Surgical treatment of patients with varicose veins of the lower extremities complicated by acute ascending thrombosis of the large saphenous vein

Thrombosis of the superficial veins of the lower extremities (thrombophlebitis) is a common pathology, especially in patients with varicose veins. Various methods from anticoagulant therapy to surgical intervention have been proposed and used to treat such patients, but there are still controversial points about their choice.Aim: to compare the results of surgical treatment of patients with ascending varicothrombophlebitis of the main subcutaneous veins of the lower extremities by radiofrequency ablation and crossectomy.Materials and methods. The study included the results of treatment of 24 patients (6 (25%) men and 18 (75%) women, the average age of patients was 54±15 years) with varicose veins of the lower extremities class C2-C5 (according to CEAP) and thrombosis of the great saphenous vein and its tributaries. Group I - patients after radiofrequency ablation (n = 12), group II - patients after crossectomy (n = 12). In the postoperative period, the clinical condition and quality of life were assessed according to the CIVIQ-2 questionnaire, control ultrasound examinations were performed 1, 3, 7, 14 days, 1 month and 1 year after surgery.Results. In the postoperative period, no recurrence of the disease was detected in any of the groups, p>0.005. Lymphorrhea was noted in group II in 16.6% of cases (n = 2), in I this complication was not detected. p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }