VACUUM THERAPY AS A COMPONENT OF SURGICAL TREATMENT OF PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY COMPLICATED BY TROPHIC ULCER

As a preparation for the operation, 77 patients with stage III chronic venous insufficiency (CEAP C6) have undergone the vacuum therapy of trophic ulcers. After healing of the venous ulcers or after their significant reduction in the size, all patients have undergone the endovascular laser ablation of the varicose-transformed veins of the lower extremities. In 19 patients the technique of overfascial laser coagulation of perforating veins was used under the ultrasound control, and in 23 patients a subfascial endoscopic dissection of perforating veins was performed. In 19 patients an auto-skin grafting of the trophic ulcer was used simultaneously.