ASPECT OF PERSONALIZATION IN IMPROVING THE EFFECTIVENESS OF ENDOVAZAL LASER OBLATION OF LOWER EXTREMITIES IN WOMEN
https://doi.org/10.17238/issn2072-3180.2021.1.65-76
Abstract
Relevance. The aspect of personalization in the use of the EVLO method is not sufficiently developed, which indicates the legality of further research in this area of surgery.
The aim of the study to assess the quality of surgical care for patients with chronic venous insufficiency and identify the factors that determine it.
Materials and methods. Studies in 428 patients with UBPC in outpatient settings. All patients are women. Endovazal laser obliteration (EVLO) has been performed in the traditional way. The design of the study included the use of a number of methods: clinical examination, special methods, assessment of patient preparedness for intervention, assessment of quality of life. The effectiveness of surgery was determined by the criteria set out in the clinical recommendations. Statistical analysis of the results was carried out with the help of modern computer technologies based on the statistical software package Statistica 6.
Results. It has been established that patients who are admitted to surgical treatment are under prepared. The information, clinical and psychological components of the patient's preparedness for surgery have a level of 65.0-89.0% of the due and affect the outcome of the intervention. Personalized approach in surgical treatment by EVLO contributes to improving the quality of life and reducing pathological reflux by 9.3-8.0%.
Conclusion. The persolized approach to the rapid treatment of patients with UBNC by the EVLO method is based on the assessment of their preparedness for intervention and the use of technological maps and check-lists to monitor the implementation of necessary measures. This provides rapid clinical recovery of patients, improving their quality of life, satisfaction with results, good hemodynamic and cosmetic effects.
About the Authors
A. V. Pelevin
Federal State Budgetary Educational Institution of Higher Education «Ivanovo State Medical Academy» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Pelevin Andrei Victorovich — Assistant Department of Surgical Diseases
153012, Ivanovo, Sheremetevsky Avenue, 8
O. N. Guzhkov
Federal State Budgetary Educational Institution of Higher Education «Yaroslavl State Medical University» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Guzhkov Oleg Nicolaevich — MD, Associate Professor, Department of Hospital Surgery
150000, Yaroslavl, Revolutionary Street 5
D. L. Mushnikov
Federal State Budgetary Educational Institution of Higher Education «Ivanovo State Medical Academy» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Mushnikov Dmitry Lvovich — PhD in Medicine, Associate Professor of Public Health and Health, Informatics and History of Medicine
153012, Ivanovo, Sheremetevsky Avenue, 8
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Review
For citations:
Pelevin A.V., Guzhkov O.N., Mushnikov D.L. ASPECT OF PERSONALIZATION IN IMPROVING THE EFFECTIVENESS OF ENDOVAZAL LASER OBLATION OF LOWER EXTREMITIES IN WOMEN. Moscow Surgical Journal. 2021;(1):65-76. (In Russ.) https://doi.org/10.17238/issn2072-3180.2021.1.65-76
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