Evaluation of Clinical Results after Surgical Treatment of The Varicose veins of Lower Limbs

Zaza Lazarashvili, Marika Petriashvili, David Chigitashvili

Stripping is the standard surgical treatment method in case of lower limb varicose veins however, universal transplant material for arterial reconstructions, as v. saphena magna, loses. In this study various organ-sparing methods of surgical treatment are suggested, however their efficiency is not completely detected yet. The present work was aimed to compare the clinical results of stripping and CHIVA-surgery. A total of 178 operated limbs (stripping - 62 and CHIVA-surgery - 116) have been investigated. Preoperative diagnostics was achieved with the use of color duplexsonographical cartography. Post-operative study of clinical results was evaluated by means of CEAP scoring scale. According to the results of carried out investigation no significant difference in clinical results was detected using the traditional surgical treatment method (stripping) and organ-sparing (CHIVA-surgery) method. CHIVA-strategy provides limitation of postoperative complications (cosmetic problems) and period of disability. The negative side effect of the method is that it requires multifold duplexsonographical examination for timely detection of reflux progression through the core of v. saphena magna.

Keywords:  varicose veins, stripping, CHIVA-surgery