МИНИФЛЕБЭКТОМИИ У БОЛЬНЫХ С ХРОНИЧЕСКОЙ ЛИМФОВЕНОЗНОЙ НЕДОСТАТОЧНОСТЬЮ НИЖНИХ КОНЕЧНОСТЕЙ

Abstract

In most patients, lymphovenous insufficiency (LVI) of the lower extremities develops as a complication of chronic deep vein disease of the lower extremities. As a rule, people of working age make up up to 90% of patients. With delayed diagnosis and late start of treatment, patients have complications: edema of the lower extremities with trophic disorders and lymphorrhea, which lead to a significant reduction in the quality of life of the patient and disability. Changes in the lymphatic system develop secondarily. Lymphovenous insufficiency of the lower extremities or phlebolymphedema is one of the most frequent forms of combined lymphedema, in which against the background of chronic venous insufficiency, lymphatic edema develops or venous insufficiency can complicate the course of classical lymphedema. Lymphovenous insufficiency of the lower extremities is characterized by a progressive course and requires lifelong treatment. The article discusses the possibilities of miniflebectomy surgery in patients with chronic lymphovenous insufficiency of the lower extremities. Surgical treatment was performed for patients with post-thrombophlebitis. The correction of the perverted venous blood flow was performed with little trauma. In terms of three to ten years, the majority of patients showed positive results. The need for an integrated approach and the right choice of treatment tactics can facilitate and improve the patient's life for many years, as well as avoid possible relapses of the disease.