MINIMALLY INVASIVE METHODS OF TREATMENT OF DECOMPENSATED FORMS OF CHRONIC VENOUS INSUFFICIENCY OF THE LOWER EXTREMITIES

Abstract. Chronic venous insufficiency (CVI) is an extremely important medical and social problem in the modern world. The frequency of development of venous insufficiency per 1000 population is 1.48-3.05 people. The aim: evaluate the possibilities of minimally invasive surgical methods in the treatment of decompensated forms of chronic venous insufficiency. Materials and methods: the study included 194 patients with decompensated forms of CVI of the lower extremities who were treated in the vascular surgery department of the Khmelnytskyi Regional Hospital in the period from 2020 to June 2024. There were 112 (57.7%) women and 82 (42.3%) men among the examined. The results. Minimally invasive methods in the surgical treatment of CVI of the lower extremities show the best immediate and long-term results in the treatment of this pathology. Epithelialization of trophic ulcers in the C6 stage of chronic disease of the veins of the lower extremities occurs after 6-31 days. Conclusions: endovenous laser coagulation is the «gold standard» in the surgical treatment of CVI of the lower extremities, and the advantage of non-thermal methods is the absence of the need for tumescent anesthesia.