Radiofrequency ablation of varicose veins in combination with ultrasonic-assisted wound debridement and platelet-rich plasma as well as platelet-rich fibrin technologies in treatment of lower extremity venous ulcers in office-based surgery.

Abstract

Introduction:

for the treatment of varicose ulcer performed clinical and laboratory reasoning of the use of ultrasonic-assisted venous ulcer debridement and Platelet-rich plasma with radiofrequency ablation in an outpatient setting, was carried out.

Methods:

ultrasonic-assisted debridement of trophic ulcer were performed for 50 patients with lower extremity varicose veins at decompensation stage. The effectiveness of ultrasonic-assisted debridement was evaluated by indicators of bacteriological, morphological, cytological study and assessment of trophic ulcers according to the MEASURE system. After ultrasonic-assisted debridement, the patients were divided into two groups: 30 patients, who underwent combined Platelet-rich plasma to stimulate wound regeneration and 20 patients, for whom the Granuflex hydrocolloid bandage was applied for the same purpose.

Results:

a comparative analysis of ulcer regeneration in two groups of patients proved that in cases of platelet rich plasma the time of transition from inflammatory-regenerative type to regenerative one is much shorter than when using a hydrocolloid dressing. In 28 patients undergoing Platelet-rich plasma (PRP) and Platelet-rich fibrin (PRF), the radiofrequency ablation of the principal superficial and perforating veins was performed. Another 22 patients performed autodermoplasty of trophic ulcers after radiofrequency ablation.

Conclusion:

our experience has shown that in a one-day inpatient surgical clinic such a multidisciplinary approach to treatment of venous ulcers, including ultrasonic-assisted debridement that is stimulation of wounded process by Platelet-rich plasma with further surgeries to remove the causes of decompensated chronic insufficiency, is promising regarding low costs of treatment and rehabilitation of these patients.

• Authors: Volodymyr Goshchynsky, Yrij Svidersky, Bogdan Migenko, Oleg Pyatnychka
• Journal: The Pan African medical journal (Pan Afr Med J) Vol. 42 Pg. 154 ( 2022) ISSN: 1937-8688 [Electronic] Uganda
• PMID: 36187047 (Publication Type: Journal Article)
• Copyright: Copyright: Volodymyr Goshchynsky et al.

Topics

• Catheter Ablation
• Debridement
• Humans
• Lower Extremity (surgery)
• Platelet-Rich Fibrin
• Platelet-Rich Plasma
• Ulcer
• Ultrasonics
• Varicose Ulcer (etiology, surgery)
• Varicose Veins (complications, surgery)
• Wound Healing