THE ANALYSIS OF THE EFFECTIVENESSOF THE MODERN SURGICAL TREATMENTOF VARICOSE VEINS OF LOWER EXTREMITIES.REVIEW

Abstract

The study of approaches to the treatment of varicose veins of lower extremities is an important
task that allows assessing the immediate and long-term results of the operation, determining the
probability of complications or recurrence of the disease, as well as personalizing treatment and
improving the prophylaxis of the disease. Despite the fact that at present there is a significant amount
of literature data on studies devoted to the treatment of varicose disease of lower extremities, both
with the use of traditional phlebectomy, and with the use of modern minimally invasive surgical
interventions (endovenous thermal ablation, ultrasound controlled foam sclerotherapy), the authors'
views on approaches to the treatment of this category of patients remain controversial.
The purpose of this systematic review is to analyze research data on the types of surgical treatment
of varicose veins of lower limbs, to determine its effectiveness and the probability of relapse of the
disease.
Materials and methods. The study included full text publications in English and Russian on the
treatment of varicose veins of lower extremities, over the past 15 years as well as publications with
fundamental statements.
Results. As a result of the search, 576 sources were identified in the databases PubMed, Google
Scholar, e-Library. After the screening 54 full-text scientific works were selected and included in the
study.
Conclusions. The main types of surgical treatment of varicose veins are traditional phlebectomy
(TF), endovenous thermal ablation (EVTA), ultrasound-guided foam sclerotherapy (UGST). Despite
the availability of many techniques in the surgery of varicose veins of lower extremities, the
specialists still do not have consistency and unified tactics. Works devoted to the hybrid treatment of
varicose veins focus more on the combination of only two techniques while the range of the modern
phlebology’s capabilities are much broader as well as the technology develops every day. Most
importantly, the role of hybrid treatment in the planning and prevention of recurrence of the disease is
not defined. In our opinion, the study of traditional methods should be continued and new approaches
in the treatment of varicose veins should be developed. Particular attention should be given to the use
of hybrid treatment as well as to the comparison of results of traditional types of operations.