|Generate QR code
Open Access
Subscription Access
Surgical treatment of patients with varicose veins of the lower extremities from the origins to the present day
https://doi.org/10.30629/0023-2149-2024-102-7-518-522
Abstract
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.
About the Author
R. N. Botashev
Karachay-Cherkess Republican Clinical Hospital
Russian Federation
Russian Federation
Renat N. Botashev — cardiovascular surgeon
Cherkessk
References
1. 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. DOI: 10.1161/CIRCRESAHA.121.318322
2. Bokeria L.A., Milievskaya E.B., Pryanishnikov V.V., Yurlov I.A. Cardiovascular surgery. 2022. Diseases and congenital anomalies of the circulatory system. Moscow, NMIC SSH named after A.N. Bakulev of the Ministry of Health of the Russian Federation. 2023. (In Russian)].
3. Major R.H. A History of Medicine. Oxford: Blackwell, 1954.
4. van den Bremer J., Moll F.L. Historical overview of varicose vein surgery. Ann. Vasc. Surg. 2010;24(3):426–32. DOI: 10.1016/j.avsg.2009.07.035
5. Jones W.H.S. Hippocrates with an English translation. London: William Heinemann, 1923.
6. Adams F. The genuine works of Hippocrates. Baltimore: Williams and Wilkins. 1939. Royle J, Somjen GM. Varicose veins: Hippocrates to Jerry Moore. ANZ J. Surg. 2007;77(12):1120–7. DOI: 10.1111/j.1445-2197.2007.04331.x
7. Majno G. The Healing Hand: Man and Wound in the Ancient World. Cambridge, MA: Harvard University Press. 1975.
8. Anning S.T. Historical aspects. In: Dodd H, Cockett FB eds. The Pathology and Surgery of Veins of the Lower Limb. Edinburgh: Livingstone, 1956.
9. Rose S.S. Historical development of varicose vein surgery. In: Goldman M.P., Weiss R.A., Bergan J.J. eds. Varicose Veins and Telangiectasia, Diagnosis and Treatment. 2nd ed. St. Louis: Quality Medical Publishing. 1999.
10. Lascaratos J., Liapis C., Kouvaraki M. Surgery on varices in Byzantine times (324-1453 CE). J. Vasc. Surg. 2001;33(1):197–203. DOI: 10.1067/mva.2001.107990
11. Harvey W. Exercitatio anatomica de motu cordis et sanguini in animalibus. Frankfurt: W. Fitzer. 1628.
12. Menzoian J.O. Presidential address. Lest we forget: the contributions of Andreas Vesalius and Ambroise Paré to my surgical practice. Am. J. Surg. 1999;178(2):85–91. DOI: 10.1016/s0002-9610(99)00138-5
13. Browse N.L., Burnand K.G., Irvine A.T., Wilson N.M. Milestones, Pebbles, and Grains of Sand. Diseases of the Veins. 2nd ed. London: Arnold. 1999.
14. Bokeria L.A., Mikhailichenko M.V., Pryadko S.I. Surgical treatment of patients with varicose veins of the lower extremities. The evolution of the problem is past and present. Annals of Hir. 2014;4:5–12. (In Russian)].
15. Troyanov A.A. Demonstration of a patient with v. saphena majoris ligation and subsequent skin grafting by Thiersch for varicose ulcers of the shin. Medical protocols. the meeting. to Gorodsk. Obukhov Hospital dated May 4, 1890. Botkin’s sick newspaper. 1891;1. (In Russian)].
16. Khubulava G.G., Shaĭdakov E.V., Sazonov A.B. From the history of Russian phlebology: A.A. Troyanov. Flebologiya. 2010;4(4):38–41. (In Russian)].
17. Trendelenburg F. Ueber die Unterbindung der Vena saphena magna bei unterschenkelvaricen. Beitr. Klin. Chir. 1890;7:195–210.
18. Moore W. The operative treatment of varicose veins, with special reference to a modifi cation of Trendelenburg’s operation. Intercolonial Med. J. Aust. 1896;1:393–397.
19. Homans J. The aetiology and treatment of varicose ulcers of the leg. Surg. Gynecol. Obstet. 1917;24:300-311.
20. McMullin G.M., Coleridge Smith P.D., Scurr J.H. Objective assessment of high ligation without stripping the long saphenous vein. Br. J. Surg. 1991;78:1139–1142.
21. Madelung O.W. Ueber die auschaclung vericen an den unteren extremitaeten. Gesellsch Chir 1884. XIII:114.
22. Keller W. A new method of extirpating the internal saphenous and similar veins in varicose conditions: a preliminary report. N.Y. Med. J. 1905;82:385–6.
