SU1531997A1 - Method of extravasal correction of valves of deep veins of lower limbs - Google Patents

Abstract

The invention relates to medicine, namely to vascular surgery, and can be used to treat patients with valve insufficiency of the deep veins of the lower extremities. The purpose of the invention is the most complete restoration of valve function and prevention of the development of postoperative complications. The purpose of the invention is achieved by surgical repair of valve function. Access by the Ken's femoral triangle isolates the superficial femoral vein. An atraumatic needle 1 pierces the wall of the vein through its outer sheath along the line of attachment of the valves 2 of the valve to the wall of the vein 3. By tightening the free ends 4 of the ligature, when they are tightened, they narrow the lumen of the vein to the diameter that ensures the complete closing of the valve leaves. 1 il.

Description

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This invention relates to medicine, namely to vascular surgery.

The aim of the invention is to fully restore valve function and prevent the development of postoperative complications.

FIG. 1 and 2 show the locations of the ligatures.

The method is carried out as follows.

By accessing the femoral triangle through the Ken projection line, the superficial femoral vein is isolated and the incompetent valve is verified in it. Atraumatic ligature 1 stitch the wall of the vein through its outer shell along the line of attachment of the valves 2 of the valve to the wall of the vein 3. By tightening the free ends of the 4 ligatures during their contraction, they narrow the lumen of the veins to the diameter that ensures complete closure of the valve leaves.

Example. Patient V., 47 years old, was admitted to the clinic with complaints of swelling of the left lower extremity, pain. Sick for 8 years. Examined. On the ascending phlebogram, the uktazi (expansion) of the femoral and popliteal veins is determined, the retrograde discharge of the contrast material is traced to the knee joint, the valves of the femoral vein are inconsistent. Diagnosis: chronic venous insufficiency, insufficiency of valves of the deep veins of the left lower extremity II degree. The operation was performed: kstravaza, 1to correction of the valve of the superficial femoral vein atraumatic, under the control of an endoscope inserted through the lumen of the great saphenous vein. Access the femoral triangle highlighted superficial femoral vein. Atraumatic needle stitched

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the wall of the vein through its outer sheath along the line of attachment of the valve leaves to the wall of the vein. By tightening the free ends of the ligatures during their contraction, the lumen of the vein is narrowed until the valve leaves are completely closed. In the postoperative period, swelling decreased, pain disappeared. In satisfactory condition, was discharged for outpatient treatment. After 3 months he was examined: no complaints, no swelling.

The proposed method performed I1 operations. Long-term results are tracked for 4 months. The effectiveness of the operation is confirmed by control phlebography data.

The application of the proposed method in the clinic allows you to optimally restore the functional properties of the valve, to reduce the number of thrombotic complications due to the fact that the valve structures are deformed. It is reconciled minimally. The method is recommended for use in practical medicine.

Claims (1)

Invention Formula A method for extravasal correction of deep-vein valves of the lower extremities, including flashing the vein wall in the valve area with a ligature, characterized in that, in order to prevent postoperative complications by surgical restoration of the valve function, flashing the valve surface along the outer layer of the vein wall into two continuous ova, flax ujBaMH, crossing at the points of commissural elevations, followed by shrinking them until the valve flaps are fully closed.