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[Optimization of surgical treatment of acute superficial varicose thrombophlebitis].

Complex examination and the following treatment of 142 patients with acute superficial varicothrombophlebitis were analyzed. The patients were divided into 2 groups. The first group consisted of 41 patients who were subjected to venectomy in the acute period of the disease, the second group--of 101 patients with two stages of treatment. At the first stage sclerosurgical technologies were used to arrest the inflammatory process. At the second stage the thrombosed varicose veins were surgically ablated. In the first group patients complications at the early postoperative period developed in 17% of cases, at the late period--in 14.6%. In the second group complications were noted in 3 and 2% of cases respectively.

Acute Disease↗

[The pathogenesis of acute thrombophlebitis of the lower extremities].

It is emphasized in the discussed problem that several factors participate simultaneously in the mechanism of thrombogenesis. At the same time, local hemodynamic disorders (congestion, turbulent flow, local hypoxemia) lead to pathological changes of blood platelet hemostatic properties in these regions, which is conducive to local thrombus formation. Inflammation develops as a consequence of the response of the venous wall to stimulators of infectious, autoimmune or neoplastic character arriving along the lymphatic vessels, capillaries and perivascular spaces.

Acute Disease↗