About technological peculiarities of shave-therapy in comprehensive surgical management of varicoseveins of clinical class C6 in one-day-admission

Aim: to assess efficacy of the suggested technology of shave-therapy in combinationwith comprehensive surgical treatment of clinical class C6 varicose veins in conditions ofone-day-admission. Shave-therapy was performed in patients with large (>20 cm2) varicoseulcers. They investigated 3 groups of patients: I - 10 persons who underwent endovasallaser coagulation, miniphlebectomy, and resection of incompetent perforants followed shave-therapy, II - 10 persons who were made endovasal laser coagulation, miniphlebectomy, andresection of incompetent perforants followed standard wound treatment according to phasesof wound healing, III - 10 persons who underwent only medication/elastic compression andstandard wound care. Efficacy of anesthesia was assessed by Nedzvetsky et alt. with usingdiagnostic complex Angioscan-1. The used technology enables to decrease risk of nosocomial infection. ST may beperformed for ulcers of any condition (even without granulations) that decreases ulcers’healing term (down to 30.7±0.9 vs 83.3±3.9). One demonstrated that echo-controlledconduction anesthesia and local pre-operation application of anesthetics on ulcer surfaceenables to reach adequate anesthesia during surgery (Кб=3,6±0,4) and perform surgeryas one-day-admission. Using adhesive covers, and multilayer elastic bandages enablesto avoid displacement of skin graft from VU surface in out-patients and provide adequateelastic compression after surgery.