23. Babcock W. A new operation for the extirpation of varicose vein of the leg. N.Y. Med. J. 1907;86:153–6.
24. Shevchenko Yu.L., Stoiko Yu.M., Gudymovich V.G. et al. Formation and development of domestic phlebology: a retrospective analysis and a look into the future. Bulletin of the National Medical and Surgical Center named after N. I. Pirogov. 2018;13(1):3–7. (In Russian)].
25. Fegan W.G. Continuous compression technique of injecting varicose veins. Lancet. 1963;2:109–112.
26. McAusland S. The modern treatment of varicose veins. Med Press Circ 1939;201:404–410.
27. Mulkens P.J. Treatment of superfi cial refl uxing veins with the VNUS closure vein treatment system. Vasomed. 1999;1:40.
28. Kianifard B., Holdstock J.M. , Whiteley M.S. Radiofrequency ablation (VNUS closure) does not cause neo-vascularisation at the groin at one year: results of a case controlled study. Surgeon. 2006;4:71–4.
29. Olgin J.E., Kalman J.M., Chin M. et al. Electrophysiological eff ects of long, linear atrial lesions placed under intracardiac ultrasound guidance. Circulation. 1997;96:2715–2721.
30. Politowski M., Zelazny T. Complications and diffi culties associated with electrocoagulation treatment of varices of lower extremities [in Polish]. Pol. Przegl. Chir. 1966;38:519–522.
31. Klein J.A. Anesthesia for liposuction in dermatologic surgery. J. Dermatol. Surg. Oncol. 1988;14:1124–1132.
32. Muller R. Traitement des varices par la phlebectomie ambulatoire. Phlebol. 1966;19:277.
33. Varady Z. Modifi kation der Varizenoperation zur gefahrlosen ambulanten Behandlung. Ergebnisse der Angiologie. 1977;19.
34. Pittaliga P., Rea B., Barbe R. Method ASVAL (Аlaition Selective des Varices sous Anesthesie Locale): principes et rezultats preliminaires. Journal des Maladies Vasculaires. 2005;30(4):44.
35. Stotter L. Comparative outcomes of radiofrequency endoluminal ablation, imagination stripping, and cryostripping in the treatment of great saphenous vein insuffi ciency. Phlebology. 2006;21:60–5.
36. Bone C. Tratamiento endoluminal de las varices con laser de diodo: estudio preliminary. Rev. Patol. Vasc. 1999;5:35–46.
37. Mazaishvili K.V., Akimov S.S., Khlevtova T.V., et al. Accidents, dangers, medical errors and complications of endovenous laser obliteration in patients with varicose veins. Phlebology. 2017;11(1):37–46. (In Russian)].
38. Mazaishvili K.V., Akimov S.S., Semkin V.D. et al. Structure and features of complications of endovenous laser obliteration. Phlebology. 2017;11(4):212–7. (In Russian)].
39. Proebstle T.M., Krummenauer F., Gul D., Knop J. Nonocclusion and early reopening of the great saphenous vein after endovenous laser treatment is fl uence dependent. Dermatol. Surg. 2004;30(2– l):174–8.
40. Milleret R., Huot L., Nicolini P. et al. Great saphenous vein ablation with steam injection: results of a multicentre study. Eur. J. Vasc. Endovasc. Surg. 2013;45(4):391–6. DOI: 10.1016/j.ejvs.2013.01.027. Epub 2013 Feb 12. PMID: 23410966
41. Mueller RL., Raines J.K. ClariVein mechanochemical ablation: background and procedural details. Vasc. Endovascular. Surg. 2013;47(3):195–206. DOI: 10.1177/1538574413477216
42. Joh J.H., Joo S.H. Complex Hypersensitivity and Irritation Reaction (CHAIR) Phenomenon after Cyanoacrylate Closure of Varicose Vein. Vasc. Specialist Int. 2023;25;39:27. DOI: 10.5758/vsi.230062
43. Almeida J.I., Javier J.J., Mackay E. et al. First human use of cyanoacrylate adhesive for treatment of saphenous vein incompetence. J. Vasc. Surg. Venous Lymphat. Disord. 2013;1(2):174–80. DOI: 10.1016/j.jvsv.2012.09.010
Review
For citations:
Botashev R.N. Surgical treatment of patients with varicose veins of the lower extremities from the origins to the present day. Clinical Medicine (Russian Journal). 2024;102(7):518–522. (In Russ.) https://doi.org/10.30629/0023-2149-2024-102-7-518-522
Views:
179
Email this article 