Methods of treatment of trophic skin defect in patients with chronic venous insufficiency in stage C6

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Annotation. Chronic venous insufficiency (CVI) of the lower extremities is currently the most common pathology of the human vascular system. The frequency of development of venous insufficiency per 1000 population is 1.48-3.05 people. The aim of the work – to improve the results of treatment of patients with chronic venous insufficiency of the lower extremities in stage C6 by accelerating the epithelialization of active trophic venous ulcers. The study is based on the analysis of examination and treatment of 97 patients with CVI. According to the purpose of the study, all patients were divided into the main and control groups. The main study group included 47 patients who underwent classical surgery (crossectomy+phlebectomy according to Babcock and/or Narat) in combination with the developed method of treating trophic wounds. The control group included 50 patients who underwent classical surgical treatment (ligation of perforating veins according to Cockett’s method, phlebectomy according to Narat). Quantitative indicators were processed statistically. Statistical processing of materials and research results was carried out with the help of the Statistica application program package from the company “StatSoft” (USA). After the treatment in the main group, the rapid dynamics of healing of wound surfaces was observed within 1-3 months after surgical treatment. The speed of epithelization of trophic ulcers of venous etiology in patients of two groups varied from 6 to 50 days, and the daily increase of epithelization - from 1.79% to 17.21%. The lowest rate of epithelization was observed in trophic ulcers larger than 20 cm2. Thanks to the application of our own developed method of surgical treatment of patients with a decompensated form of CVI complicated by trophic skin defects, it was possible to significantly reduce the healing time of active trophic wounds after surgical treatment.