Plastic surgery of the valves of the major veins
Gervaziev, V.B.
Khirurgiia 6: 69-74
1991
ISSN/ISBN: 0023-1207 PMID: 1770742 Document Number: 374467
Three variants of endovascular autovenous plasty of the valves are suggested for the treatment of patients with chronic venous insufficiency of the lower limbs due to primary or secondary incompetence of the valves of the major veins. All are based on the formation of a one-sided cusp with an inner elastic element. The author suggests criteria for appraising the efficacy of methods for plasty of venous valves. Seventy-six operations were carried out, 33 of them were combined with Linton's phlebectomy. The late-term follow-up periods are up to 10 years. The results are positive in 70 patients and no changes were found in 6 patients. No cases with thrombosis in the zone of plastic surgery were encountered. Complete or marked functioning of the valve was noted in half of the patients. Means for improving the methods of endovascular plasty of the venous valves are considered.