ESDPV in combination with traditional methods of surgical treatment of CVI

The most severe complication of chronic venous insufficiency (CVI) is trophic ulcers. According to modern statistics, diseases of the veins of the lower extremities are an extremely common pathology. 20-25% of the population of industrialized countries suffer from chronic venous insufficiency, 1-4% have trophic changes in the skin. With conservative therapy, in 30% of cases of complete healing of ulcers, a relapse occurs within the first year. In Russia, more than 35 million people suffer from various forms of CVI, and 15% of them already have trophic ulcers of the lower extremities. Chronic venous insufficiency is a pathological condition that has two main causes: varicose and post-thrombophlebitic diseases. Etiology and pathogenesis of varicose disease Varicose disease of the superficial veins of the lower extremities is a polyetiological disease. By now, a number of endogenous and environmental factors that play a significant role in the origin of this pathology have been well studied. Risk factors: Age Gender Pregnancy Poor heredity Obesity Professional factors With increasing age, the risk of developing varicose veins increases, which is associated with atrophy of the contractile elements of the venous wall and a decrease in its tone in the elderly. The maximum prevalence occurs in the age group from 55 to 80 years. Today, it is known that varicose veins of the lower extremities are much more common in women than in men in a ratio of approximately 3:1. This is due to the secretion of female sex hormones and its physiological changes during pregnancy and menstruation. Estrogens have a direct effect on the venous wall, causing a decrease in its tone and an increase in extensibility. Modern genetic studies have shown that early and severe forms of varicose veins are associated with an autosomal dominant inheritance pattern. 50% of patients suffering from CVI have a burdened hereditary history. A number of authors believe that varicose veins are caused by a hereditary, progressive imbalance between the different types of collagen in the vein wall. Obesity also significantly increases the likelihood of developing varicose veins. A 20% increase in body weight leads to a fivefold increase in the risk of this pathology in women. Varicose veins are most often found in people who, due to the nature of their work, are forced to remain in an upright position for a long time, or are subject to heavy physical exertion (surgeons, hairdressers, salespeople, loaders, etc.).