Author/Editor		Valentinuzzi, Vladimir
Title		Načela kirurškega zdravljenja bolnikov s kronično vensko insuficienco
Translated title		Principles of surgical management of chronic venous insufficiency
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 2
Publication year		2000
Volume		str. 151-6
Language		slo
Abstract		Chronic venous insufficiency (CVI) is a very common disorder, but still neglected because of low mortality and morbidity. New diagnostic devices and new classifications provide the basis for a better understanding and more objective comparison between different modalities of treatment, including surgery. Today, surgery for symptomatic varicose veins should be minimally invasive, on the outpatient basis and should yield good functional and cosmetic results, sparing the saphenous vein for possible bypass surgery in the future. Deep venous valve reconstruction in the surgical management of a patient with CVI is indicated for the most severe forms of CVI with marked reflux along all deep veins in the entire leg and after all non-surgical (less invasive and risky) management methods have failed.
Summary		Kronična venska insuficienca je zelo razširjena bolezen, vendar je zapostavljena zaradi relativno benignega izhoda. S pojavom novih diagnostičnih pomagal in nove klasifikacije je danes moč objektivneje primerjati izhod različnih načinov zdravljenja, tudi kirurškega. Operativno zdravljenje simptomatskih površin varikoznih ven spodnjih udov zahteva danes bolj selektiven pristop in natančno opredelitev obsega bolezni. Slediti mora smernicam ambulantne obravnave, neinvazivnosti in kozmetske dovršenosti ob zavedanju, da je vena safena uporabna pri aortokoronarnih in perifernih žilnih obvodih. Operativni posegi na insuficientnih globokih venskih zaklopkah so rezervirani za najtežje oblike kronične venske insuficience, kjer je izrazit refluks prisoten vzdolž globokih ven celotne spodnje okončnine in kjer so odpovedali vsi manj invazivni in manj tvegani načini zdravljenja.
Descriptors		VENOUS INSUFFICIENCY CHRONIC DISEASE AMBULATORY CARE PATIENT SELECTION PREOPERATIVE CARE SAPHENOUS VEIN