Global Journal of Medical Research, I: Surgeries and Cardiovascular System, Volume 22 Issue 2

Taking into account the results of our studies, we proposed an algorithm for managing patients with trophic ulcers, depending on the phase of the process, which we used in the main group of patients. Conservative therapy in the main group was the same as in the control group, it consisted primarily in compression, which is considered the basis for the treatment of CVI with trophic ulcers, elevated position of the limb, antibiotic therapy, the appointment of phlebotonics, improvement of microcirculatory disorders, as well as the treatment of comorbidities. Local treatment was carried out according to the method developed by us. Regardless of reflux, 44 (68.8%) patients with vertical reflux, 17 (26.6%) with vertical + horizontal reflux, and 3 (4.7%) with horizontal reflux underwent EVLC + vacuum therapy. To assess the effectiveness of the treatment, we carried out a comparative assessment of the results obtained with the results of the control group according to the VCSS classification parameters, during which the following differences were identified: 1. Decrease in the area of the wound surface by 38.7% versus 18.2% in the control group. 2. Minor pains were noted in 73.6% of patients, the remaining 26.4% had no pain symptoms. While in the control group, the absence of pain symptoms was observed only in 10.7% of patients, and the remaining 89.3% of patients complained of moderate and mild pain. 3. In the main group, mild edema and hyperemia were observed in 69.4% of patients, and in 30.6% of cases, edema and hyperemia were absent, compared to the control group, in 85.3% of patients, edema was moderate and insignificant, in the remaining 14.7% of patients There was no edema or hyperemia. 4. Signs of granulation in the main group appeared on the 5 th day from the onset of the disease, while in the control group it was on the 10 th day. 5. Against the background of the ongoing treatment, it can be noted that the duration of the inflammation phase decreased to 3.1%, the proliferation phase to 3.6% and the healing phase to 6.2%. IV. C onclusion 1. Treatment of patients with trophic ulcers against the background of chronic venous insufficiency should be complex and depend on the phase of the process: the most appropriate use of vacuum therapy in the 1st phase, after which we recommend using the method of sanitation of trophic ulcers developed by us in the 2 nd phase. 2. The android program developed by us “Wound sizedetector.exe”. Allows non-contact method to measure the area of trophic ulcers and monitor during treatment with documentation of the data obtained. 3. The use of our treatment tactics made it possible to improve the results of treatment of patients with trophic ulcers, which resulted in a decrease and disappearance of pain, a decrease in the area of trophic ulcers, a reduction in the duration of the inflammation phase and, accordingly, a reduction in the length of stay of patients in the hospital. R eferences R éférences R eferencias 1. Adylkhanov F.T., Fursov A.B. Varicose disease of the lower extremities - analysis of the effectiveness of surgical treatment at the present stage. Literature review // Science and Health. 2017. V.2. pp. 128- 143. 2. Babazhanov A.S., Tukhtaev Zh.K., Toirov A.S., Akhmedov G.K., Khudainazarov U.R. Comparison of the effectiveness of endovenous laser coagulation and traditional combined phlebectomy. Science and Peace. 2017. V.1. No. 5. pp. 85-87. ISSN: 2308-4804 3. Bokeria L.A., Mikhalichenko M.V. The effectiveness of endovenous laser obliteration in varicose veins of the lower extremities. Phlebology. 2014; 2: p. 32. 4. Bokeria L.A., Mikhailichenko M.V., Kovalenko V.I. Optimization of surgical treatment of patients with varicose veins of the lower extremities. breast cancer. 2015; 1: pp. 10-14. 5. Dubrovshchik O.I., Dovnar I.S., Koleshko S.V., Yasyuk L.S., Yasyuk A.A. Trophic ulcers of venous genesis: modern possibilities of treatment // Journal of Grodno State Medical University. 2016. No. 2. S. 107-111. 6. Kirshin A.A., Styazhkina S.N., Goryaeva E.A., Khannanova L.B. Combined treatment of chronic venous insufficiency in the stage of severe trophic disorders. Modern Science. 2020. No. 5-1. pp. 223- 225. ISSN 2414-9918 7. Kokhan R.S. Vacuum therapy as a component of surgical treatment of patients with chronic venous insufficiency complicated by a trophic ulcer. Journal of Grodno State Medical University. 2016. No. 1. pp. 29-32 8. Davies AH the Seriousness of Chronic Venous Disease: A Review of Real-World Evidence. Adv Ther, 2019, Vol. 36(Suppl. 1), pp. 5-12. 9. DePopas E., Brown M. Varicose Veins and Lower Extremity Venous Insufficiency. SemiinterventRadiol, 2018, Vol. 35, no. 1.pp. 56-61. 10. Novak CJ, Khimani N., Kaye AD et al. Current Therapeutic Interventions in Lower Extremity Venous Insufficiency: a Comprehensive Review. Curr Pain Headache Rep, 2019, Vol. 23, no. 3, p. 16. doi: 10.1007/s11916-019-0759-z 35 Year 2022 Global Journal of Medical Research Volume XXII Issue II Version I ( D ) I © 2022 Global Journals Our Viewpoint about Therapeutic Tactics in Patients with Chronic Venous Insufficiency