“Venous trophic ulcers. What can be achieved on an outpatient basis? ”, Online colloquium, 19.05.2020/XNUMX/XNUMX.

On May 19, 2020, another event was held in the format of an online colloquium on the topic: “Venous trophic ulcers. What can be achieved on an outpatient basis? " The project was headed by a vascular surgeon, professor, Konstantin Vitalievich Mazayshvili (Surgut).

Venous trophic ulcers. What can be achieved on an outpatient basis?

“Venous trophic ulcers. What can be achieved on an outpatient basis? "

 

The functions of the moderator and speaker of the event were performed by a phlebologist, Sergei Mikhailovich Markin. Their messages were presented by: phlebologist, leading specialist in the treatment of venous trophic ulcers, Sergei Nikolaevich Yakushkin (Moscow), vascular surgeon, Igor Sergeevich Savinov (Simferopol).

One of the leading phlebologists of St. Petersburg, Sergei Mikhailovich Markin, presented the message: "Therapy of trophic ulcers: recommendations and routine practice."

Therapy of trophic ulcers - reports S.M. Markin. (St. Petersburg)

Therapy of trophic ulcers - reports S.M. Markin. (St. Petersburg)

 

The doctor presented an analysis of the results of an online survey of representatives of the phlebological community on approaches to the treatment of venous trophic ulcers. This is not to say that Dr. Markin received unexpected results. Today there is no single, unified approach to the treatment of trophic ulcers. Some representatives of the phlebological community even prescribe hirudo - and physiotherapy, which clearly contradicts the principles of modern medicine. There is no consensus in the use of compression therapy, which indicates that the understanding of the pathogenesis of venous trophic disorders is unclear. The results of Dr. Markin's research highlighted the importance and relevance of the event.

Sergey Nikolayevich Yakushkin, phlebologist, leading specialist in the treatment of venous trophic ulcers in Moscow and Russia, presented the message: "The potential of conservative therapy and outpatient surgery in the treatment of trophic ulcers."

Outpatient surgery of trophic ulcers - reports S.N. Yakushkin. (Moscow)

Outpatient surgery of trophic ulcers - reports S.N. Yakushkin. (Moscow)

 

Sergey Nikolaevich shared his expert approach to pathology. The principles and tactics of using compression therapy are explained in sufficient detail. The nuances of the use of multilayer compression bandages, medical compression products were briefly, and at the same time informative, sounded in the lecture. Consistency, important details and even possible assumptions, nothing was left behind the scenes. A very good and substantive tactical approach to local therapy of venous wounds can be used as an algorithm of action. Tactical approaches to venous trophic ulcers of Dr. Yakushkin today are among the best in modern European phlebology.

Igor Sergeevich Savinov, vascular surgeon, phlebologist, (Simferopol), presented the message: "The use of echo-controlled nerve blockade in the treatment of complicated forms of varicose veins and trophic ulcers."

Nerve block in trophic ulcers - reports I.S. Savinov. (Simferopol)

Nerve block in trophic ulcers - reports I.S. Savinov. (Simferopol)

 

Dr. Savinov presented a rather interesting technique of conduction anesthesia under ultrasound guidance. The essence of the method is to inject lidocaine solution into the perineural space of the femoral nerve under echo imaging. Igor Sergeevich revealed the details of this manipulation in sufficient detail. The effects and benefits of the procedure are well described. Perhaps the introduction of the technique will somewhat expand the capabilities of modern phlebological centers in the treatment of complicated forms of varicose veins.