METHOD OF TREATING ACUTE VARICOTHROMBOPHLEBITIS IN PATIENTS WITH VARICOSE DISEASE OF LOWER EXTREMITIES Russian patent published in 2025 - IPC A61B18/20 A61B17/00 A61B8/08 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to general surgery, cardiovascular surgery, phlebology, and can be used in treating acute varicothrombophlebitis in patients with varicose disease of lower extremities. Under ultrasound control, a trunk of a greater saphenous vein (GSV) or a small saphenous vein (SSV) is punctured above a proximal border of a thrombus. Vein laser ablation is performed with a laser light guide with wavelength of 1470 nm, power of 8-12 W, laser radiation energy of 50-70 J. Then, under ultrasound control over thrombosed vein and/or thrombosed varicose knot, incision is made up to 1 cm at depth until thrombotic masses appear. Under ultrasound control, thrombotic masses are removed from a proximal edge of thrombotic masses by pressing with a linear ultrasound sensor.

EFFECT: method enables reducing the risks of bleeding and pain syndrome during the manipulation, eliminating the recurrent formation of blood clots and thrombi in the saphenous veins of the lower extremities, reduce the number of recurrences and the length of recovery and rehabilitation of the patient due to the absence of an open postoperative defect, to achieve stable therapeutic and preventive effect of secondary thromboembological complications (STEC) by type of pulmonary artery thromboembolism (TEPA) due to thermobliteration of trunk of GSV and SSV and removal of thrombotic masses under dynamic ultrasound control.

1 cl, 2 ex