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13.
Subfascialna endoskopska kirurgija perforantnih ven - naši rezultati in izkušnje = Subfascial endoscopic surgery of perforating veins - our results and experience
Popović, Dražen ; Čopi, Jelko
The treatment of chronic venous insufficiency and consecutive vein ulcers is alarge challenge. In addition to conservative treatment, various surgical techniques are also used. The surgery of ...perforating veins is now increasinglywidespread with the development of endoscopic techniques. In our institution, endoscopic ligation of the perforating veins is used to treat theadvanced disease. 52 patients were operated on in the period from December 1997 to December 1999. They were classified into the 4th, 5th and 6th clinicalstadium. The results of surgery were compared to the preoperative assessment of their clinical symptoms and signs according to the protocol of the American Venous Forum. The average preoperative score was 6.0, and the postoperative 2.8 points. The patients were hospitalised for 3.8 days on average. In our group of patients who have undergone surgery, there were not many complications. The most common one was neuralgia in the area of the saphenous nerve. We find the method to be appropriate for the treatment of advanced forms of chronic venous insufficiency. It is technically not demanding and has few complications . Our results are comparable to similar clinical studies. However, due to the short postoperative follow-up, they are not final.
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