Features of the anatomical and morphological structure of perforating veins

Introduction. Chronic venous insufficiency is a frequent vascular pathology leading to vascular surgical treatment. One of the important aspects of the treatment of chronic venous insufficiency is surgical correction of perforating refluxe. The work is devoted to the intraoperative study of the structure of the perforant veins of the lower leg using a surgical microscope and the application of the knowledge gained in practice.Materials and methods of research. Intraoperative study of the structure of perforating veins of the leg using a surgical microscope during surgical interventions in 25 patients. Analysis of the obtained data with the control group, application of acquired knowledge in practice.Treatment results. As a result of this study, during perforantectomy, only the veins were crossed, preserving the satellite structures. This was considered necessary to prevent disruption of the trophism of paravenous tissues. As a result of this study, during perforantectomy, only the veins were crossed, preserving the satellite structures. This was considered necessary to prevent disruption of the trophism of paravenous tissues.Conclusion. Improved results of surgical perforantectomy when using isolated intersection of perforating veins with preservation of satellite structures, compared with standard phlebectomy.