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A Journal on Phlebology
Acta Phlebologica 2001 April;2(1):7-11
Treatment of thrombophlebitis varicosa of the lower limbs
Mazuch J., Mistuna D., Golian D.
Department of Surgery MFN, Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia
BACKGROUND: Thrombophlebitis varicosa (TV) is thrombotic-inflammatory process affecting varicose veins of the lower extremities.
METHODS: Authors analysed 202 cases of TV. They treated 11 (5,54%) cases conservatively and 191 (94,5%) surgicaly. Ascension of the thrombosis were registered in 13 (6,4%) cases. In 11 cases the thrombosis reached sapheno-fernoral junction. In 2 patients the thrombosis spreaded into deep venous system and therefore also the thrombectomy was performed. From the amount of 191 surgicaly treated patients with TV we performed discision and extirpation of thrombotized varicose veins in 184 patients, stripping of great saphenous vein 152 times and ligature of perforating veins 76 times.
RESULTS: All the patients have recovered and we have not registered any mortality. Minor local complications like a hematoma, seroma respectively wound suppuration emerged in 16 patients (8,3%).
CONCLUSIONS: Radical surgical treatment in compare to conservative treatment is more preferable, reduces time of treatment and hospitalisation length. Also the long-term results are better.