METHOD FOR SURGICAL TREATMENT OF VARICOSE TROPHIC ULCERS

摘要

FIELD: medicine.;SUBSTANCE: endovenous laser coagulation of the trunk of the large saphenous vein is performed. Layered fibrosectomy of the ulcerous surface is performed until capillary bleeding appears. Then, autodermoplasty is performed with a perforated cutaneous flap. At that, the unfolded skin flap is fixed on the area of the trophic ulcer. Fixation is provided by suture material, which is supplemented by circular application of adhesive mesh coating, adhesive band and completed by application of a multilayer elastic band.;EFFECT: method allows to reduce the potential risks of side effects and complications, to achieve early activation of patients in the postoperative period, to avoid skin flap shifting in outpatient patients while walking, and also leads to its faster engraftment.;2 ex