Specialized Phlebology Office — a New Organizational Form to Help Patients with Varicosity of the Lower Extremities
Keywords:varicosity, outpatient treatment, specialized phlebology office
The analysis of the work of new organizational form of phlebological care — specialized phlebology office (SPO) is presented.
Materials and methods. Results of the analysis of outpatient visits of 1625 patients with vascular disease of the lower limbs or with their symptoms for the period 2008–2012 had been analyzed. Number of initially applied patients was 1625 (31.18 %), of reapplied ones — 3587 (68.82 %), total number of visits was 5212.
Results and discussion. The higher number of revisits of SPO — 3587 (68.82 %) compared to the number of primary visits — 1625 (31.18 %) indicates a high degree of confidence to the specialists of this organizational structure. Detailed analysis of the symptoms in the initial visit enabled to assess properly health status of the patient and made it possible to avoid mistakes in the choice of future treatment strategy. A total of 13,147 various services were provided to the patients with varicosity of the lower limbs (VLL), who applied to SPO within analyzed period, that indicates the strong demand for high-quality medical diagnostic aid among patients with VLL.
Conclusions. Specialized phlebology office, equipped with modern diagnostic and treatment equipment with the main unit staff — surgeon-phlebologist is optimal outpatient structure for public phlebological specialized care. Specialized phlebology office — it is a new organizational form, which wasn’t presented previously in the scheme of outpatient surgical service, it has the potential to be an effective intermediary link between patients with varicosity and surgical hospitals.
Васютков В.Я. Трофические язвы стопы и голени / В.Я. Васютков, Н.В. Проценко. — М.: Медицина, 1993. — 160 с.
Рефлюкс по бедренной вене и течение варикозной болезни нижних конечностей / А.В. Гавриленко, П.Е. Вахратьян, В.А. Сандриков [и др.] // Флеболимфология, специальный выпуск: Труды VI конференции Ассоциации флебологов России. — 2006. — С. 8.
Лидский А.Т. Симптоматическая диагностика хирургических заболеваний (от симптома к диагнозу) / А.Т. Лидский. — М.: Медицина, 1973. — 182 с.
Флебология. Руководство для врачей / B.C. Савельев, В.А. Гологорский, А.И. Кириенко [и др.] / Под ред. B.C. Савельева. — М.: Медицина, 2001. — 664 с.
Значение рефлюксов крови в формировании открытых трофических нарушений у больных варикозной болезнью вен нижних конечностей / Б.С. Суковатых, Л.Н. Беликов, А.И. Итинсон, М.Б. Суковатых // Флеболимфология, специальный выпуск: Труды VI конференции Ассоциации флебологов России. — 2006. — С. 92.
Patterns of reflux and severity of varicose veins in the general population — Edinburgh vein study / P.L. Allan, A.W. Bradbury, С.J. Evans [et al.] // Eur. J. Vase. Endovasc. Surg. — 2000. — Vol. 20. — P. 470-477.
Varicose symptoms without varicose veins: the hypotonic phlebopathy, epidemiology and pathophysiology. The Acireale project / G.M. Andreozzi, S. Signorelli, L. Di Pino [et al.] // Minerva Cardioangiol. — 2000. — Vol. 48,
№ 10. — P. 277-285.
Andreozzi G.M. Prevalence of patients with chronic venous disease-related symptoms but without visible signs (described as C0s in the CEAP classification): the Italian experience / G.M. Andreozzi // Phlebolymphology. — 2006. — Vol. 13, № 1. — P. 28-35.
Лабропулос Н. Гемодинамические изменения и классификация CEAP / Н. Лабропулос // Флеболимфология. — 2004. — № 23. — С. 2-6.
Chronic venous insufficiency: clinical and duplex correlations. The Edinburgh Vein Study of venous disorders in the general population / C.V. Ruckley, C.J. Evans, P.L. Allan [et al.] // J. Vase. Surg. — 2002. — Vol. 36, № 3. — P. 520-525.
Copyright (c) 2016 UKRAINIAN JOURNAL OF SURGERY
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our edition uses the copyright terms of Creative Commons for open access journals.
Authors, who are published in this journal, agree with the following terms:
- The authors retain rights for authorship of their article and grant to the edition the right of first publication of the article on a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published article, with the obligatory reference to the authors of original works and original publication in this journal.
- Directing the article for the publication to the editorial board (publisher), the author agrees with transmitting of rights for the protection and using the article, including parts of the article, which are protected by the copyrights, such as the author’s photo, pictures, charts, tables, etc., including the reproduction in the media and the Internet; for distributing; for the translation of the manuscript in all languages; for export and import of the publications copies of the writers’ article to spread, bringing to the general information.
- The rights mentioned above authors transfer to the edition (publisher) for the unlimited period of validity and on the territory of all countries of the world.
- The authors guarantee that they have exclusive rights for using of the article, which they have sent to the edition (publisher). The edition (the publisher) is not responsible for the violation of given guarantees by the authors to the third parties.
- The authors have the right to conclude separate supplement agreements that relate to non-exclusive distribution of their article in the form in which it had been published in the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
- The policy of the journal permits and encourages the publication of the article in the Internet (in institutional repository or on a personal website) by the authors, because it contributes to productive scientific discussion and a positive effect on efficiency and dynamics of the citation of the article.
- The rights to the article are deemed transferred by the authors to the edition (the publisher) since the moment of the publication of the article in the printed or electronic version of journal.