation of the great saphenous vein in the setting of chronic venous insufficiency. Materials and methods: 86 patients with varicose veins of the lower extremities who underwent surgical treatment for varicose veins of the lower extremities were analysed. Group I – 46 patients who underwent thermal obliterating methods; Group II – 40 patients who underwent planned surgical intervention in the form of combined phlebectomy with removal of the trunk of the IVC to the lower reflux limit under general anesthesia. Results. The data of our own study on the prevalence of morbidity and results of surgical treatment of patients with chronic venous insufficiency of the lower extremities are analysed and presented. The study found that women have a higher risk of developing chronic venous insufficiency (73.3%). A comparative analysis of the data obtained on the effect of surgical treatment on the dynamics of pain intensity was performed. The treatment of patients with the use of endovenous laser coagulation of the great saphenous vein against the background of chronic venous insufficiency led to increased pain, which could be explained by the development of phlebitis phenomena in the area of the obliterated vein, subjectively, patients felt moderate pain in the projection of such a vein. The results of intraoperative blood loss showed that endovenous laser coagulation reduces the amount of blood loss. Conclusions. Endovenous laser coagulation has a significant curative effect in the treatment of varicose veins of the lower extremities. It can significantly reduce the hospitalisation time of patients, improve the treatment effect and aesthetics, and improve the coagulation index and stress index.
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