Author/Editor		Popović, Dražen; Čopi, Jelko
Title		Subfacialna endoskopska kirurgija perforantnih ven - naši rezultati in izkušnje
Translated title		Subfacial endoscopic surgery of perforating veins - our results and experience
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 2
Publication year		2000
Volume		str. 161-6
Language		slo
Abstract		The treatment of chronic venous insufficiency and consecutive vein ulcers is a large challenge. In addition to conservative treatment, various surgical techniques are also used. The surgery of perforating veins is now increasingly widespread with the development of endoscopic techniques. In our institution, endoscopic ligation of the perforating veins is used to treat the advanced disease. 52 patients were operated on in the period from December 1997 to December 1999. They were classified into the 4th, 5th and 6th clinical stadium. 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.
Summary		Zdravljenje kronične venske insuficience in posledične venske razjede predstavlja velik izziv. Poleg konzervativnega zdravljenja se uporabljajo tudi različne kirurške tehnike. Kirurgija podvezovanja perforantnih ven je ob razvoju endoskopskih tehnik doživela nov razmah. V naši ustanovi uporabljamo pri zdravljenju napredovane bolezni endoskopsko podvezovanje perforantnih ven. Od decembra 1997 do decembra 1999 smo operirali 52 bolnikov. Bolniki so bili razvrščeni v 4., 5. in 6. klinični stadij bolezni. Operativne rezultate smo primerjali s predooperativno ocenitvijo kliničnih simptomov in znakov po protokolu ameriškega venskega foruma. Povprečna predoperativna ocena je bila 6,0, pooperativna pa 2,8 točke. Bolniki so bili v bolnišnici v povprečju 3,8 dni. V naši skupini operirancev smo imeli malo zapletov. Vsi so bili lažji. Najpogostejši zaplet je bila nevralgija v področju n. safenusa. Ugotavljamo, da je metoda primerna za zdravljenje napredovalih oblik kronične venske insuficience. Metoda tehnično ni zahtevna in ima malo zapletov. Naši rezultati so primerljivi s podobnimi kliničnimi študijami. Zaradi kratkega pooperativnega sledenja niso dokončni.
Descriptors		VENOUS INSUFFICIENCY SURGERY, MINIMALLY INVASIVE ENDOSCOPY VARICOSE ULCER HOSPITALIZATION TREATMENT OUTCOME INTRAOPERATIVE COMPLICATIONS POSTOPERATIVE COMPLICATIONS AGE FACTORS PAIN EDEMA LEG ULCER PIGMENTATION