"Technical subtleties of miniflebectomy", online colloquium with interactive discussion 28.04.2020/XNUMX/XNUMX.

On April 28, 2020, the next event of the “Current phlebology” portal on the topic: “Technical subtleties of miniflebectomy” was held online.

The event was led by Professor Konstantin Vitalievich Mazayshvili (Surgut, Russia).

Opening remarks by Professor K.V. Mazayshvili (Surgut)

Opening remarks by Professor K.V. Mazayshvili (Surgut)

Leading experts in the field of phlebology in Russia presented their reports: Matvey Alexandrovich Parikov (St. Petersburg), Khachatur Mikhailovich Kurginyan (Moscow), Evgeny Anatolyevich Letunovsky (Moscow), Evgeny Igorevich Seliverstov (Moscow), Sergey Mikhailovich Markin (St. Petersburg, Russia) .

Sergei Mikhailovich Markin (St. Petersburg) presented the results of an online survey of the phlebological community of Russia on the attitude of ordinary phlebologists to the operation of miniflebectomy.

Reported by S.M. Markin (St. Petersburg)

Reported by S.M. Markin (St. Petersburg)

The answers were pretty predictable. Almost all survey participants perform a miniflebectomy. Most of them prefer to supplement thermal obliteration with this operation, almost always. The individual preferences of the instrumentation, the composition of the anesthetic solution and the technical nuances of the procedure, of course, slightly differed among the respondents. Nevertheless, the miniflebectomy procedure today, being one of the best manipulations of modern phlebology, is deservedly popular among members of the phlebological community. This operation has its undeniable advantages over competing methods and in the coming years, the miniflebectomy procedure will remain one of the leading methods of modern phlebology.

Evgeny Anatolievich Letunovsky (Moscow) presented an online message: “Technical difficulties of miniflebectomy. Is it possible to improve something? ”

Reported by Dr. E.A. Letunovsky (Moscow)

Reported by Dr. E.A. Letunovsky (Moscow)

One of Moscow phlebologists shared his own view on the modern procedure for removing varicose veins. Dr. Letunovsky introduced a new vision of the technique in the face of "cryominiflebectomy." The technology proposed by Evgeny Anatolyevich includes:

  • Cooling solution for anesthesia.
  • Contact cooling with gel packs for sports medicine.
  • Introduction to the removed veins of chilled saline.
  • Itraoperative sclerotherapy of varicose veins with a 3% solution of polydocanol or tetradecyl sulfate.
  • Skin treatment over miniflebectomy with contact anesthetics.

Miniflebectomy with cooling of the anesthetic solution has been practiced in European clinics for many years. This technology has both its supporters and opponents. By the way, the latter are the majority. Many leading phlebologists in Moscow, other cities and regions of Russia, used in their practice a chilled solution of anesthetic. But today, few people practice this. The answer is banal, no significant difference in the results was received. And if unnecessary gestures are not justified, then excluded from the operation of the operating room with wind speed.

The arguments of Dr. E.A. Letunovsky

The arguments of Dr. E.A. Letunovsky

The message of Yevgeny Anatolievich caused mixed reactions from the audience. The transformation of the miniflebectomy zone into a cold chamber by a number of controversial, including injection effects, in order to reduce the lifetime of skin ecchymoses (bruises) by a couple of weeks. Is it necessary? You can be sure of one thing, the technique of Evgeny Anatolyevich made an indelible impression on the audience.

Matvey Aleksandrovich Parikov (St. Petersburg) presented an online message: "The role of Varadi in the concept of vein mini-surgery."

Reported by M.A. Parikov (St. Petersburg)

Reported by M.A. Parikov (St. Petersburg)

Matvey Aleksandrovich conducted a brilliant historical excursion, telling about the milestones of creating the technique of miniflebectomy by Professor Zoltan Varadi. The creation of the concept of minimally invasive surgery, the development and implementation of special tools (hooks) in the 70s of the last century by a German doctor, a legacy that we still use today. In the second part of the message, Matvey Aleksandrovich shared the nuances of his own practice of miniflebectomy. An academic approach, attention to detail and pedantry, these are the basics that contribute to obtaining a really good result.

Evgeny Igorevich Seliverstov (Moscow) presented an online message: “Miniflebectomy. My technique. ”

Reported by E.I. Seliverstov (Moscow)

Reported by E.I. Seliverstov (Moscow)

The doctor told about the nuances of his own technique of miniflebectomy in a state hospital.

Khachatur Mikhailovich Kurginyan (Moscow) presented an online message: “Technical aspects of miniflebectomy”.

Reported by H.M. Kurginyan (Moscow)

Reported by H.M. Kurginyan (Moscow)

Khachatur Mikhailovich continued the story of the previous lecturer about the harsh everyday life of public health. Dr. Kurginyan shared his vision of the modern procedure. Khachatur Mikhailovich continues to use injection syringes for the introduction of a tumecent. Nevertheless, this option of anesthesia is significantly inferior to the automatic pump pump, both in terms of the time of the procedure and the comfort of its implementation. And most leading phlebologists who have used both options in their practice will agree with this.

Thank you very much to the participants and organizers for the work done. We look forward to new meetings!