With?Spear, Fire and Sword ? Optimal?Combination of Surgical Methods for?Out-Patient?Treatment?of Varicose Disease

The broadest prevalence and the high social importance of lower extremity varicose vein disease due to primary affection of persons of working age as well as steady decrease in a degree of quality of life and limitation of patients’ working capacity define the necessity of search for the most effective treatment methods. A considerable quantity of the advanced forms of disease in Ukraine and limited possibilities of specialized hospitals as well as dissatisfaction of patients with the results of the standard surgical treatment force to apply actively modern technologies under new conditions. Surgical treatment of patients with varicose disease was conducted on an outpatient basis. The original approach and tactics of surgical treatment was developed on the basis of a combination of new technologies (endovenous laser ablation ? ELA) and less traumatic procedures. Patients with different forms of varicose disease were under supervision. Operative interventions were conducted. All operations were performed on an outpatient basis and under local anesthesia including cases of severe complications. All appearing postoperative complications were mild and low-grade. Severe or moderately severe complications were not observed. Recanalization of coagulated trunks was noted in patients. Consequently, repeated laser coagulations of subcutaneous veins with achievement of full obliteration of vessels were performed. The chosen approach of the combined out-patient treatment allowed achieving clinical efficacy, providing painlessness of the postoperative period, high cosmetic effect, minimum terms of rehabilitation, so it was absolutely preferable to patients.