Features of the anatomical and morphological structure of perforating veins
https://doi.org/10.17238/2072-3180-2024-3-50-54
Abstract
Introduction. Chronic venous insufficiency is a frequent vascular pathology leading to vascular surgical treatment. One of the important aspects of the treatment of chronic venous insufficiency is surgical correction of perforating refluxe. The work is devoted to the intraoperative study of the structure of the perforant veins of the lower leg using a surgical microscope and the application of the knowledge gained in practice.
Materials and methods of research. Intraoperative study of the structure of perforating veins of the leg using a surgical microscope during surgical interventions in 25 patients. Analysis of the obtained data with the control group, application of acquired knowledge in practice.
Treatment results. As a result of this study, during perforantectomy, only the veins were crossed, preserving the satellite structures. This was considered necessary to prevent disruption of the trophism of paravenous tissues. As a result of this study, during perforantectomy, only the veins were crossed, preserving the satellite structures. This was considered necessary to prevent disruption of the trophism of paravenous tissues.
Conclusion. Improved results of surgical perforantectomy when using isolated intersection of perforating veins with preservation of satellite structures, compared with standard phlebectomy.
About the Authors
E. A. TimashovRussian Federation
Timashov Evgeniy Alekseevich – Surgeon,
634930, Tomsk Region, Pervomaiskoe village.
O. L. Osipova
Russian Federation
Osipova Olga Leonidovna – Candidate of Medical Sciences, Surgeon, Associate Professor of the Department of Human Anatomy with a Course of Topographic Anatomy and Operative Surgery,
634050, Tomsk, Moskovsky tract, 2.
References
1. Burleva E.P., Denisov R.E. Hemodynamic relationships in the system of the large saphenous vein in varicose veins of the lower extremities. Ural. med. journal., 2006. Vol. 9, № 28, pp. 3–7. (In Russ.)
2. Glukhov A. Chronic venous insufficiency. Med gazeta, 2008, pp. 87–89. (In Russ.)
3. Kalinin R.E., Suchkov I.A., Shanaev I.N. Clinical anatomy of perforating veins of the proximal lower extremities. Surgery News, 2021, vol. 29, № 1. (In Russ.)
4. Katorkin S.E., Kushnarchuk M.Yu. and coauthors. Surgical correction of refractory venous trophic ulcers. Bulletin of Medicine, 2021, № 31. (In Russ.)
5. Khitaryan A.G., Gusarev D.A., Arestov D.Yu. Features of perforantoneogenesis after Linton and Felder operations. Phlebology, 2010, № 4, p. 3. (In Russ.)
6. Klement A.A., Vedensky A.N. Surgical treatment of diseases of the veins of the extremities. L: Medicine, 1976, 295 p. (In Russ.)
7. Katorkin S.E., Sushkov S.A., Kushnarchuk M.Y. Modern standards of surgical treatment of venous trophic ulcers of the lower extremities. Surgery News, 2021, vol. 29, № 1. (In Russ.)
8. Pelevin A.V., Guzhkov O.N., Mushnikov D.L. Principles and possibilities of a personalized approach in outpatient surgical phlebology. Outpatient Surgery, 2021, №18(1), pp. 30–39. (In Russ.)
9. Blomgren L., Johansson G., Dahlberg-Akerman A. et al. Changes in superficial and perforating vein reflux after varicose vein surgery. J Vasc Surg., 2005, № 42(2), рр. 315–320.
10. Baber J.T.Jr., Mao J., Sedrakyan A., Connolly P.H., Meltzer A.J. Impact of provider characteristics on use of endovenous ablation procedures in Medicare beneficiaries. J Vasc Surg Venous Lymphat Disord., 2019, Mar; № 7(2), рр. 203–209. https://doi.org/10.1016/jvsv.2018.09.012
11. Linton R.R. The communicating veins of the lower leg and the operative technique for their ligation. Ann Surg., 1938, № 107, рр. 582–593.
12. Mumme A. Operative phlebologie: vierfalt in der phlebologie. Phlebologie, 2019, № 48(03), рр. 141–142. https://doi.org/10.1055/а-0890-5584
13. Uhl J.F., Vuolo M., Gillot C. Anatomy of foot and ankle perforator viens. Phlebolymphology, 2017, № 2, рр. 105–112.
Review
For citations:
Timashov E.A., Osipova O.L. Features of the anatomical and morphological structure of perforating veins. Moscow Surgical Journal. 2024;(3):50-54. (In Russ.) https://doi.org/10.17238/2072-3180-2024-3-50-54