The quality of life in the postoperative period patients with varicose disease of lower extremities
In modern vascular surgery is a clear emphasis on minimally invasive technologies that provide radical cure with high cosmetic result. The method of two steps by us surgical interventions is not new, but detailed comparisons of the parameters of quality of life after different methods was not undertaken. Of particular interest is the subjective assessment of patient response to clinical manifestations, dynamics, and change the quality of life in the postoperative period (CLPP) after using different methods of treatment of varicose veins. In the scientific study of the surgical treatment of EPI were subjected to 40 people. Patients from group I and group II (10 people) was performed EVLT and RCFA, and III (20 patients) group - classic phlebotomy on an isolated technique. Research indicators such as pain, technical and cosmetic result, psycho-social aspects (modified questionnaire CIVIQ 2 and VCSS) in the nearest (1 month) and long periods (12 months). Significant differences between groups of RCFA, EVLT and phlebectomy. The pain intensity after open surgeries were significantly higher in the first 4-5 days. Not found significant differences KIPP between isolated and combined interventions in the same group. After any of the treatments EPI quality of life of patients is significantly increased as early as 30 days after surgery. However, higher rates KIPP observed after performing endovenous interventions (EVLT or RCFA) compared to open stand-alone phlebotomy (p<0.001). When comparing groups of EVLT and RCFA are not found significant differences in the quality of life of patients (p=0,63-0,69). When assessing the cosmetic result in first 3 months. the clear leader are endovascular techniques. Since 6-7 months. after surgery, all groups, including phlebotomy, evaluated the cosmetic result is about the same in 12 months. the results for this criterion are equal. After any of the treatments EPI quality of life of patients considerably (and significantly) increased as early as 30 days after surgery and practically does not differ from the quality of life of healthy people by the end of 12 months of observatio.