nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2023-12-3-471-480nmp-1680Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSХирургическое лечение варикозной болезни нижних конечностейSurgical Treatment of Varicose Veins of the Lower Extremitieshttps://orcid.org/0000-0003-0265-8685МихайловИ. П.MikhailovI. P.

Михайлов Игорь Петрович - доктор медицинских наук, профессор, заведующий научным отделением неотложной сосудистой хирургии,

 

Igor P. Mikhailov - Doctor of Medical Sciences, Professor, Head of the Scientific Department of Emergency Vascular Surgery,

3 Bolshaya Sukharevskaya Sq., 129090, Moscow

dr_mip@mail.ruhttps://orcid.org/0000-0001-9023-5863КозловскийБ. В.KozlovskyB. V.

Козловский Борис Васильевич - врач сердечно-сосудистый хирург, отделение сосудистой хирургии,

 

Boris V. Kozlovsky - Cardiovascular Surgeon, Department of Vascular Surgery, 

3 Bolshaya Sukharevskaya Sq., 129090, Moscow

boris.v.kozlovskiy@mail.ruhttps://orcid.org/0000-0002-1114-6238АрустамянВ. А.ArustamyanV. A.

Арустамян Владислав Александрович - врач сердечно-сосудистый хирург, отделение сосудистой хирургии,

129090, Москва, Б. Сухаревская пл., д. 3

Vladislav A. Arustamyan - Cardiovascular Surgeon, Department of Vascular Surgery,

3 Bolshaya Sukharevskaya Sq., 129090, Moscow

arust_vlad@mail.ruГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian Federation202324112023123471480Copyright © Михайлов И.П., Козловский Б.В., Арустамян В.А., 20232023Михайлов И.П., Козловский Б.В., Арустамян В.А.Mikhailov I.P., Kozlovsky B.V., Arustamyan V.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1680

В обзоре представлен анализ тематической литературы, посвященный хирургическому лечению варикозной болезни нижних конечностей. Рассмотрены современные методы хирургического вмешательства при варикозной болезни: открытые операции, методы термооблитерации магистральных вен, нетермические нетумесцентные методы, веносохраняющая хирургия (ASVAL), методы лечения рефлюкса по перфорантным венам и рецидивной варикозной болезни. Проанализирована эффективность каждого из используемых методов хирургического лечения. Рассмотрены частота рецидивов и вероятность осложнений описанных операций. Все приведенные в обзоре методы хирургического лечения разработаны на основании современных представлений о патогенезе варикозной болезни, механизмах формирования хронической венозной недостаточности, имеют доказательную базу. Данные методики нашли отражение в новейших клинических рекомендациях и широко применяются в медицинской практике.

The review presents an analysis of relevant literature on the surgical treatment of varicose veins of the lower extremities. Modern methods of surgical intervention for varicose veins are considered: open operations, methods of thermal ablation of the main veins, non-thermal non-tumescent methods, vein-preserving surgery (ASVAL), methods of treating reflux in perforating veins and recurrent varicose veins. The effectiveness of each of the surgical treatment methods used was analyzed. The frequency of relapses and the likelihood of complications of the described operations are considered. All surgical treatment methods presented in the review were developed on the basis of modern ideas about the pathogenesis of varicose veins, the mechanisms of formation of chronic venous insufficiency, and have an evidence base. These techniques are reflected in the latest clinical guidelines and are widely used in medical practice.

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The authors declare that there are no conflicts of interest present.