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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">clinmed</journal-id><journal-title-group><journal-title xml:lang="ru">Клиническая медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Clinical Medicine (Russian Journal)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0023-2149</issn><issn pub-type="epub">2412-1339</issn><publisher><publisher-name>ООО «Медицинское информационное агентство»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.30629/0023-2149-2024-102-7-518-522</article-id><article-id custom-type="elpub" pub-id-type="custom">clinmed-880</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL INVESTIGATIONS</subject></subj-group></article-categories><title-group><article-title>Хирургическое лечение пациентов с варикозной болезнью вен нижних конечностей от истоков до наших дней</article-title><trans-title-group xml:lang="en"><trans-title>Surgical treatment of patients with varicose veins of the lower extremities from the origins to the present day</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Боташев</surname><given-names>Р. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Botashev</surname><given-names>R. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Боташев Ренат Нюралиевич — врач, сердечно-сосудистый хирург</p><p>Черкесск</p></bio><bio xml:lang="en"><p>Renat N. Botashev — cardiovascular surgeon</p><p>Cherkessk</p></bio><email xlink:type="simple">renzik84@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>РГБ ЛПУ «Карачаево-Черкесская республиканская клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Karachay-Cherkess Republican Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>21</day><month>11</month><year>2024</year></pub-date><volume>102</volume><issue>7</issue><elocation-id>518–522</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Боташев Р.Н., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Боташев Р.Н.</copyright-holder><copyright-holder xml:lang="en">Botashev R.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.clinmedjournal.com/jour/article/view/880">https://www.clinmedjournal.com/jour/article/view/880</self-uri><abstract><p>Варикозная болезнь вен нижних конечностей является распространенной проблемой в настоящее время. В разных странах приблизительно 25–30% женщин и 10–15% мужчин страдают этим заболеванием. Хирургические методы занимают особое место в лечении таких пациентов. В настоящее время, несмотря на развитие эффективных миниинвазивных эндовазальные методик, по-прежнему врачи сталкиваются с рецидивом заболевания вследствие недостаточной радикальности вмешательства, а также естественного течения варикозной болезни как генетически детерминированного, что требует дальнейшего поиска решений по улучшению результатов лечения. В статье описана история развития хирургических методов, включая первые упоминания этого заболевания, перевязку сосудов, флебэктомию, миниинвазивные и прочие методики.</p></abstract><trans-abstract xml:lang="en"><p>Varicose vein disease of the lower extremities is a common problem today. In various countries, approximately 25–30% of women and 10–15% of men sufferfrom this condition. Surgical methods hold a special place in the treatment of such patients. Currently, despite the development of effective minimally invasive endovenous techniques, doctors still face recurrences of the disease due to insufficiency of radical surgery, as well as the natural progression of varicose vein disease as genetically determined, which necessitates further exploration for solutions to improve treatment outcomes. The article describes the history of the development of surgical methods, including the first mentions of this disease, vessel ligation, phlebectomy, minimally invasive techniques, and others.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>варикозная болезнь</kwd><kwd>флебэктомия</kwd><kwd>склеротерапия</kwd><kwd>радиочастотная аблация</kwd><kwd>эндовазальная лазерная облитерация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>varicose vein disease</kwd><kwd>phlebectomy</kwd><kwd>sclerotherapy</kwd><kwd>radiofrequency ablation</kwd><kwd>endovenous laser obliteration</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Baylis R.A., Smith N.L., Klarin D. et al. Epidemiology and Genetics of Venous Thromboembolism and Chronic Venous Disease. Circ. Res. 2021;128(12):1988–2002. 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