Оцінка Якості Життя Пацієнта На Фоні Больового Синдрому За Умов Хірургічного Лікування Хронічної Венозної Недостатності

Abstract

Relevance of the study. Pain syndrome in chronic venous insufficiency is a common complication that correlates with the clinical degree of the disease. Although lifestyle changes remain the mainstay of treatment for pain associated with chronic venous insufficiency, compression therapy, and various pharmacological agents have become safe and effective methods of preventing this pathology. Minimally invasive surgical methods have been developed for patients for whom these measures are not sufficient. The paper describes the development of pain and analyses its intensity in patients with chronic venous insufficiency, and also considers both traditional methods of surgical treatment of pain and new advances in medical and surgical therapy of this disease.The aim: to analyse the intensity of pain in patients after endovenous laser coagulation of the great saphenous vein in the setting of chronic venous insufficiency.Materials and methods. We examined 86 patients with varicose veins of the lower extremities who were treated at the Department of Surgery of Ternopil Regional Hospital No. 2 in the period from 2021 to 2023. All patients underwent surgical treatment for varicose veins of the lower extremities: Group I -46 patients who underwent thermal obliterating methods; Group II -40 patients who underwent planned surgical intervention in the amount of combined phlebectomy with removal of the trunk of the IVC to the lower reflux limit under general anesthesia or spinal anesthesia and perforation.