Saratov JOURNAL of Medical and Scientific Research

Surgical approach to patients with varicothrombophlebitis with undifferentiated dysplasia of connective tissue

Year: 2016, volume 12 Issue: №1 Pages: 66-70
Heading: Surgery Article type: Original article
Authors: Tsarev О.А., Anisimov A.Yu., Zakharov N.N., Korobov A.V.
Organization: Saratov State Medical University
Summary:

Aim: to study the peculiar features of clinical course of acute varicothrombophlebitis and surgical approach to patients with undifferentiated dysplasia of connective tissue. Material and Methods. The features of undifferentiated dysplasia of connective tissue, character of clinical course of acute varicothrombophlebitis, remote results for 94 patients, who had had Troyanov — Trendelenburg's operation, were studied. Results. 70 patients (74,5%) with acute varicothrombophlebitis demonstrated more than four phenotypic characters which showed the presence of undifferentiated dysplasia of connective tissue. 22 patients (31,4%) with acute varicothrombophlebitis with undifferentiated dysplasia of connective tissue were proved to have the discrepancy between localization of acute varicothrombophlebitis clinical evidences and level of proximal part of thrombus in the lumen of great saphenous vein. During the remote observation period, 66 patients (94,3%) with acute varicothrombophlebitis with undifferentiated dysplasia of connective tissue had pheblectomy, as there was vertical and horizontal pathological venous reflux. Out of 24 patients (25,5%) with acute varicothrombophlebitis without undifferentiated dysplasia of connective tissue, only four patients (16,7%) needed thesecond stage of surgical treatment, because 20 patients (83,3%), in 6 months after Troyanov — Trendelenburg's operation, demonstrated the restoration of functional consistency of valves of great saphenous and perforating veins. Conclusion. When determining the indications for urgent disconnection of saphenofemoral junction for patients with acute varicothrombophlebitis and also when choosing surgical treatment approach during remote observation period, it is reasonable to examine the phenotypic characters of undifferentiated dysplasia of connective tissue.

Bibliography:
1. Savelyev V.S., Kirienko A.l., Zolotukhin I.A. Prevention of postoperative venous thromboembolic complications in Russian hospitals (preliminary results of the «area security»). Phlebology 2010; 4 (3): 3-8
2. Schwalbach P.G., Schwalbach А.Р., Gryaznov S.V. Lobular version of the pathogenesis of venous ulcers of vascular origin. Angiology and Vascular Surgery 2013; 18 (3): 93-97
3. Tsukanov Yu.T., Tsukanov Y.Yu., Nikolaichuk A.l. Monitoring of the proximal part of a blood clot in the conservative treatment of patients with varicothrombophlebitis. Angiology and Vascular Surgery 2015; 21 (4): 64-70
4. Tsarev О.А., Maschenko Yu.V. Special features of clinical course of varicose disease of patients with connective tissue dysplasia. Angiology and vascular surgery 2013; 19 (2) (supplement): 415-417
5. Tsarev О.А., Anisimov A.Yu., Zakharov N.N. Prognosis of complicated clinical course of varicose vein disease of lower limbs on the basis of analysis of phenotypic characters of connective tissue dysplasia. Saratov scientific medical journal 2015; 11 (4): 587-592
6. Zemtsovsky E.V., Malev E.G., Berezovskaya G.A. National recommendations on the diagnosis and treatment of inherited disorders of connective tissue (2012). Russian Journal of Cardiology 2013; 16 (1) (supplement 1).

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