Radiofrequency obliteration in the treatment of varicose disease of the lower extremities
D.V. MAKAROV1,2, R.K. DZHORDZHIKIIA2, M.V. LARIONOV2,3, N.B. SADEKOV4, I.I. SHAMSUTDINOVA1
1Republican Clinical Hospital of the Ministry of Health Republic of Tatarstan, 138 Orenburgskiy trakt, 420064 Kazan, Russian Federation
2Kazan State Medical University, 49 Butlerova Str., 420012 Kazan, Russian Federation
3Dzhannis Clinic, 23 Telman Str., 23, 420012 Kazan, Russian Federation
4AVA-Kazan Clinic, 19/15 Profsoyuznaya/Astronomicheskaya Str., 420012 Kazan, Russian Federation
Makarov D.V. — post-graduate student of the Department of Surgical Diseases No. 2, e-mail: drmakkarov@mail.ru
Dzhordzhikiia R.K. — Doc. Med. Sc., Professor, Head of the Department of Surgical Diseases No. 2, e-mail: roink@mail.ru
Larionov M.V. — Cand. Med. Sc., Associate Professor of the Department of Surgical Diseases No. 1, e-mail: larionov358@yandex.ru
Sadekov N.B. — cardiovascular surgeon, e-mail: bareewich@icloud.com
Shamsutdinova I.I. — doctor of functional diagnostics, e-mail: drmakkarov@mail.ru
The article was submitted on: 11 March 2018, accepted for publication on: 13 April 2018
The article presents a retrospective analysis of the treatment of 110 patients with varicose disease by radiofrequency obliteration method. The average age of the patients was 45.7 ± 12.2 years. According to the CEAP classification, the patients were divided into the following subgroups: С2 — 9.1 %, С3 — 18.2 %, С4 — 50.0 %, С5 — 15.5 %, С6 — 7.3 %. 93 manipulations (84.5 %) were performed on a large saphenous vein and 17 (15.5 %) on a small saphenous vein. Isolated RFO was performed in 33 patients, in combination with miniflebectomy — in 77 patients. The research showed that with isolated RFO technique, the pain syndrome after the operation was almost completely absent; combined with the miniflebectomy it reaches a maximum of 3 VAS units. Radiofrequency obliteration under ultrasound control is an effective and reliable method of surgical treatment of patients with varicose disease.
Key words: varicose disease, radiofrequency obliteration, surgical treatment.
(For citation: D.V. Makarov, R.K. Dzhordzhikiia, M.V. Larionov, N.B. Sadekov, I.I. Shamsutdinova. Radiofrequency obliteration in the treatment of varicose disease of the lower extremities. Practical Medicine. 2018, )
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