Surgery in acute and chronic venous disease

Area of Science:

• Vascular Surgery
• Venous Disease Management

Background:

• Deep venous disease encompasses acute phlebitis and chronic venous insufficiency, often requiring surgical intervention.
• Effective management strategies are crucial for improving patient outcomes and preventing long-term complications.

Purpose of the Study:

• To report on a favorable surgical experience with 140 cases of deep venous disease in the lower extremity.
• To evaluate the efficacy of thrombectomy and vein ligation in acute deep venous thrombosis and insufficiency.
• To present expanded surgical applications for chronic severe venous insufficiency.

Main Methods:

• Surgical intervention for 140 patients with acute and chronic deep venous disease.
• Thrombectomy for 77 cases of acute iliofemoral phlebitis with pre- and postoperative venography.
• Ligation and division of the superficial femoral vein for acute deep venous thrombosis and insufficiency.
• Surgical reconstruction for chronic venous insufficiency, including valve repair and venous anastomosis.

Main Results:

• 75% iliofemoral segment patency after modified surgical approach in acute phlebitis.
• Positive correlation between clot adherence and postoperative patency, predictable via venography.
• Superficial femoral vein ligation successful in controlling emboli with minimal long-term ill-effects.
• No postoperative thrombosis observed in chronic venous insufficiency reconstructions.

Conclusions:

• Surgical interventions, including thrombectomy and vein ligation, are effective for managing deep venous diseases.
• Preoperative venography is vital for predicting surgical outcomes in acute iliofemoral phlebitis.
• Expanded surgical techniques offer solutions for severe chronic venous insufficiency with good results.